Presentation Title: Arcilla-Beltran-Caagbay-Lina
Presentation Title: Arcilla-Beltran-Caagbay-Lina
Arcilla-Beltran-Caagbay-Lina
Informant
• Patient's father and maternal
grandmother with fair reliability
General Data
• Patient S.J.
• 12 year old, Male
• Roman Catholic
• From Bago Bantay, Quezon City
• Admitted for the first time
History of Present Illness
5 days PTC 4 days PTC 3 days PTC
History of Present Illness
2 days PTC 1 day PTC
History of Present Illness
Day of Consult
Review of Systems
• No weight loss, good appetite
• No Eye pain, ear pain, epistaxis, gum
bleeding,
• No vomiting, hemoptysis, hematemesis
• No difficulty of breathing, chest pain
• No diarrhea, constipation
• No dysuria
• No joint pain
Past Medical History
• No asthma
• No known allergies
• No previous hospitalizations nor
surgeries
• No previous trauma/accidents
Family History
39 76 60 59
42 38
18 16 15 14 13 12
Age 90% before 15 yr of age Pre-school age and All age groups -Most children infected All age groups
school age by 15 years of age
-<5% adult
Clinical Prodromal phase: Prodrome phase: -High fever (40°C/ Prodrom phase: -Sudden onset of
Manifestation -mild fever -low grade fever 104°F) with flushed -Fever 37.8-41.1oC fever (39.4-41.1oC)
-conjuctivitis with -sore throat appearance -malaise -Frontal or
photophobia -red eyes -Chills -anorexia retroorbital pain
-coryza -headache -Joint pain (lower -headache -Severe back pain
-prominnet cough -malaise back, ankle, knees, -occasional mild -Myalgia, arthralgia
-increasing fever -anorexia wrists or phalanges) abdominal pain -2nd -6th day of
-Koplik spots 1-4 days -lymphadenopathy -Joint swelling fever nausea and
before rash -Headache vomiting,
Rash occurs with -Muscle pain gen.lymphadenopat
Rash on 4th day Forchheimer spots -Nausea hy, anorexia
-Abdominal pain
-Retro-orbital pain