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NU665B Week 6 i-Human: Olive Chaney Assessment
i-Human: Olive Chaney
Assessment
1. Exanthema Subitum (Roseola). Olive’s symptoms of cough, runny nose, and a fever of 103 that
resolved 2 days ago followed by the appearance of a rash that began on her abdomen and
spread to her arms and legs make this the leading diagnosis (Kaneshiro & Zieve, 2019; Trembly &
Brady, 2019). The physical exam findings of a maculopapular pink rash to the abdomen and
extremities further support this diagnosis (Kaneshiro & Zieve, 2019; Trembly & Brady, 2019).
2. Human Parvovirus 19 (Fifth Disease, Erythema Infectiosum). Olive’ssymptoms of cough, runny
nose, and fever accompanied by a rash make this diagnosis a consideration (Centers for Disease
Control and Prevention, 2019). However, the rash in Fifth Disease is present on the face and has
a characteristic “slapped cheek” appearance and may spread to the chest, back, buttocks, and
extremities (Centers for Disease Control and Prevention, 2019). The physical exam findings of a
maculopapular pink rash to the abdomen and extremities and absence of the classical slapped
cheek appearance coupled with reports of the rash beginning on the abdomen, rule this
diagnosis out.
3. Measles. Olive’s symptoms of cough, fever, runny nose, and rash make this diagnosis a
consideration (Centersfor Disease Control and Prevention, 2020a). However, the lack of physical
examination findings of red and watery eyes, Koplik spots, and the pattern of Olive’s rash
(spreading from abdomen to arms and legs versus from the head downward) rule this diagnosis
out (Centers for Disease Control and Prevention, 2020a). Lastly, Olive is up-to-date on her
immunizations making this diagnosis less likely.
4. Rubella. Olive’s symptoms of cough, fever, runny nose, and rash make this diagnosis a
consideration (Centersfor Disease Control and Prevention, 2020b). However, her high fever of
103 and the lack of physical examination findings of pink eye and swollen and enlarged lymph
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