A 2-year-old previously unimmunized girl is brought with poor feeding and fever for 6 days. On day 4 of fever, her mother noticed a maculopapular reddish rash starting from the face and spreading over the neck, chest, arms and trunk over the next one day and she has developed extensive mouth ulcers. The child has a mid-arm circumference of 11 cm but no edema. As per IMNCI, she will be classified as:
Severe complicated measles
The clinical picture (fever, cough/coryza-type prodrome, cephalocaudal spreading maculopapular rash) is classic measles. Per the IMNCI classification table for measles, the presence of deep or extensive mouth ulcers (not just mild ulcers) is one of the specific criteria that automatically classifies the case as severe complicated measles, requiring urgent referral, regardless of the nutritional status finding.
Important Questions from Paediatric Emergencies
- In case of hypertensive emergency in a child, blood pressure should be reduced by up to :
- At what cut-off respiratory rate will you consider "fast breathing" in a 2-year-old child?
- A child presents with headache and vomiting in the emergency room following a fall from the bed. Which one of the following treatment modalities is not recommended in the emergency room?
- The recommended ratio for chest compression to breaths administered by a single rescuer during resuscitation of a child in cardiac arrest is:
- A 4-year-old comatose child is assessed by the Modified Glasgow Coma Scale. Which of the following is the correct interpretation of the score given as E2V3M2 for the best eye opening response, best verbal response and best motor response respectively?
