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Prepared by...
Virat Sirisanthana, M.D. |
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Department of Pediatrics,
Chiang Mai University
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| CC: Fever
for 9 days. PH: Not significant. PI: He was well until 9 days ago he started having fever. For the last 5 days, the mother noticed that his fever was high and intermittent. She denied any other symptom. |
| PE: Body
temp was 39.8 C. Other vital signs were within normal limits. Skin: A skin lesion was found at right axilla as in Fig 1 and 2. Abdomen: Liver was palpable 4 cm. below RCM, normal to firm in consistensy, spleen as palpable 3 cm. below LCM, normal to firm in consistensy Other systems: were within normal limits. |
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Figure 1
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Figure 2
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Investigation:
CBC: Hb 9.9 mg, Hct 36.2%, WBC 9,640 (N 30%, M 7%, L 63%), platelet
count 84,600
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