Page 57 - GreenBook

Call Our Office:

Immediately:
• If the rash looks infected (yellow pus, spreading redness or red
streaks).

During Regular Hours:
• If the face, eyes, lips or genitals are involved.
• Large areas of the body are involved
• Poison ivy lasts more than 2 weeks

If you have questions or concerns.

R. Rashes

Please notify us Immediately if your child has a rash that looks like bruises

or broken blood vessels.

Rashes in infancy are caused by many factors. The most common were
discussed under "Facial Rashes" (see Section ll-C).

Another common rash is heat rash. It is seen as small, flat, red spots usually
around the neck and chest. If your baby is sweaty, then heat rash is likely.
Powdering lightly after removing excess clothing will help. Place powder on your
own hand and apply rather than sprinkling it directly from the bottle onto the
baby as the powder can be inhaled. Your baby should be dressed as
comfortably as you are! Excess clothing and blankets are not necessary at
environmental temperatures of 70 degrees and higher. DO NOT OVERDRESS

YOUR BABY!

In older children rashes can have many different causes. If you think that your
child may have Chickenpox or Poison Ivy refer to F. Chickenpox or Q. Poison
ivy in this section. A rash without other signs of illness is not an emergency and
can be handled during regular office hours if you need advice. Any rash that has
developed while your child has a fever should be discussed with us.

8. Sore Throat
Sore throat is one of the most common complaints in childhood. Although there
are many causes, they can generally be divided into those caused by a Group A
Strep bacteria, and those caused by a variety of viruses. Of prime concern are
those identified as being from strep. The only sure way to determine this is by
taking a throat culture. It is best to do the throat culture after approximately 24
hours of symptoms. If your child has a strep throat all members of the family
with symptoms should be cultured. If strep has been found, it must be treated
with an appropriate antibiotic for a period of ten days. Studies have shown that
with shorter periods of treatment, the recurrence rate and possibility of
complications are greater.

Individuals with strep throat are much less contagious after they have been on
an antibiotic for 24 hours. Similarly viral sore throats are contagious while the
individual has symptoms.
If your child has a "viral" sore throat then antibiotics, such as penicillin, are of NO

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