An 80-year-old male is brought to the ED by ambulance with new confusion. His wife reports he has recently developed a skin allergy, but he has otherwise been generally well.
The nurse looking after the patient reports that he is aggressive but compliant, and inform you that the acute psychiatric team will also review him.
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What is your management plan for this patient?
The patient’s nurse then notices, whilst changing him, that there are some spots on the back. She thinks it is an allergic reaction to the paracetamol she had given him for the headache and calls you in as she is concerned.
a) Do you agree with her assessment of the rash?
b) How can you differentiate this rash from an allergic rash?