CHIEF COMPLAINT: RASH FOR 3 DAYS
QUESTION : A 3yr old boy is brought to the clinic because of a 3 day history of a rash. His mother reports that he has had fever and malaise for 5 days. He attends daycare with several other children who have a similar rash. Now at the clinic, his temperature is 38.5C. Physical examination shows a diffuse rash more on the face and trunk. There is a wide range of lesions 5-10mm in diameter on an erythematous base. Some are maculopapular, some are vesicular and a few are crusted. There are no oral or mucosal lesions. 1) 1) Give 4 differential diagnoses 2) 2) Tell the most likely diagnosis. SOLUTION: 1) DIFFERENTIAL DIAGNOSES: A) Chickenpox (Varicella/Varicella zoster) B) Impetigo C) Folliculitis D) Insect bite 2) MOST LIKELY DIAGNOSIS = Chicken...