Author: Nauman Arshad / Editor: Fiona Mendes / Codes: / Published: 01/05/2024
A 3-year-old girl presents to emergency department (ED) with a 5-day history of fever, runny nose and abdominal pain. She has had two episodes of vomiting over the last 2-days. Her mother noticed that she has red rash on her face, chest and upper back.
Vital signs:
- Oxygen saturations in room air: 97%
- Respiratory rate: 34 breaths per minute.
- Cap refill < 2 seconds peripherally.
- Pulse: 128 beats per minute.
- Temperature: 38.6 degree Celsius.
On examination, of note:
Eyes: Bilateral eye redness (conjunctival injection) without any purulent discharge.
Mouth appears dry, fissured and with erythematous lips.
There is right-sided cervical lymphadenopathy.
The lungs are clear on auscultation. Abdomen is soft and non-tender on palpation.
She has a fine erythematous maculopapular rash on her face, chest and on upper part of her back.
