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Self-Assessment Questions

Emergency Medicine

Answer 4
  1. Roseola. Roseola is a febrile illness primarily affecting children between age 6 and 36 months. Typically, the course begins with an abrupt febrile illness, with the fever typically lasting approximately 3 days. In most cases, a morbilliform rash appears as the fever defervesces. Erythema infectiosum (fifth disease) is a viral exanthem caused by parvovirus B19. Rubella (German measles) is a viral exanthem, with which children often have little or no prodromal illness. Rubeola (measles) is a highly contagious acute illness that is often associated with a viral prodrome. The rash is often seen on day 3 or 4 of the illness as the prodromal symptoms, including fever, peak. Varicella (chicken pox) commonly presents as erythematous papules that enlarge to form thin-walled vesicles. Classically, the patient with varicella has lesions in various stages of eruption.

    1. Zitelli BJ, Davis HW, editors. Atlas of pediatric physical diagnosis. 3rd ed. St. Louis: Mosby-Wolfe; 1997.

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