REBEL Core Cast - June 01, 2022 - By Ellsworth Wright
Take Home Points
- Examine all parts of the body, even inside the mouth – this can be the difference between benign and life threatening rashes
- Truly emergent causes: meningococcemia, TTP, DIC, TSS, SJS, TEN, and necrotizing fasciitis
- Toxic appearing patients with petechia/purpura = sepsis until proven otherwise
- Look for medication reactions: Sulfa, Penicillins, NSAID’s, ABX, Chemo, Anti-epileptic agents
- It’s ok not to know the cause – know the life threatening rashes and rule them out – refer to dermatology out patient
- TTP – get smear, heme/onc consult, plasmapheresis, and AVOID giving platelets – they will just get chewed up – fix the underlying issue