SAQ 480 – Paediatrics – vesicular thumb infection after failed antibiotics

An 18-month-old child presents with a thumb rash that has been present for one week and has not improved after oral cephalexin. She is systemically well and afebrile. The clinical photograph is shown below.

Describe the photograph, giving four (4) relevant positive findings and two (2) relevant negatives.

(Marked out of 6.0)

/ 6

What is the most likely diagnosis and responsible organism?

(Marked out of 2.0)

/ 2

List two (2) differential diagnoses.

(Marked out of 2.0)

/ 2

List three (3) possible complications of this condition.

(Marked out of 3.0)

/ 3

Prescribe two (2) appropriate medications.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Medication</th> <th>Slow release?</th> <th>Route</th> <th>Dose</th> <th>Frequency</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>2.</td> <td></td> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 8

Total Score: 0 / 21

Percentage: 0%