Presentation Show HistoryOne study review performed in the United Kingdom reported that irritant diaper dermatitis does not usually develop immediately after birth; onset is generally between 3 weeks and 2 years of age, with prevalence highest between 9 and 12 months. This study showed that one fifth of all pediatric dermatology visits for children up to the age of 5 years were to treat diaper dermatitis. Diagnosis of diaper dermatitis is based largely on the physical examination. A careful history, however, could elicit clues that aid in narrowing the differential diagnosis.
Physical ExaminationThe pertinent physical examination focuses on the skin in the diaper area. Findings vary depending on which subset of diaper rash is most prominent.  The following are characteristic physical findings:
Author Rania Dib, MD Pediatric Senior Specialist, Procare Riaya Hospital, Al Khobar, Saudia Arabia Disclosure: Nothing to disclose. Coauthor(s) Amin Antoine Kazzi, MD Professor of Clinical Emergency Medicine, Department of Emergency Medicine, American University of Beirut, Lebanon Amin Antoine Kazzi, MD is a member of the following medical societies: American Academy of Emergency Medicine Disclosure: Nothing to disclose. Specialty Editor Board Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Nothing to disclose. Wayne Wolfram, MD, MPH Professor, Department of Emergency Medicine, Mercy St Vincent Medical Center; Chairman, Pediatric Institutional Review Board, Mercy St Vincent Medical Center, Toledo, Ohio Wayne Wolfram, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American Academy of Pediatrics, Society for Academic Emergency Medicine Disclosure: Nothing to disclose. Chief Editor Kirsten A Bechtel, MD Associate Professor of Pediatrics, Section of Pediatric Emergency Medicine, Yale University School of Medicine; Co-Director, Injury Free Coalition for Kids, Yale-New Haven Children's Hospital Kirsten A Bechtel, MD is a member of the following medical societies: American Academy of Pediatrics Disclosure: Nothing to disclose. Additional Contributors Jerry R Balentine, DO, FACEP, FACOEP Vice President, Medical Affairs and Global Health, New York Institute of Technology; Professor of Emergency Medicine, New York Institute of Technology College of Osteopathic Medicine Jerry R Balentine, DO, FACEP, FACOEP is a member of the following medical societies: American College of Emergency Physicians, New York Academy of Medicine, American College of Osteopathic Emergency Physicians, American Association for Physician Leadership, American Osteopathic Association Disclosure: Nothing to disclose.
What does petechial rash indicate?Petechiae are tiny spots of bleeding under the skin. They can be caused by a simple injury, straining or more serious conditions. If you have pinpoint-sized red dots under your skin that spread quickly, or petechiae plus other symptoms, seek medical attention.
What causes petechiae in toddlers?They are often caused by a viral or bacterial infection. They may also be caused by a reaction to a medicine or a collagen disorder. Petechiae usually occur on the arms, legs, stomach, and buttocks. They don't itch.
When should I be concerned about petechiae?If you have petechiae, you should contact your doctor right away or seek immediate medical care if: you also have a fever. you have other worsening symptoms. you notice the spots are spreading or getting bigger.
What causes sudden petechiae?Petechiae are formed when tiny blood vessels called capillaries break open. When these blood vessels break, blood leaks into your skin. Infections and reactions to medications are two common causes of petechiae. CMV is an illness caused by a virus.
|
An infant is examined and found to have a petechial rash. how will the nurse document this finding?
zusammenhängende Posts
Urheberrechte © © 2024 IlerngutCOM Inc.
