Image transcription text Files 6:29 PM Mon 26 Aug .

Case Study A 10-year-old boy presents to your office with an asymptomatic eruption for 3 days. His parents report the rash appeared suddenly and involves his trunk and extremities. He denies improvement with application of calamine lotion. No one at home has a similar rash. Upon review of systems, he said he had a sore throat about a week before the eruption, along with a brief period of tactile temperatures. He has taken no recent oral medications. Allergic to Penicillin-hives Family History: negative for atopy or atopic diseases Temperature 97.9 (Temporal artery) Weight: 90# (40.9 kg) PE: General: Alert and cooperative. Chatty. Ears: TM’s and canals clear bilateral Eyes: No swelling of lids, + red reflex Nose: Patent, no drainage or crusting Pharynx: Clear. No cobbling or tonsillar hypertrophy Oral: Mucous membranes without lesions; tongue unremarkable Neck: Anterior and posterior cervical nodes benign Lungs: CTA to bases bilateral with no advantageous sounds CV: S1/S1 auscultated with regular rate and rhythm; pulses equal bilateral Skin: Round and oval, scaly, erythematous papules measuring 3 mm to 10 mm in size. They are distributed over her entire body with sparing of the face, and diffuse silvery, scaling Differential Diagnosis (20 points) Inclusion Rationale Exclusion Rational Working Diagnosis (ü) 1. 2. 3. 4. 5. Pharmacological Plan (6) (if indicated) Medication/ rationale Prescribing information mg/kg/day Concentration (if pertinent) Route/ Frequency 1. 2. 3. Testing: Lab or Radiology (2) (If indicated) Test Rationale Patient Education (8) 1. 2. 3. 4. 5. Follow-Up Plan (4) (May include referrals) 1. 2. 3. 4. Point distribution in red ( ).

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