Diagnostic Tests for Diaper rash
Diaper rash Tests: Book Excerpts
Home Diagnostic Testing
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Diaper rash Diagnosis: Book Excerpts
Diagnostic Tests for Diaper rash: Online Medical Books
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RASH--DISTRIBUTION:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
If there are any exudates, a smear and culture for fungi and routine bacteria should be done. Skin scrapings may be examined microscopically with a saline or potassium hydroxide preparation to rule out scabies and fungi. A Wood's lamp examination is very useful in diagnosing various fungi. All isolated lesions should be biopsied.
Diffuse rashes require routine CBC, sedimentation rate, urinalysis, chemistry panel, ANA test, and VDRL test. If there is fever, blood cultures should probably be done. Skin biopsies in consultation with a dermatologist should be done in a timely fashion. Patch testing and intradermal skin testing should be done when appropriate. A dark field examination may be necessary. GI series and barium enemas may be necessary to look for GI neoplasms, Crohn's disease, and ulcerative colitis.
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Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
RASH--MORPHOLOGY:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
This can be found under Rash--Distribution.
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Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
Papular rash:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
Your first step is to fully evaluate the papular rash: Note its color, configuration, and location on the patient’s body. Find out when it erupted. Has the patient noticed changes in the rash since then? Is it itchy or burning, or painful or tender? Has there ever been discharge or drainage from the rash? If so, have the patient describe it. Also, have him describe associated signs and symptoms, such as fevers, headaches, and GI distress.
Next, obtain a medical history, including allergies; previous rashes or skin disorders; infections; childhood diseases; sexual history, including sexually transmitted diseases; and cancers. Has the patient recently been bitten by an insect or rodent or been exposed to anyone with an infectious disease? Finally, obtain a complete drug history.
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Source: Handbook of Signs & Symptoms (Third Edition), 2006
Papular rash:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
Your first step is to fully evaluate the papular rash: Note its color, configuration, and location on the patient’s body. Find out when it erupted. Has the patient noticed any changes in the rash since then? Is it itchy or burning, or painful or tender? Have him describe associated signs and symptoms, such as fever, headache, and GI distress.
Next, obtain a medical history, including allergies, previous rashes or skin disorders, infections, childhood diseases, sexual history, including any sexually transmitted diseases (STDs), and cancers. Has the patient recently been bitten by an insect or rodent or been exposed to anyone with an infectious disease? Finally, obtain a complete drug history.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Papular rash:
Physical assessment
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Fully evaluate the papular rash: note its color, configuration, and location on the patient’s body. Then complete a whole-body examination of the patient’s skin, hair, and nails.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Papular rash:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
Your first step is to fully evaluate the papular rash: note its color, configuration, and location on the patient's body. Find out when it erupted. Has the patient noticed changes in the rash since then? Is it itchy or burning, or painful or tender? Has there ever been discharge or drainage from the rash? If so, have the patient describe it. Also, have him describe associated signs and symptoms, such as fevers, headaches, and GI distress.
Next, obtain a medical history, including allergies; previous rashes or skin disorders; infections; childhood diseases; sexual history, including sexually transmitted diseases; and cancers. Has the patient recently been bitten by an insect or rodent or been exposed to anyone with an infectious disease? Finally, obtain a complete drug history.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Rash - Case 9-2: 7-Week-Old Girl:
III. Physical Examination
(Pediatric Complaints and Diagnostic Dilemmas)
T, 37.0°C; RR, 43/min; HR, 180 bpm; BP, 113/53 mm Hg
Height, 50th percentile; weight, 50th percentile
The physical examination was remarkable for a hemangioma of the left occiput, a
hematoma of the tip of the tongue, and two ecchymotic areas on the right
mandible, each about 1 cm in diameter. She had three 3- to 4-cm ecchymotic
areas on the left back. A caf
é-au-lait macule (1 cm) was seen on the left thigh. Lungs were clear. Cardiac
examination revealed tachycardia but no murmurs, rubs, or gallops. There was no
hepatosplenomegaly and no prominent adenopathy. Neurologically she was alert,
crying, and moving all extremities. Funduscopic examination revealed right
retinal hemorrhages. The rest of her examination was normal.
VI. Diagnostic Studies
Laboratory analysis revealed 18,800 WBCs/mm3, with 39% segmented neutrophils, 49% lymphocytes, and 11% monocytes. The
hemoglobin was 11.4 g/dL, and there were 406, 000 platelets/mm
3. PT and PTT were normal. Electrolytes, BUN, and creatinine were normal.
Alkaline phosphatase was 270 mU/mL. Other liver function studies were as
follows: alanine aminotransferase, 100 IU/L; aspartate aminotransferase, 220
IU/L; and
γ-glutamyltransferase, 46 IU/L. Examination of the cerebrospinal fluid revealed 8
WBCs/mm
3and 5,250 red blood cells/mm3. The glucose concentration was 60 mg/dL, and the protein concentration was 36
mg/dL. There were no organisms on Gram staining of the CSF.
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Source: Pediatric Complaints and Diagnostic Dilemmas, 2003
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