Impetigopeds - CASE PRESENTATION Pediatrics Rotation By Stephanie Piotrovsky PA-S The Case Presentation The A seven year old male comes to the

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CASE PRESENTATION Pediatrics Rotation By Stephanie Piotrovsky, PA-S
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The Case Presentation The Case Presentation A seven year old male comes to the clinic with multiple crusted lesions around the mouth, nose, and on the trunk. The patient has no other complaints. Vital signs are within normal limits. No fever at this time. No past surgical, medical history Immunizations up to date
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DIFFERENTIAL DIAGNOSIS DIFFERENTIAL DIAGNOSIS IMPETIGO Bullous Vs. Nonbullous ECTHYMA HSV-1 VARICELLA DERMATITIS TINEA CAPITUS
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The History (HPI) The History (HPI) (Elicited from mother and child) How long have the lesions been present? How long have the lesions been present? Approximately, one week Has their appearance changed? Has their appearance changed? Mom states that it started out as small pink bumps around his nose and mouth one week ago. A few days later, he had blisters in the same areas and also on his chest and right arm. Two days ago, she noticed the crusting and it hasn’t changed since. Do the lesions itch, burn or hurt? Do the lesions itch, burn or hurt? The child said that they only itch and hurt a little bit.
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The History (HPI) The History (HPI) (Elicited from mother and child) Is anyone else around the child sick or have similar Is anyone else around the child sick or have similar skin problems? skin problems? NO Does the child have any underlying illness or Does the child have any underlying illness or condition ( Diabetes, HIV/AIDS, chemo, condition ( Diabetes, HIV/AIDS, chemo, gluccoicorticoid use, etc…) that causes immune gluccoicorticoid use, etc…) that causes immune compromise? compromise? NO Has any attempt made to self treat the rash? Has any attempt made to self treat the rash? NO Is the child currently on any medications? Is the child currently on any medications? NO
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The History The History (HPI) (HPI) (Elicited from mother and child) Does the child have any known allergies? Does the child have any known allergies?
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This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Impetigopeds - CASE PRESENTATION Pediatrics Rotation By Stephanie Piotrovsky PA-S The Case Presentation The A seven year old male comes to the

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