Impetigo

HISTORY:

‍Skin rash for ‍ ‍hoursdays

Location: ‍faceneckarmhandlegfootthoraxabdomenflankback

Onset: ‍gradualsudden, following ‍

‍red sores

‍itching

‍crusts

‍blisters

‍honey-colored crusts

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍swollen lymph nodes

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

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

Skin: ‍no rash



ASSESSMENT:

‍Impetigo ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Skin swab for culture

- ‍Topical antibiotics

- ‍Oral antibiotics if large area or no response to topical antibiotics

- Good hygiene practices

- Avoidance of scratching

- Covering of lesions

- School leave until improved

- Follow-up in ‍ ‍daysweeks

- Return if redness expands or fever develops