Unexplained Rash in a 3-Year-Old Girl

Unexplained Rash in a 3-Year-Old Girl

A mother brings her 3-year-old daughter to your urgent care center, concerned about a rash that developed at the same time the girl started having a runny nose and low-grade fever, and became slightly lethargic. Now her cheeks are bright red, and she has a blanching macular rash that’s spread slowly from her extremities to her trunk. View the image and consider your next steps, along with possible diagnoses.

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Hyperpigmented Skin Patches

Hyperpigmented Skin Patches

A 70-year-old man presents to an urgent care center after becoming concerned about brown hyperpigmented patches on his legs and arms. He says that he thinks some of his teeth are turning gray, but it has been happening so slowly that he is not sure. He reports that he has been in good health recently, especially after starting to take antibiotics last year to treat his rheumatoid arthritis. View the image taken (Figure 1) and …

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Skin Rash with Pustules on a Newborn

Skin Rash with Pustules on a Newborn

A healthy, full-term baby girl was born to a healthy mother who had adequate prenatal care and no signs of infectious diseases. Three days after birth, the baby developed multiple 1-mm pale-yellow to yellow pustules within a large inflammatory wheal on her cheek. Several hours later, the rash starts to resolve. View the image taken (Figure 1) and consider what your diagnosis would be.

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Woman with rash

Woman with rash

This image was taken of a 44-year-old female who presented to the urgent care center with an itchy rash on her arms and legs that she has never had before. Four 4 days ago, she returned from a church retreat at a camp where she slept in a cabin in the woods. Most of the retreat was indoors. She is the only one with a rash and her husband, who slept in a different bed, …

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Evaluating Febrile Patients with Rash

Urgent message: The broad differential diagnoses in patients presenting with rash and fever range from minor conditions to life threatening illnesses, requiring the urgent care provider to make prompt but valid assessment with minimal diagnostic tools. Kosta G. Skandamis, MD The combination of fever and rash is so common that it may sometimes seem to be a daily occurrence in the urgent care setting. Nonetheless, the extensive differential diagnosis requires the provider to be vigilant …

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32-year old female with fever, rash and scattered vesicles

32-year old female with fever, rash and scattered vesicles

The patient is a 32-year-old female who presents complaining of a fever and a rash, along with a sore throat, headache, and fatigue. On clinical examination, you note vesicles on the palms and soles. An erosion is present at the labial mucosa. A small vesicle is present on the hard palate. The patient\’s temperature is 100.5°F. Her blood pressure and vital signs are within normal limits. View the photos and consider what your next steps …

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53-year-old woman presents with a red plaque on her calf

53-year-old woman presents with a red plaque on her calf

The patient is a 53-year-old woman who presents with a red plaque on her calf. She reports that she first noticed it two months ago. You find that the plaque is non-pruritic and asymptomatic. The patient, who is in good general health, admits no new medications and says that none of her family members have a rash or skin lesion of any kind. View the images and consider what your next steps would be.

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