SAQ 1015 – Paediatrics – febrile toddler with widespread rash

A normally well 18-month-old girl is brought to ED after one week of coryzal symptoms and fever. Three days ago she developed a rash that began on the face and torso and has now spread to the arms, legs and perineum.

Her parents have been using wet dressings and topical steroid for what was thought to be a flare of her usually mild eczema. She appears coryzal and miserable. The rash images are shown.

Describe three features of the rash.

(Marked out of 3.0)

/ 3

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

Describe three investigations you would perform and explain the rationale for each.

(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;">Rationale</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></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;"></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;"></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

State six key components of management.

(Marked out of 6.0)

/ 6

Total Score: 0 / 16

Percentage: 0%