SOLVED3428

A 3-year-old boy brought by his mother for an urgent follow up and second visit. Two days ago, he was seen with a 4-day history of intermittent fever spiking to 104°F (40°C) and irritability. His examination at that time was remarkable for bilateral conjunctivitis, oropharyngeal injection, and dry, cracked lips. He drank 4 oz of an electrolyte solution in the clinic and was sent home with instructions for symptomatic care. Today he returns with persistent fever and irritability. The physical findings noted previously are still present, but now he also has a maculopapular truncal rash, hand and foot edema, and an enlarged but nonsuppurative right anterior cervical lymph node.
SCIENCE
HEALTH SCIENCE
NURSING

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