Six-year-old Lydia presents with her mother with a chief complaint of

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Initial Post
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.

Response Posts
Reply to at least two classmates’ initial posts.

Additionally, sometimes a punch biopsy may need to be completed to further identify/investigate a lesion. Please provide information necessary for this procedure:

Basic steps
Patient information (side effects, risks, pain, and so on)
Can a nurse practitioner complete this procedure? Why or why not?
Would you need to do a biopsy (punch, scrape, or shave) for your differential diagnosis? Why or why not?

Garzon Maaks, D. L., Barber Starr, N., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. (2021). Burns’ pediatric primary care (7th ed.). Elsevier.