SAQ 946 – Paediatrics – febrile child with rash and abnormal blood count

A 10-year-old girl presents with fever, cough and the chest rash shown below.

Her full blood count is provided.

Parameter	Result	Reference range
WCC	16.1	4-11
Hb	110	115-175
Platelets	97	150-450
Hct	0.30	0.36-0.56
MCV	79	79-96
MCH	28	27-32
MCHC	32	30-36
Neutrophils	2.1	2.9-7.9
Lymphocytes	9.8	1.8-4.0

Describe the rash.

(Marked out of 1.0)

/ 1

List five possible causes of this rash in a febrile child.

(Marked out of 5.0)

/ 5

List five clinical changes or investigation results that would increase your suspicion for serious bacterial infection.

(Marked out of 5.0)

/ 5

Using the blood count, give two possible differential diagnoses and state clinical or investigation features that would support or make each less likely.

(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;">Differential diagnosis</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Supporting or less likely features</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Diagnosis 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;">Diagnosis 2</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

Total Score: 0 / 17

Percentage: 0%