A 5-year-old boy presents with a sore throat and refusal to eat. The mother reported that the child has had an increased temperature for the last 3 days. Several children that atte... A 5-year-old boy presents with a sore throat and refusal to eat. The mother reported that the child has had an increased temperature for the last 3 days. Several children that attended the same play group have developed similar symptoms. Physical examination shows spots and blisters on the palms of both hands as well as on the buttocks. There are small ulcers on the palate. Heart rate 110/min, Respiratory rate 30/min, Temperature 38.6°C. Which of the following additional physical findings is most likely to be present? A. Spots on the soles B. Swollen tonsils C. Scratch marks D. Diarrhoea
Understand the Problem
The question describes a child presenting with symptoms suggestive of a specific viral infection. We need to determine which additional physical finding is most likely to be associated with the given symptoms: sore throat, fever, spots and blisters on hands and buttocks, and ulcers on the palate. This is a medical diagnosis question.
Answer
The answer is A. Spots on the soles.
The most likely additional finding is A. Spots on the soles.
Answer for screen readers
The most likely additional finding is A. Spots on the soles.
More Information
The patient's symptoms (fever, sore throat, refusal to eat, spots and blisters on the palms and buttocks, and ulcers on the palate) strongly suggest hand, foot, and mouth disease (HFMD). Spots on the soles of the feet are a common manifestation of HFMD, hence the name. While swollen tonsils, scratch marks, or diarrhea could be present in a child, they are not as specifically associated with HFMD as spots on the soles.
Tips
When answering questions, look for the most specific finding related to the likely diagnosis based on the information provided.
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