The Child with a Rash: Part Two

March 15, 2019 by James Thomas in Paediatrics

Just before she went away on holiday Dr Rachel Tricks rejoined us to for the Child with a Rash sequel!

Part One can be found here

In this episode we discuss:

- common bacterial rashes (see below)

- the ‘CRASH & Burn’ mnemonic of Kawasaki Disease (Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hand and 5 days of fever)

- Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

You can find the full list of Notifiable Diseases and Causative Organisms here

Here are the rashes mentioned in this episode (images from DermNet NZ)

Scarlet Fever

Staphylococcal Scalded Skin Syndrome

Erythema multiforme

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

Kawasaki Disease

Kawasaki_disease.webm.jpg

Here is in the infographic Rachel mentioned from South Cheshire CCG explaining how long children need off school with various common conditions:

Here is our #TakeVisually for this episode:

The Child with a Rash: Part One

February 21, 2019 by James Thomas in Paediatrics, Sepsis

Dr Rachel Tricks rejoins us to go through the management of a child with a non-blanching rash

- we go through the steps of assessing and managing a child with a non-blanching rash

- the red flags of a petechial rash

- common viral rashes (including a rant by Jamie against Andrew Wakefield and his ‘research’

Here’s a copy of the petechial rash algorithm used at the NUH NHS Trust:

Images from DermNetNz

Meningococcal Purpura

Non-specific viral rash

Urticarial rash

Chickenpox

Roseola

Parvovirus

Measles

Rubella

Hand, Foot and Mouth Disease

Epstein Barr Virus Plus Amoxicillin

Eczema Herpeticum

Here is the #TakeVisually for this episode: