Fever and Rash

Question 1

Name the lesion

flat lesions defined by an area of changed color <5mm

Answer 1

macule

Question 2

Name the lesion

raised, solid lesions < 5mm in diameter

Answer 2

papule

Question 3

Name the lesions

lesions >5 mm in diameter with a flat,plateau like surface, elevated borders

Answer 3

plaque

Question 4

Name the lesion

>5mm diameter with a more rounded configuration

Answer 4

Nodule

Question 5

Name the lesion

• papules or plaques that are pale pink and may appear annular (ringlike) as they enlarge
• Classic (nonvasculitic) wheals are transient, lasting only 24-48 hours in any defined area

Answer 5

Wheals

Question 6

Name the lesion

circumscribed, elevated lesions containing fluid <5 mm

Answer 6

vesicle

Question 7

Name the lesion

circumscribed, elevated lesions containing fluid >5mm

Answer 7

bullae

Question 8

Name the lesion

Raised lesions containing purulent exudate <5mm

Answer 8

pustule

Question 9

Name the lesion

<3mm in diameter the purpuric lesions are

Answer 9

petechiae

Question 10

Name the lesion

>3 mm purpuric lesions

Answer 10

ecchymoses

Question 11

Name the lesion

a raised lesion due to inflammation of the vessel wall (vasculitis) with subsequent haemorrhage

Answer 11

Palpable purpura

Question 12

Name the lesion

a defect in the skin extending at least into the upper layer of the dermis

Answer 12

Ulcer

Question 13

Name the lesion

a necrotic lesion covered with a black crust

Answer 13

Eschar

Question 14

cause of palpable purpura triggered by penicillins, sulfa drugs, salicylates

Answer 14

Serum sickness

Question 15

Name the rash
Lesions evolve from macular to petechial, start on the wrist and ankles, spread centripetally and appear on the palms and soles

Answer 15

Secondary syphilis

Question 16

Name the rash

tender vesicles distributed peripherally and in the mouth

Answer 16

Hand foot mouth disease

Question 17

Name the rash

develops symmetrically on the elbow,knee, palms and soles, can involve mucosal surfaces – Stevens-johnson syndrome

Answer 17

Erythema multiforme

Question 18

Name the rash

Osler node and Janeway lesion in hand

Answer 18

Endocarditis

Question 19

Name the rash

facial flush, strawberry tongue, accentuated petechiae in body folds (pastia’s lines)

Answer 19

Scarlet fever

Question 20

Name the rash

patients,fissuring of the lips,strawberry tongue ,conjunctivitis, adenopathy

Answer 20

Kawasakit disease

Question 21

Name the rash
Diffuse erythema involving palms; pronounced
erythema of mucosal surfaces;
conjunctivitis; desquamation 7–10 days
into illnes

Answer 21

Staphylococcal toxic shock syndrome

Question 22

Name the rash
Scarlatiniform rash that May occur in setting of
severe infections (e.g., necrotizing fasciitis,
bacteremia, pneumonia

Answer 22

Streptococcal toxic shock syndrome

Question 23

Name the rash
Diffuse tender erythema, often with bullae
and desquamation; Nikolsky’s sign

Answer 23

Staphylococcal scalded skin syndrome

Question 24

Name the rash
Diffuse erythema or target lesions progressing to bullae
Sloughing and necrosis of entire epidermis <10%

Answer 24

Steven Johnson Syndrome

Question 25

Name the rash
Macules (2–3 mm) evolving into papules,
then vesicles (sometimes umbilicated), on
an erythematous base (“dewdrops on a rose
petal”); pustules then forming and crusting;
lesions appearing in crops; may involve
scalp, mouth; intensely pruritic

Answer 25

Varicella

Question 26

Name the rash
Pruritic,erythematous follicular, papular, vesicular,or pustular lesions that involve axillae, buttocks,abdomen and areas occluded by bathing suits

Answer 26

Pseudomonas “ hot tub folliculitis”

Question 27

Name the rash
Red macules on tongue and palate evolving
to papules and vesicles; skin macules
evolving to papules, then vesicles, then
pustules over 1 week, with subsequent
lesion crusting; lesions initially appearing
on face and spreading centrifugally from
trunk to extremities; differs from varicella in
that (1) skin lesions in any given area are at
same stage of development and (2) there is
a prominent distribution of lesions on face
and extremities (including palms, soles)

Answer 27

Variola (smallpox)

Question 28

Name the rash
Erythema rapidly followed by hallmark
painful grouped vesicles that may evolve into
pustules that ulcerate, especially on mucosal
surfaces; lesions at site of inoculation:
commonly gingivostomatitis for HSV-1 and
genital lesions for HSV-2; recurrent disease
milder (e.g., herpes labialis does not involve
oral mucosa)

Answer 28

Primary herpes simplex

virus (HSV) infection

Question 29

Name the rash
Pruritic papule enlarging and evolving into a 1x3 cm painless ulcer sorrounded by vesicles, then developing a central eschar with edema;residual scar

Answer 29

Anthrax

Question 30

Name the rash
Ulceroglandular form
A tender eryhthematous paule evolves into a necrotic,tender ulcer with raised border

Answer 30

Tularemia

Question 31

Patient comes in with rash and you are suspecting an infection. Give the top 2 tests that you’d order

Answer 31

CBC with differential

Blood culture and other sites

Question 32

Which diagnostic imaging should be done in acutely ill px?

Answer 32

Chest radiography

Question 33

When is skin biopsy indicated?

Answer 33

later in the diagnostic process of conditions with skin lesions