Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a several-day history of low-grade fever, malaise, and decreased oral intake. Caregiver reports development of painful oral ulcers and a characteristic vesicular rash involving the palms, soles, and/or buttocks. No history of recent contact with known ill persons, though potential exposure at daycare/school is noted.
Clinical Examination Findings
General: Alert, well-hydrated, non-toxic appearance. HEENT: Multiple small, shallow, erythematous-based ulcers noted on the buccal mucosa, tongue, and soft palate. Oropharynx clear of exudate. Skin: Scattered 2-5 mm vesicles and papules with erythematous halos present on the palmar surfaces of hands, plantar surfaces of feet, and gluteal region. No signs of secondary bacterial infection.
Treatment Protocol
Supportive care initiated. Advised adequate fluid intake to prevent dehydration. Analgesia/antipyretics (Acetaminophen or Ibuprofen) prescribed for pain and fever control. Topical oral rinses or viscous lidocaine (if age-appropriate) may be used for oral discomfort. Monitor for signs of dehydration (decreased urine output, dry mucous membranes).