Staphylococcal scalded skin syndrome and impetigo Quiz: Ace Your Exams
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An 8-month-old-girl presents to the pediatrician with her parent for evaluation of a rash and fever. The parent reports that the rash has been present for the past 2-3 days and appears to be in “different stages of healing.” He reports associated tactile fevers at home, as well as diarrhea. The patient was born full-term, is otherwise healthy, and does not take any daily medication. Vaccinations are up-to-date, and the patient has not had any recent sick contacts. Temperature is 37.6°C (99.7°F), blood pressure is 97/54 mm Hg, pulse is 110/min, respiratory rate is 30/min, and oxygen saturation is 99% on room air. The patient is in the 50th percentile for length, weight, and head circumference. She is well-appearing and in no acute distress. Skin examination demonstrates flaccid bullae over the trunk with surrounding areas of ruptured bullae forming thin, brown crusts. Nikolsky sign is negative. There is no mucous membrane involvement. Cardiopulmonary examination is within normal limits. Which of the following is the best next step in management?
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