Diffuse Rash

HISTORY:

Generalized rash for ‍ ‍hoursdays

Onset: ‍gradualsudden, following ‍

Location: ‍faceneckarmshandslegsfeetchestabdomenback ‍generalized

Type: ‍itchynon-itchy, ‍painfulpainless, ‍blistering, ‍scaling, ‍swollen

Worsening factors: ‍none

Treatments tried: ‍none, ‍effectiveineffective



‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍cough, ‍non-productiveproductive

‍sputum, ‍clearcolored

‍runny nose, ‍clearcolored

‍sore throat

‍shortness of breath

‍headache, ‍diffuse, ‍persistentintermittent, ‍pressurethrobbing, ‍mild

‍body ache

‍fatigue

‍nausea

‍vomiting

‍diarrhea

‍abdominal pain



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Eyes: -R: ‍normal, -L: ‍normal, ‍

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions

Abdomen: ‍softsemi-softtense, ‍non-tender ‍, ‍non-distended, ‍

Skin: ‍no rash

Musculoskeletal: joints ‍ ‍normal, ‍no limited ROM



ASSESSMENT:

‍Viral exanthem ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Blood work: ‍CBC, ‍creatinine, ‍electrolytes, ‍glucose, ‍TSH, ‍LFTs, ‍ANA, ‍RF

- Patch testing

- Skin biopsy

- ‍Topical Steroids

- ‍Antihistamines

- ‍Antifungal Topical

- ‍Antifungal Oral

- ‍Scabicides

- Avoidance of irritants and allergens

- Education on proper skin care and avoidance of triggers

- Referral to dermatologist

- Follow-up in ‍ ‍weeksmonths

- Return if rash worsens, if new symptoms develop, or if condition does not improve after 2 weeks