Approach to peripheral lymphadenopathy (pediatrics) Quiz: Ace Your Exams
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A 2-year-old boy is brought by his parents to the pediatrician’s office for evaluation of 5 days of fever, rhinorrhea, and a cough. He has also developed a red rash in the perineal area, and bilateral eye redness. Weight is 68th percentile, length is 54th percentile, and head circumference is 44th percentile. Temperature is 38.6°C (101.5°F), pulse is 142/min, respirations are 32/min, blood pressure is 88/42 mmHg, and oxygen saturation is 99% on room air. On physical examination, there is bilateral conjunctivital erythema without discharge. The lips are red and cracked, and the tongue is erythematous (see below). There is erythema and desquamation in the perineal region. There is a single 2cm mobile left anterior cervical lymph node. Cardiopulmonary examination is unremarkable. Which of the following physical examination findings is most likely to be seen given the likely underlying condition?
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