Hand Foot and Mouth Disease

-
Child presents with symptoms consistent with hand, foot and mouth disease
- fevers
- runny nose
- reduced oral intake
- raised lesions on hands, feet and mouth

Examination:
temp:

Ear Nose and Throat exam:
- Ear:  No redness or discharge
- Clear rhinorrhoea
- No pharyngitis.  tonsils are not enlarged, not inflamed and have no pus

Cervical lymphadenopathy present

Respiratory exam was normal
- No respiratory distress
- Bilateral air entry
- No crepitations or wheeze heard on auscutation

Nil signs of meningitis:
- Nil photophobia
- nil purpuric rash
- Nil neck stiffness

Red maculules on the hands and feet
Shallow ulcers in the mouth

Reason for visit:
Hand, foot and mouth disease

Management:

Parents reassured and the diagnosis explained
Regular paracetamol +/- Ibuprofen
Careful hygeine

Advised to exclude child from daycare / school until blisters have dried up

Return here or to ED if not improving or concerns they are getting worse

Actions:
Letter printed.
Letter written re. Parent cert for sick child.

Keywords:  Hand Foot and Mouth Disease, +HFM

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