<< Vaccine-Preventable Diseases In Pediatric Patients: A Review Of Measles, Mumps, Rubella, And Varicella

Emergency Department Evaluation


Taking a complete history of the patient's signs and symptoms can aid the diagnosis of vaccine-preventable diseases. The following questions should be asked:

  • When did the fever start in relation to the rash?
  • How did the rash spread? Did it start on the face and move caudally or appear on the extremities?
  • What did the initial rash look like? This is important, since excoriation can lead to changes in appearance, and some rashes will evolve with time.
  • Did the rash occur in crops, as in varicella?
  • Is the rash pruritic or tender?

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