fever with rash
TRANSCRIPT
FEVER WITH RASH
Dr Bhupendra ShahSenior ResidentB.P Koirala institute of health sciences
ESCHAR not Scab
Ricketssia: ankle and wrist
Candidiasis
Infective endocarditis
Rose spot
Lupus Vulgaris
Fever with rash
Benign to life threatening
Fever with rash
Infective to non infective
Fever with rash
Simple to most confusing
Then what is required?
History
Physical examination
Lab data
Mr A ,35 year old male presented with fever:3 days
Now how to approach?
History: Ag e of patient
Temporal pattern with fever and rash.
Recent travel
Animal exposure
Medication history
Contact history
Immunocompromised status
Is it systemic infection or dermatological problem?
Blanching?
Maculopapular rashes
Centrally predominance Peripheral predominance
Rubella
Erythema infectiosum
Roseola infantum
Drug reactions
Erythema multiforme
Dengue
Rickettsia
Meningococcemia
Erythema multiforme
Petechial rash
Meningococcemia:WATCH puppuric lesion in extremities
Diffuse erythema with desquamation
Scarlet fever
Toxic shock syndrome
Vesiculobullous- Pustular lesion
Varicella zoster
Herpes Zooster
Malar rash
What you learn?
History
Recognise the lesion
Caution regarding life threatening condition.
Don’t panic.
Thank you