Authors: Ivana Lutchman / Editor: Thomas MacMahon / Reviewer: Sarah Gooding / Codes: DP1, IP1, SLO1, SLO5 / Published: 08/10/2022
A 4-year-old boy presents to the Emergency Department (ED) due to a 5 day history of general malaise, pyrexia, coughing and a rash. He’s also developed pains in his legs over the last 24 hours, causing him difficulty in standing.
The rash consists of 1-2cm circular raised erythematous spots in an uneven distribution mainly over his anterior chest and thighs, with a few on his abdomen, arms and face.
On examination he has mild cervical lymphadenopathy and erythematous tympanic membranes. He has no recent foreign travel and is up to date with his immunisations.
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Question 1 of 4
1. Question
His rash is as shown in the picture.1
Which of the following is the likely rash in this clinical scenario?
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Question 2 of 4
2. Question
What initial investigations are appropriate to assist in confirmation of the cause of the erythema nodosum? (Select all that apply).
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Question 3 of 4
3. Question
The rash is erythema nodosum. What is the most likely cause of the above acute presentation?
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Question 4 of 4
4. Question
Which treatment would you recommend to all patients with erythema nodosum?
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Module Content
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3 responses
Informative
a very well summarized learning session but would help if all causes of the rash were listed here as well, in one space
Great Revision