Scarlet fever physical examination: Difference between revisions

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{{CMG}}
{{CMG}}


==Signs and symptoms==
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====Early signs====
*Flushed face with perioral pallor (circumoral pallor)
*[[Tachycardia]] (rapid pulse)
*[[Lymphadenopathy]] (enlarged [[lymph node]]s)
*Punctate red macules on the hard and soft palate and uvula (ie, Forchheimer spots).
*Bright red tongue with a "strawberry" appearance
 
====Rash====
*Characteristic rash, which:
:*is fine, red, and rough-textured; it [[wikt:blanch|blanches]] upon pressure
:*appears 12–48 hours after the fever
:*generally starts on the chest, axilla (armpits), and behind the ears
:*is worse in the [[skin fold]]s
:*Pastia lines (where the rash becomes confluent in the arm pits and groins) appear and persist after the rash is gone
*The rash begins to fade three to four days after onset and [[desquamation]] (peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later and can last up to a month." Peeling also occurs in axilla, groin, and tips of the fingers and toes.


==Physical Examination==
[[Image:Scarlet fever 1.jpg|thumb|left|140px|The "slapped cheeks" and "white mustache" of scarlet fever.]]
[[Image:Scarlet fever 1.jpg|thumb|left|140px|The "slapped cheeks" and "white mustache" of scarlet fever.]]
[[Image:Scarlet fever 2.jpg|thumb|left|140px|The scarlet fever rash.]]
[[Image:Scarlet fever 2.jpg|thumb|left|140px|The scarlet fever rash.]]
[[Image:Scharlach.JPG|thumb|left|Tongue with a strawberry appearance.]] {{-}}
[[Image:Scharlach.JPG|thumb|left|Tongue with a strawberry appearance.]] {{-}}
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs overview]]
[[Category:Needs overview]]
 
[[Category:Needs content]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]

Revision as of 17:13, 5 December 2012