Rash

Question 1

Symptoms of scarlet fever

Answer 1

Sore throat/ pharyngitis
Fever
Headache
Sand paper like rash
Strawberry tongue
Desquamation of hand, feet and groin
Pastjas line in flexure folds
Circumoral pallor

Question 2

Management of scarlet fever

Answer 2

Notifiable disease
Pen V for 10 days
Exclude schools from 5 days following starting abx

Question 3

Complications of scarlet fever

Answer 3

Meningitis
Cerebral abscess
Sinusitis
Mastoiditis
Quinsy
Pneumonia
Septicaemia/ toxic shock like syndrome
Myocarditis
Rheumatic fever
Glomerulonephritis
Osteomyelitis

Question 4

Chicken pox

Answer 4

Itchy fluid filled vesicles
Infectious when the sx first appears until all lesions crusted over
Fever <4 days if not secondary bacterial (Staph/ strep) sepsis
Oral aciclovir within 24 hours onset