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Points & Pearls Excerpt
Examine the patient for nondermatologic findings, such as lymphadenopathy, abdominal pain, arthritis, and cardiac murmurs, that may correlate with certain etiologies.
Immediately place patients with suspected measles on airborne precautions, including a negative pressure room, and N-95 respirators for the healthcare staff.
Treat patients with an acute case of measles, especially immunocompromised patients, with vitamin A to decrease the risk of associated complications, such as pneumonia, hearing loss, blindness, or death.
Use the revised Jones criteria to diagnosis acute rheumatic fever, in addition to ordering a CBC, ESR, CRP, ASO, ECG, and echocardiogram.
Order aspirin or naproxen for carditis in acute rheumatic fever. Consider corticosteroids in addi-tion to IVIG in patients with moderate to severe carditis.
Rhonda L. Philopena, MD; Erin M. Hanley, MD; Kayla Dueland-Kuhn, MD
Peer Reviewed By
Jeffrey R. Avner, MD, FAAP; Nicole Gerber, MD
January 2, 2020
CME Expiration Date
January 2, 2023
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits. Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits.
Upon completion of this article, you should be able to:
Distinguish benign versus life-threatening causes of rash in febrile pediatric patients
Identify red flags in the history and physical examination
Broaden the differential diagnosis of rash in febrile patients to include less commonly seen -but dangerous- condition and those that could be potential public health threats
Correctly identify patients who can be discharged and those who require diagnostic testing for further evaluation
Determine appropriate treatment of the febrile patient with rash and plan appropriate disposition and follow-up care
Date of Original Release: January 1, 2019. Date of most recent review: December 15, 2019. Termination date: January 1, 2023.
Accreditation: EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the ACCME.
Credit Designation: EB Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Specialty CME: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits, subject to your state and institutional approval.
ACEP Accreditation: Pediatric Emergency Medicine Practice is also approved by the American College of Emergency Physicians for 48 hours of ACEP Category I credit per annual subscription.
AAP Accreditation: This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 48 AAP credits per year. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Fellows of the American Academy of Pediatrics.
AOA Accreditation: Pediatric Emergency Medicine Practice is eligible for up to 48 American Osteopathic Association Category 2-A or 2-B credit hours per year.
Needs Assessment: The need for this educational activity was determined by a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation of prior activities for emergency physicians.
Target Audience: This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.
Goals: Upon completion of this activity, you should be able to: (1) demonstrate medical decision-making based on the strongest clinical evidence; (2) cost-effectively diagnose and treat the most critical ED presentations; and (3) describe the most common medicolegal pitfalls for each topic covered.
Discussion of Investigational Information: As part of the journal, faculty may be presenting investigational information about pharmaceutical products that is outside Food and Drug Administration approved labeling. Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product.
Faculty Disclosures: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussions of unlabeled or unapproved drugs or devices. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The information received is as follows: Dr. Philopena, Dr. Hanley, Dr. Dueland-Kuhn, Dr. Avner, Dr. Gerber, Dr. Mishler, Dr. Claudius, Dr. Horeczko, and their related parties report no significant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.
Commercial Support: This issue of Pediatric Emergency Medicine Practice did not receive any commercial support.
Earning Credit: Two Convenient Methods: (1) Go online to www.ebmedicine.net/CME and click on the title of this article. (2) Mail or fax the CME Answer And Evaluation Form with your June and December issues to Pediatric Emergency Medicine Practice.
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