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Paeds Casespaediatric-dermatology

Paeds Cases · paediatric-dermatology

Approach to rash in infants and children — OSCE

OSCE communication and clinical reasoning station for a parent bringing an infant with a rash.

osce communication and clinical reasoning station1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
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Study tools

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
You have 8 minutes with the parent of a 14-month-old who has had a fever and a rash for half a day. Some spots do not fade when pressed with a glass. The child is drowsy. Counsel the parent, outline your assessment, and agree an immediate plan.

Candidate brief (read outside)

You are the paediatric registrar. A 14-month-old is brought in by a parent with a 12-hour history of fever, irritability and a rash on the limbs; the parent has noticed that some spots do not fade when pressed with a glass. The child looks drowsy. You have 8 minutes to assess the child, communicate with the parent, and agree an immediate plan. A nurse can help. [7]

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References4ShowHide
  1. [1]Jalalabadi F Common Pediatric Skin Lesions: A Comprehensive Review of the Current Literature. Seminars in plastic surgery, 2016.PMID 27478417
  2. [7]Thompson MJ Clinical recognition of meningococcal disease in children and adolescents. Lancet (London, England), 2006.PMID 16458763
  3. [11]Guttman-Yassky E Atopic dermatitis. Lancet (London, England), 2025.PMID 39955121
  4. [12]Leung AKC Henoch-Schonlein Purpura in Children: An Updated Review. Current pediatric reviews, 2020.PMID 32384035
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