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Olive Chaney ihuman case study: what are the questions to ask?
which differential diagnoses and which tests need to be ordered? what is
his lead and alternate diagnoses? management plan? thanks! 1
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Olive Chaney - Pediatrics CC - rash Diagnosis - Exanthema subitum -
Exanthema subitum (HHV6/roseola), human parvovirus 19, rubella (german
measles), Measles, URI • No tests are recommend ed. Diagnosis is clinical
based. Problem Statement: ( Demographic description - chief complaint - Hx
and PE key findings - risk factors ) Olive Chaney is a 2 year old girl brought in
by her mother with complaint of a rash. The rash started this morning on her
abdomen and has spread to extremities. Her mother reports Olive has not
been itching the rash. 3 days prior Olive had cough coryza that have
persisted and a high fever (103F) that resolved yesterday. PE shows a pink
macropapular rash on abdomen and extremities and eye inspection shows
pink conjunctivae.
What is exanthem subitum?
Exanthem subitum is an infection caused by a virus. This condition is most
common in children 2 years of age and younger.
what are the questions to ask?
does the child have a fever? how long?
does he child have a rashes? when and where did it start?
does the patient have diarrhea?
is the patient weak?
dehydrated? what are the
medication taken?
, differential diagnoses
Rubella is a contagious disease caused by a virus. Most people
who get rubella usually have a mild illness, with symptoms that
can include a low-grade fever, sore throat, and a rash that starts on
the face and spreads to the rest of the body.
What are the signs and symptoms of exanthem subitum?
Your child may have a fever for 3 to 5 days. He may be irritable, weak, or not
want to eat. He may vomit or have diarrhea. In some cases, your child may
have a seizure or become confused because of fever. Your child's lymph
nodes may be swollen and tender. Small red spots appear on your child's
chest and abdomen after his fever goes away. They are about the size of a
penny and may be flat or raised. They are not itchy or painful. The rash
may spread to the rest of his body.
How is exanthem subitum diagnosed?
Your child's healthcare provider will ask about your child's symptoms. He will
examine your child's skin. Your child may need any of the following:
• Blood tests: Your child may need blood tests to give healthcare
providers information about how his body is working. The blood may be
taken from your child's arm, hand, finger, foot, heel, or IV.
• Urine sample: A sample of your child's urine is collected and sent to
a lab for tests.
How is exanthem subitum treated?
Your child's symptoms usually go away on their own. He may need any of
the following:
• Liquids: Liquids will help prevent dehydration. Ask how much your
child should drink each day. Give your child water, juice, or broth
instead of sports drinks. He may need an oral rehydration solution
(ORS). An ORS has the right amounts of water, salts, and sugar your
child needs to replace body fluids. Ask your child's healthcare provider
where you can get ORS.
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