Clinical Question-5
Contents
- 1 What is the diagnosis ?
- 2 History
- 3 On Examination
- 4 Oral mucous membrane IMAGE is given below.
- 5 What is the Clinical diagnosis?
- 6 What is spot on mucous membrane in the Image?
- 7 In Measles which will be confirmatory for diagnosis of Mesales
- 8 When IgM antibodies for Measles comes as inconclusive which is the next test to be done?
- 9 Koplik spots appear in the mucosa is usually —– the onset of rash
- 10 Forschheimer spots
- 11 Koplik spots
- 12 Fordyce’s spots
What is the diagnosis ?
History
7 year male child presented to emergency department with history of fever for 3 days high grade fever with cough and runny nose.
On Examination
Tachycardia
Hemodynamically stable
Inflamed eyes
Rash over body
Rash started at the hairline after 2 days of fever and spread down the
body
It is also found that palms and soles are spared
No neurological symptoms
Oral mucous membrane IMAGE is given below.
What is the Clinical diagnosis?
A. Chickenpox
B. Measles
C. Rubella
D. Mumps
What is spot on mucous membrane in the Image?
A. Forschheimer spots
B. Koplik’s spots
C. Fordyce granules
D. Aphthous ulcers
In Measles which will be confirmatory for diagnosis of Mesales
A. IgM antibodies for Measles
B. IgG antibodies for Measles
C. Measles virus DNA from throat
D. IgE antibodies for Measles
When IgM antibodies for Measles comes as inconclusive which is the next test to be done?
A. Measles virus RNA from throat
B. IgG antibodies for Measles
C. Measles virus DNA from throat
D. IgE antibodies for Measles
Koplik spots appear in the mucosa is usually —– the onset of rash
A. 1 day before
B. 1 day after
C. 5 days before
D. 5 days after
Forschheimer spots
Koplik’s spots look like Forschheimer spots.
Forschheimer spots are a type of Exanthem that appears as discrete red spots over the soft palate as seen in Rubella
Koplik spots
Koplik spots are the peculiar spots present on the buccal mucosa and are considered a diagnostic/pathognomic feature of measles/rubeola in the pre-eruptive stage.
Fordyce’s spots
Fordyce’s spots – ectopic sebaceous glands
which have no erythematous halos and are found in the mouth of healthy individuals
| Koplik spots | Differential diagnosis | |
| 1 | Fordyce granules | lack a bright red background |
| 2 | Aphthous ulcers | painful and are less numerous |
| 3 | Koplik spots | bluish-white spots, slightly raised with a diameter of approximately 2 to 3 mm on an erythematous base on the buccal mucosa opposite the first molar |
| 4 | Forschheimer spots | appears as discrete red spots over the soft palate as seen in Rubella |
