Case Presentation: You are working in a Palestinian refugee clinic in Lebanon where a 3-year-old male presents to your clinic for high fevers for 1 day. The patient’s mother also states that the child has had a cough, runny nose, and red eyes. The patient and his family recently relocated to Lebanon from Aleppo, Syria.
ROS: Otherwise negative
PMH: Previously healthy
Immunization History: Unable to seek regular primary care for the past 2 years secondary to conflict in Syria
Vital Signs: Temp = 39 C, HR = 150, BP = 90/50, RR = 34, O2 Sat = 96% RA
General: Warm to the touch, appears tired, lethargic, cries during exam, but comforted by mother
Skin: Cheeks are erythematous, no rash appreciated
HEENT: Bilateral conjunctivitis, dry oral mucosa appreciated with blue-gray macules with erythematous base on buccal and gingival mucosa
Neck: Spotty cervical lymphadenopathy, no meningeal signs
Lungs: Course breath sounds bilaterally with upper airway noises
Abd: Soft, non-tender, non-distended
Ext: No acute findings
Neuro: Appears sleepy, but arousable and consolable by mother
Diagnosis = MEASLES
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