Olive Chaney – Pediatrics
CC – rash
Diagnosis – Exanthema subitum
–Exanthema subitum (HHV6/roseola), human parvovirus 19, rubella (german measles), Measles, URI
●No tests are recommended. Diagnosis is clinical based.
Problem Statement:
( Demographic description – chief complaint – Hx and PE key findings – risk factors )
Olive Chaney is a 2 year old girl brought in by her mother with complaint of a rash. The rash started this morning on her abdomen and has spread to extremities. Her mother reports Olive has not been itching the rash. 3 days prior Olive had cough coryza that have persisted and a high fever (103F) that resolved yesterday. PE shows a pink macropapular rash on abdomen and extremities and eye inspection shows pink conjunctivae.
CC: Olive Chaney is a 2 year old girl brought in by her mother with complaint of a rash
HPI: The rash started this morning on her abdomen and has spread to extremities. Her mother reports Olive has not been itching the rash. 3 days prior Olive had cough coryza that have persisted and a high fever (103F) that resolved yesterday
Meds: none
PMH: noncontributory
ROS: Only positive findings are seen in HPI
Physical Exam:
VS: Pulse – 75; BP – 90/60 RR – 23; T – 98.6FF; SpO2 – 94%
Skin: Macropapular pink rash on abdomen and extremities
Eye Inspection: conjunctiva are pink
ASSESSMENT/PLAN
●Based on clinical assessment we suspect Roseola infantum (Exanthema subitum/ sixth
disease). (no tests necessary)
Management Plan
●There is no specific treatment for roseola infantum. The majority of cases of roseola infantum are mild and self-limited. Treatment is supportive with rest, maintaining fluid intake and
CC – rash
Diagnosis – Exanthema subitum
–Exanthema subitum (HHV6/roseola), human parvovirus 19, rubella (german measles), Measles, URI
●No tests are recommended. Diagnosis is clinical based.
Problem Statement:
( Demographic description – chief complaint – Hx and PE key findings – risk factors )
Olive Chaney is a 2 year old girl brought in by her mother with complaint of a rash. The rash started this morning on her abdomen and has spread to extremities. Her mother reports Olive has not been itching the rash. 3 days prior Olive had cough coryza that have persisted and a high fever (103F) that resolved yesterday. PE shows a pink macropapular rash on abdomen and extremities and eye inspection shows pink conjunctivae.
CC: Olive Chaney is a 2 year old girl brought in by her mother with complaint of a rash
HPI: The rash started this morning on her abdomen and has spread to extremities. Her mother reports Olive has not been itching the rash. 3 days prior Olive had cough coryza that have persisted and a high fever (103F) that resolved yesterday
Meds: none
PMH: noncontributory
ROS: Only positive findings are seen in HPI
Physical Exam:
VS: Pulse – 75; BP – 90/60 RR – 23; T – 98.6FF; SpO2 – 94%
Skin: Macropapular pink rash on abdomen and extremities
Eye Inspection: conjunctiva are pink
ASSESSMENT/PLAN
●Based on clinical assessment we suspect Roseola infantum (Exanthema subitum/ sixth
disease). (no tests necessary)
Management Plan
●There is no specific treatment for roseola infantum. The majority of cases of roseola infantum are mild and self-limited. Treatment is supportive with rest, maintaining fluid intake and
