Integrated management of neonatal and childhood illness

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EXERCISE F
Part 1: Study the photographs numbered 37 through 40. They show examples of common childhood rashes. Read the explanation for each of these photographs. Photograph This child has the generalized rash of measles and red eyes. Photograph This example shows a child with heat rash. It is not the generalized rash of measles. Photograph 39: This is an example of scabies. It is not the generalized rash of measles. Photograph 40: This is an example of a rash due to chickenpox. It is not a measles rash.

Part 2: Study photographs 41 through 50 showing children with rashes. For each photograph, tick whether the child has the generalized rash of measles. Use the following answer sheet

Is the generalized rash of measles present?

YES

NO Photograph 41

Photograph 42

Photograph 43

Photograph 44

Photograph 45

Photograph 46

Photograph 47

Photograph 48

Photograph 49

Photograph 50

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If the child has MEASLES now or within the last 3 months: Look to see if the child has mouth or eye complications. Other complications of measles such as stridor in a calm child, pneumonia, and diarrhoea are assessed earlier malnutrition and ear infection are assessed later.
LOOK for mouth ulcers. Are they deep and extensive? Look inside the child's mouth for mouth ulcers. Ulcers are painful open sores on the inside of the mouth and lips or the tongue. They maybe red or have white coating on them. In severe cases, they are deep and extensive. When present, mouth ulcers make it difficult for the child with measles to drink or eat. Mouth ulcers are different than the small spots called Koplik spots. Koplik spots occur in the mouth inside the cheek during early stages of the measles infection.
Koplik spots are small, irregular, bright red spots with a white spot in the center. They do not interfere with drinking or eating. They do not need treatment.

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