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8 year old girl is brought to the office for evaluation of a skin rash on her upper back. The rash is not painful but is mildly pruritic. She has no prior medical conditions, takes no meds. Right scapular area skin exam is shown.

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Final answer:

Skin rashes are evaluated through patient history, rash examination, and sometimes tests, such as fluorescence under a Wood's lamp or immunofluorescent staining in case of serious infections like rabies.

Step-by-step explanation:

Skin Rash Evaluation in Medicine

The evaluation of a skin rash involves a detailed patient history, examination of the rash, and sometimes additional tests to diagnose the condition. Common causes of a rash include allergic reactions, such as an allergic eczema due to a new sunscreen, as experienced by Penny, or due to a reaction from the sun as seen in Kerry's case. Some rashes, like Sarah's ringworm, can be diagnosed with a Wood's lamp that causes the rash to fluoresce. Other conditions, such as the bulls-eye rash seen with Lyme disease which Ximena experienced, need a careful medical history taking into account recent activities like hiking in the woods. Skin symptoms like itchiness or scales may point towards diseases like psoriasis. It is important to keep even minor skin breaks, such as a scraped knee, clean to prevent infection. For more serious conditions that could present with skin symptoms—like potential rabies infection after a dog bite or signs of an infectious disease as in Olivia's case with swollen lymph nodes and vomiting—timely medical attention is vital. Tests such as skin biopsies and antibody staining can be used to detect serious infections.

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