10 results
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
appear toxic and febrile ... differential diagnosis ... assessed for Lyme disease ... pathognomonic for SJS or EM ... require emergent evaluation
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
Adult-Onset Still's Disease ... : High spiking fever ... salmon-colored maculopapular ... rash, arthritis ... : high fever, CRP
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
and Rash - Diagnostic ... Algorithm Central Maculopapular ... Secondary syphilis, EM ... #Rash #Febrile ... #Diagnosis #Algorithm
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Consider BCx, CSF evaluation ... particularly complex febrile ... #Peds #EM #Classification ... #Ddxof
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
Onset Still's Disease ... with urticarial rash ... nonpruritic macular or maculopapular ... extremities during febrile ... #AOSD #diagnosis
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
in vasculitic diseases ... petechiae/purpura with fever ... require emergent evaluation ... the patient is afebrile ... Purpural #Purpuric #Rash
Algorithm for the Evaluation of Kawasaki and Incomplete Kawasaki Disease:
Diagnosis
* Fever >5d
* Criteria (4/5)
  -
Algorithm for the Evaluation ... : Diagnosis * ... Fever >5d * Criteria ... , >1.5cm) - Rash ... Workup #Algorithm #Ddxof
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... < 30 years • Aorta ... Arteritis): • Aorta ... , mucositis • Rash ... vesicles, pustules, maculopapular
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Mediated: • Febrile ... S/sx: Fever, flank ... /sx urticaria, maculopapular ... rash, pruritis, ... #Transfusion #diagnosis
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Mediated: - Febrile ... S/sx: Fever, flank ... /sx urticaria, maculopapular ... rash, pruritis, ... #Transfusions #diagnosis