USMLE Question of the Week

Evaluating High Fevers and a Rash in a School-Age Child for USMLE

In Episode 12 of Med School Question of the Week for USMLE, Luke Maxfield, MedSchoolCoach expert tutor, answers this medical school question:

A 6-year-old girl comes to the emergency room with fevers and a rash. The mother reports that it has been present for six days but has gotten worse. The pulse is 100bpm, blood pressure is 100/65mmhg, and respiratory rate is 20 per minute. What physical examination is notable for is injected sclera, swollen red tongue, and erythematous hands with superficial desquamation. Images of the patient are provided:

  • What is the most appropriate initial next step?
  • What is the most appropriate next step in diagnosis?
  • What is the most appropriate treatment?

Luke Maxfield

Luke obtained his B.S. from the University of Colorado while working at the University of Colorado Anschutz Medical Campus department of pathology as a student researcher. He completed studies at the University of Tennessee at Chattanooga and is a current dermatology resident. Luke scored in the 99th percentile on his COMLEX exams.

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