And the Diagnosis Is?

Six-year-old Lydia presents with her mother with a chief complaint of “I don’t feel well and I have a rash.” Mom states it started yesterday on her face and is much worse today. Lydia has had a fever for two days and complains of a sore throat. What questions would you include in your history and what characteristics of the physical assessment would help in determining the origin?

What would your differential diagnosis be? Be sure to include how you would determine your diagnosis and how you would treat the condition. Keep in mind there may be several different answers possible depending on what information you obtained during your assessment.