Pediatrics

Vitals
RR HR BP
Born 40-60 140-160 60
Up to 1yr 30-40 140-160 90
Up to 3 years 20-30 80-130 70-90
6-13 years 20-30 70-110 70-110
13-18 12-20 55-105 80-120
19-40 16-20 70 120/80

Erythematous base vesicle

+ vermillion border in teen: HSV1 (cold sore)
+ confined to a dermatome: shingles
+ diffuse and wide spread: chicken pox
+ young with proper distribution for hand foot and mouth disease: Coxacie
+ “central umbilication” usually at diaper line in infants: molluscum contagiosum
Pretest General

Bells Palsy
- Reactivation of HSV after viral infection. Peripheral nerve lesion; self-resolution and supportive
care of the
- If forehead spared, then likely due to central lesion.

Juvenile Idiopathic Arthritis

- Asymmetric large joint pain + chronic uveitis.

Scalded Skin Syndrome

- Most common in 5 years; desquamation
- Tx with skin care and