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The patient is a 4-year-old female diagnosed with a scarlet fever with abrasion and peeling of the skin. The Rash has worsened, spread, and become painful and uncomfortable, and itchy. Mom notes a decrease in appetite and that her face and dorsum of her feet are more swollen than the baseline. Skin started to desquamate over small areas on her face, these areas appeared scabbed as well. The family denies any visible drainage, abdominal pain, vomiting, or diarrhea. The patient is very calm and cooperative. Family members are at the bedside. Primary Language : English in 35 words Briefly Cultural Considerations: (Includes not just language etc. but family roles, core values, attitudes toward school, environment, healthcare etc., gender roles, self-concepts, beliefs and assumptions, gestures, thought patterns, personal space etc.)

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