Paediatric Rashes

1. Dr Kyle Kophamel
CME 14 Jan 2016
The Kid with a rash…

2. Aim
 What’s the use for us in Charlies?
 Description
 Approach
 Pictures and Cases

3. Why learn about em?
 You will get asked. Inside ED or out.
 Fast Track
 Paediatric terms and exams
 Common paediatric presentation
 Pattern recognition takes practice
 Knowing who is at risk

4. Description:

5. Description:
 Nomenclature
 Macule/Patch
 Papule/Plaque
 Nodule
 Vesicle
 Bullae
 Pustule
 Petechia
 Purpura
 Ecchymoses
 Wheal

6. Description:
Macule / Patch

7. Description:
Macule / Patch

8. Description:
Papule / Plaque

9. Description:
Nodule

10. Description:
Vesicle

11. Description:
Bullae

12. Description:
Pustule

13. Description:
Petechiae / Purpura / Ecchymoses

14. Description:
Wheal

15. Approach:
 Age Demographic
 Progression / Prodrome
 Associated signs and symptoms
 Lesions
 Types of lesions
 Size
 Location / Distribution
 Special features

16. Specific Examples
 Describe what you see
 History
 Progression
 Prodrome
 Symptoms
 Clinical examination
 Lesions – Size/Location/Distribution
 Signs

17. 1.

18. 1. Varicella Zoster (Chickenpox)

19. 2.

20. 2. Impetigo

21. 3.

22. 3. Urticaria

23. 4.

24. 4. Hand, Foot, Mouth Disease

25. 5.

26. 5. Measles

27. 6.

28. 6.Scarlet Fever

29. 7.

30. 7. Kawasaki Disease

31. 8.

32. 8. Ringworm

33. 9.

34. 9. Eczema
Herpeticum

35. 10.

36. 10. Erythema
Multiforme

37. 11.

38. 11. Erythema
Nodosum

39. 12.

40. 12. Erythema
Infectiosum (5th Disease)

41. 13.

42. 13.Henoch-Schönlein
Purpura

43. 14.

44. 14. Immune Thrombocytopenia
Purpura (ITP)

45. 15.

46. 15. Meningococcal
Septicemia

47. 16.

48. 16. Seborrhoeic Dermatitis

49. 17.

50. 18. Molluscum Contagiosum

51. 18.

52. 18. Pytyriasis
(Tinea) Versicolor

53. 19.

54. 19. Psoriasis

55. 20.

56. 20.Scabies

57. What you should’ve learnt:
 Well vs unwell
 Describe what you see
 Progression / prodrome of rash
 Symptoms accompanying rash
 Look, look, look.

58. Thanks!