I-HUMAN CASE STUDY: KECIA YOUNG
Kecia is a 2 year old female who presents with a pink maculopapular rash which began this morning on
the abdomen and has spread to her extremities. Mother has not seen her itching therash and does not
believe it is painful although she cannot say for certain. Three days ago she began with cold symptoms
of non-productive cough, runny nose, and fever with Max T 103F. Mother gave Tylenol for fever which
resolved last night. Her appetite is good and she is havingwet diapers and normal bowel movements.
She goes to daycare but has no known sick contactsor recent travel. She is fully vaccinated and meeting
milestones. She has no known allergies.
2 yo
2’10” (86cm)
28 lbs (12.7 kg)
CC: rash
NKA
Only taking Tylenol
Symp: rash started on abdomen and spread to arms/legs today, but cold with runny nose, cough,fever 3 days
ago (103 max) all 3 days ago.
No change in appetite; 4-5 wet diapers daily; 2 stools daily.
VS: temp 37.0C, A&Ox4, HR 75 regular, BP – L: 90/60 and R: 95/60 normotensive, RR 22regular, O2
sat 94%.
No PMH
Immunizations up to date
Questions to ask MOTHER: None to ask child
,
Kecia is a 2 year old female who presents with a pink maculopapular rash which began this morning on
the abdomen and has spread to her extremities. Mother has not seen her itching therash and does not
believe it is painful although she cannot say for certain. Three days ago she began with cold symptoms
of non-productive cough, runny nose, and fever with Max T 103F. Mother gave Tylenol for fever which
resolved last night. Her appetite is good and she is havingwet diapers and normal bowel movements.
She goes to daycare but has no known sick contactsor recent travel. She is fully vaccinated and meeting
milestones. She has no known allergies.
2 yo
2’10” (86cm)
28 lbs (12.7 kg)
CC: rash
NKA
Only taking Tylenol
Symp: rash started on abdomen and spread to arms/legs today, but cold with runny nose, cough,fever 3 days
ago (103 max) all 3 days ago.
No change in appetite; 4-5 wet diapers daily; 2 stools daily.
VS: temp 37.0C, A&Ox4, HR 75 regular, BP – L: 90/60 and R: 95/60 normotensive, RR 22regular, O2
sat 94%.
No PMH
Immunizations up to date
Questions to ask MOTHER: None to ask child
,
