red rash that covers most of the body and “is almost always accompanied by a sore throat and a high fever” (Mayo Clinic, 2018). Scarlet Fever is most common in children and usually presents with symptoms such as red rash with bright red lines appearing in the skin folds, flushed face and a strawberry tongue. Rocky Mountain Spotted fever is caused by infection with the organism Rickettsia rickettsia and typically presents with a high fever, headache and the development of a rash days later (Mayo Clinic, 2018). What specific physical exam findings support these differential diagnoses? The examination findings to support the listed diagnoses includes an eighteen- month-old child with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. Physical exam findings of 101.5 Fahrenheit temperature, tachycardia with heart rate of 120 beats/minute, respiratory rate of 20, hypotension with blood pressure of 90/40, injected conjunctiva, palmar redness, magenta-colored lips, red macula and excoriating rashes in the diaper area.
Of the differential diagnoses you listed, which would be the most concerning? Kawasaki disease is the leading cause of acquired heart disease in children, which can lead to vasculitis, myocarditis and heart valve problems (Mayo Clinic, 2018). Inflammation of the coronary arteries can lead to aneurysms which are caused
You've reached the end of your free preview.
Want to read all 3 pages?
- Summer '17
- Rash, Kawasaki disease, NSG6435 Week 9 Discussion