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Molly is enjoying her clinical rotation in an urgent care clinic as part of her

ID: 95663 • Letter: M

Question

Molly is enjoying her clinical rotation in an urgent care clinic as part of her training as a physician's ass slant. She is examining Curtis, a four year old boy showing a red raised rash covering most of his body with the exception of the palms of his hands and soles of his feel. His mother reported that he has had a screw throat, fever, headache dry cough, and conjunctivitis for the last three days. When examining his Molly noted that the oral mucosa was covered with small white spots. She inquired whether Curtis was up-to-date with his childhood vaccines to which his mother responded that her chiropractor advised her not to have her children vaccinated Suspecting a somewhat uncommon disease. Molly consults with her physician mentor. What is the parents most likely diagnosis? Smallpox Chickenpox Shingles Measles Rubella Herpes Rocky Mountain spotted fever

Explanation / Answer

Given observations:

Mollly should suspect it to be as measles as the key observations in measles are:

The measles prodrome is given by the 4 Cs - cough, coryza(runny nose), conjunctivitis and cranky

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