Presentation on theme: "Rashes and the School Nurse"— Presentation transcript:
1Rashes and the School Nurse Suzey Delger RN, MSN, FNP-c There is no conflict of interest-rats
2HISTORY, HISTORY & MORE Get a history: MOST IMPORTANT! Location? Localized or generalized? Where on body?Frequency? Has it happened beforeQuantity? Can you count the bumps?Quality? Describe the lesion.Associated Phenomenon: Serious rashes kids will appear ACUTELY ILL!
3History Aggravating factors: what made it worse? Alleviating factors: what made it better?
4Arrangement Discrete: distinct and discretely separate from each other Linear: Straight lineAnnular: CircleGrouped: closely adjacent to each other, herpes will always be grouped.Serpiginous: wave/snake like eg. scabies
5Macule: <1.0 cm Flat Color Changes Café-au-lait Vitiligo Fifths DiseaseThis is a picture of 5ths disease, lacy rash
6Patch >1.0cm Large macule Flat > 1 cm Port Wine Stain Diffuse vitilligoPeri-anal strepVitilligp
7Papule < 1.0 cm Solid, raised Roseola Molluscum* Lichen Planus