Pediatric Skin Session - Tucker

Question 1

purpura

Answer 1

palpable petechiae

Question 2

ecchymosis

Answer 2

large area of petechia

Question 3

skin eruption due to illness

Answer 3

exanthem

Question 4

eruption of lesions on mucous membranes

Answer 4

enanthem

Question 5

dried exudate of plasma

Answer 5

crusting

Question 6

depression with complete removal of epidermis

Answer 6

excoriation

Question 7

linear wedge shaped cracks

Answer 7

fissure

Question 8

child with petechiae

Answer 8

concerning rash

DDx - infection, hematologic, immunologic, traumatic

Question 9

rocky mountain spotted fever

Answer 9

tick born
fatal
rickettsia ricketsii
southeast and midwest US

high fever, petechial rash begins wrists and ankles

Question 10

meningococcemia

Answer 10

neisseria meningitidis

• person-to-person
• febrile, ill-appearing, nuchal rigidity

arterial occlusion in distal extremities

Question 11

measles

Answer 11

prodrome high fever
-triad - cough, coryza, conjunctivitis

koplik spots follow

Question 12

ALL

Answer 12

most common malignancy of childhood
-anorexia, irritability, lethargy

more in white boys

Question 13

TTP/HUS

Answer 13

follows gastroenteritis

renal failure, anemia, thrombocytopenia

Question 14

ringworm vs. nummular eczema

Answer 14

cannot distinguish without fungal culture

Question 15

ash leaf macule, raised orange peel shagreen patch

Answer 15

tuberous sclerosis

Question 16

neurofibromatosis

Answer 16

6 lesions greater than 1.5cm