Please aid near this medical bag...?
Chief complaint: rashes
History of present sickness:
Condition started 3 days prior to admission as sudden birth of fever, (documented as warmth of 39 celsius). Patient was given paracetamol (naprex 100mg.ml) drops 1.2ml every 4 hours which afforded stopgap relief. Patient have minimal rhinorrhea and was noted to hold decrease surrounded by appetite. Parents did not seek consult because of financial difficulty. The morning prior to entry, temperature be noted to be 37.5celsius and parents noted the appearance of rashes.
(+) soft liquid stool 1-2 episodes/day
(+) vomiting
Past history:
Prenatal: mother G2P2002. had prenatal check up at the condition center. No maternal bug incurred during the entire gestation. Took multivitamins regularly.
Natal: patient be delivered at home assised by a midwife. Good spontaneous crying be noted right after delivery. Birth grade is 2/2
Postnatal: patient be breastfed since birth up to 6 months old. Solid food be introduced at 5 moths old. Developmental milestones – unremarkable.
Immunization status:complete primary booster done at the health center.
P.E: examined a conscious, irritable, afebrile long-suffering with the following important signs
HR: 100/min RR: 25/min Temp: 37celsius weight: 8 kg
Skin: (+)discrete, small slightly raise pink lesions contained by the trunk. (-) jaundice
HEENT: (-) eye discharge, (+) watery nasal discharge, (-) tonsillopharyngal congestion
Neck: supple
Chest and lungs: equal chest expansion, clear breath sounds
CVS: regular rate and rhythm
Abdomen: flat, soft, normoactive bowel sounds
Genitourinary: grossly mannish, descended testes
Extremeties: no limitation of movement, strong pulses, capillary stock up time(CRT) < 2 sec
Questions:
1.what is your impression of the suitcase?
2.what is the primary causative agent of this particular disease entity?
3.what is its incubation interval?
4.what may be noted during the prodromal period of your primary dent?
5.what is the typical pattern of frenzy in this disease entity?
6.what is a predictable differential diagosis of this disease entity?
7.what would be the likely presentation of your differential diagnosis ( reckless in relation to fever)?
8. Is this preventable by vaccine?
Answer:
1. the condition is commonly good, disease controlled by medication
2. it is viral disease, watery nasal discharge
4. hallucination of sudden onset
5. sudden
6. other viral infections next to rash & gastroentritis
7. within chicken pox rash proceeded by restlessness by 1 day. contained by measles by 4 days, ...etc
8. no ( he completed his vaccination even so caught infection)
I am sorely disappointed if this is a medical student actually posting for assistance on here regarding a covering!