SAQ 780 – Infectious Diseases – disseminated zoster in immunosuppression

A 40-year-old man presents to your ED with a worsening painful rash and headache for two days. His history includes HIV and diabetes. Photographs of the rash are shown.

List two (2) abnormalities seen in the rash photographs.

(Marked out of 2.0)

/ 2

List two (2) points about the most likely diagnosis, being as specific as possible.

(Marked out of 2.0)

/ 2

Other than blood tests, list and justify three (3) investigations you would perform in the ED.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Justification</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

Apart from infectious diseases consultation, list three (3) other management steps.

(Marked out of 3.0)

/ 3

A triage nurse who is 20 weeks pregnant is concerned about contact with the patient. Apart from infectious diseases consultation, list two (2) important management steps.

(Marked out of 2.0)

/ 2

Total Score: 0 / 15

Percentage: 0%