Skin & Subcutaneous Tissue


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P11_F1.jpg"}},{"insert":"\n\n"},{"insert":"As you see your third case of measles for today, you cannot help but feel aggravated by the increase in the number of parents who refuse to vaccinate their children.\r\n\r\nYou feel frustrated about their belief that vaccines cause autism, as this medical myth has been conclusively disproven for a long time now.\r\n\r\nYou bring your feelings under control and call in the next patient.\u00a0\n\nYou are introduced to 4-year-old Bob, who is accompanied by his mother, Mrs. Pearson.\r\n\r\nBob has had a fever of 102.2 \u02daF (39\u00b0C) for the past four days, without any other symptoms. He has not been seen by a doctor so far and has only been administered over-the-counter acetaminophen (paracetamol).\r\n\r\nHe has been healthy until now and has no known allergies. All vaccines are up-to-date.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P11_F2.jpg"}},{"insert":"\n\n"},{"insert":"Bob\u0027s blood pressure is 90\/60 mmHg, pulse is 134\/min, respiratory rate is 25\/min, and temperature is 103.1 \u00b0F (39.5 \u00b0C).\r\n\r\nYou observe a generalized maculopapular rash over his trunk, and elicit right-sided cervical lymphadenopathy as well, with the nodes \u003E1.5 cm in size.\r\n\r\nThe remainder of the examination is unremarkable.\n\nYou realize this is most likely scarlet fever, and ponder what to do next.\n"}]}


{"ops":[{"insert":"What will you do?\n"}]}
1. Perform a rapid strep test
2. Start azithromycin