BIOLOGY 2D03 Lecture Notes - Lecture 1: Eczema Herpeticum, Dermatitis, Artsakh Defense Army
19 Jun 2018
School
Department
Course
Professor
Eczema Herpeticum
History
George is a 2-year-old boy who presents to the paediatric rapid referral clinic
PC
Worsening of his eczema
HPC
The latter was diagnosed by the GP when he was 6 months old.
He has been treated with a variety of emollients and topical steroids which are
applied on an intermittent, as-required basis.
The parents report that over the last 3 days the eczema has gradually
deteriorated and also become more itchy.
System Review
General – Generally fit and well
Neuro- Nil
Cardio – Nil
Resp- Nil
Gastro – Nil
Uro – Still same number of wet nappies
Musc – Nil
Derm – Nil
PMH + PSH
Birth – SVD 38+4, no complications
Feeding – Normal diet
Previous admissions- Nil
Conditions –Asthma
Medications and Allergies- inhaled budesonide twice a day and inhaled
salbutamol on an as-required basis and NKDA
Vaccinations- Up to date
Developmental
No concerns about development
FMH
His mother had eczema as a child but grew out of it and his father has hay fever.
SH
Only child
No social worker
Extra questions
Previous episodes?
Anyone in the family
have cold sores?
Examination
Basic obs:
Temperature is 38.3 °
C, RR: 20, HR: 100, BP
110/80 and O2 sats
RA 98%
General observation:
George is well
hydrated but itchy and
miserable.
Height and weight:
JWH, JM, AJS
80
Document Summary
George is a 2-year-old boy who presents to the paediatric rapid referral clinic. The latter was diagnosed by the gp when he was 6 months old. He has been treated with a variety of emollients and topical steroids which are applied on an intermittent, as-required basis. The parents report that over the last 3 days the eczema has gradually. Resp- nil deteriorated and also become more itchy. Uro still same number of wet nappies. Medications and allergies- inhaled budesonide twice a day and inhaled salbutamol on an as-required basis and nkda. His mother had eczema as a child but grew out of it and his father has hay fever. George is well hydrated but itchy and miserable. He has widespread eczema all over his body, which is worst on his face, hands and arms where the skin feels moist. A number of vesicles and some punched-out lesions can be seen on the face, hands and arms.
