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This SAQ is worth 12 marks

A 2 year old girl has been brought to your ED with a rash. She has been unwell with fever for 5 days. She had been seen by her local doctor 2 days ago.
Her rash is shown in the clinical image below.

View attached:  Attachment 1

Question 1.
In point form, describe the image. (4 marks)


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Question 1.
Give your diagnosis for the rash. (2 marks)


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Question 1.
List the 2 most common aetiological groups responsible for this rash, and 4 specific agents in each group. (6 marks)

Group Specific agent




 

 

 

 

 

 

 

 





 

 

 

 

 

 

 

 



 

This SAQ is worth 12 marks

A 2 year old girl has been brought to your ED with a rash. She has been unwell with fever for 5 days. She had been seen by her local doctor 2 days ago.
Her rash is shown in the clinical image below.

Question 1.
In point form, describe the image. (4 marks)

Multiple lesions of different sizes
Discrete lesions, no confluence
Erythematous macules
Target lesions with central clearing (CRITICAL TO PASS)
Distribution over anterior right arm and forearm and anterior right side of thorax shown
Child appears well perfused

Question 1.
Give your diagnosis for the rash. (2 marks)

Erythema multiforme

Question 1.
List the 2 most common aetiological groups responsible for this rash, and 4 specific agents in each group. (6 marks)

Drugs – sulphur antibiotics, anticonvulsants, NSAIDs, cephalosporins
Infectious – mycoplasma, HSV, other viruses eg EBV, fungal infections
(no other groups acceptable)

Mark out of 6 not 8
1 mark for each group with ½ mark for each agent
Pass 3 of 6

Total pass 8/12 corrects to 6.5/10



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erythema   multiforme   rash