A seven-year-old previously healthy boy presents with a rash and mouthpain. His mother took him to s
A seven-year-old previously healthy boy presents with a rash and mouthpain. His mother took him to see his PCP one week prior with a 2-week history of cough, subjective fever, and malaise; he was prescribed amoxicillin for presumed pneumonia. Five days into the antibiotic course, he developed an itchy rash and mouth sores. His mother reports markedly diminished intake of the previous 24 hours, but no emesis or diarrhea. He has no medication or food allergies. This temperature is 102°F (38.9°C), heart rate 122 bpm, blood pressure 119/73 mm Hg, respiratory rate 18 breaths/min, and oxygen saturation 97% on room air. On physical examination, he has bilateral conjunctival injection, alters on his tongue and lower lip, and purpuric macules and bullous lesions on his torso and extremities. Chest x-ray reveals and infiltrate in the right lower lobe. -What is the most likely diagnosis? -What is the next step in evaluation? -What diagnostic studies are needed? -What additional treatment is needed? -What consultations are needed? Health Science Science Nursing NURSING 465 Share QuestionEmailCopy link Comments (0)
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