SAQ 788 – Paediatrics – fever with petechial rash

A 12-month-old immunised boy with no allergies presents after four days of fever, cough and nasal congestion, and has now developed a petechial rash on his lower back. He is initially bright and alert.

List three (3) specific characteristics of a petechial rash.

(Marked out of 3.0)

Observation	Value
Temperature	38.5 C
HR	150 bpm
RR	38/min
SaO2	98% room air
Weight	10 kg

/ 3

List four (4) potential differential diagnoses.

(Marked out of 4.0)

/ 4

Using a table, list three (3) investigations with one (1) 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;">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

His rash spreads in the ED and he looks more unwell. Prescribe appropriate antibiotics.

(Marked out of 2.0)

/ 2

Total Score: 0 / 15

Percentage: 0%