Research on the following: • Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient • Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients After completing your research, consider this scenario: An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests: • A blood and urine culture • A complete blood count • A comprehensive metabolic panel The culture reports were found to be negative. Today, the vitals of the child are the following: • Temperature: 101.5 degrees Fahrenheit • Heart rate: 120 beats/minute • Respiratory rate: 20 breaths/minute • Blood pressure: 90/40 Physical examination of the child indicates the following positive findings: • Injected conjunctiva • Palmar redness • Magenta-colored lips • Red macula • Excoriating rashes in the diaper area On the basis of the above information, respond to the following: • What will be your differential diagnoses for this patient? • What specific physical exam findings support these differential diagnoses? • Of the differential diagnoses you listed, which would be the most concerning? • What additional diagnostic tests will you recommend? Why? • What would be your focus for caregiver education?
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