You complete initial observations: 145 HR, 32 RR, 100% Sp02, Temp 39.8, BM 5.2.  

What is the POPs score of this child? 

You see the following rash behind the ears and on some parts of the face.

How would this rash be described? 

After a more thorough assessment of the child, you can’t find any other abnormalities with your abdominal, respiratory or expose examinations. You find out that the patient had a home birth with no complications, you’ve noted no social concerns. However, when you ask about immunisations, they state they didn’t have their MMR vaccine due to evidence it could harm their son. What diagnosis are you therefore concerned with after this information?

What other differentials may present with a rash similar to measles?

You believe the patient may be showing signs of Measles. You consider what further assessment the child requires as you are also concerned with their temperature. Which route would be most appropriate in this situation? 

Which people with suspected measles should always be admitted or referred? 

What serious complications are more commonly associated with measles and therefore should be assessed for before making a patient referral?

A temperature spike is usually seen at the onset of the rash and will usually decrease after that?

Describe what are Koplik spots (an early sign of measles infection)? 

When is measles infectious and in its contagious stage?

How does measles transmit between people?

Measles is considered the most infectious disease contracted through the respiratory route?

Is measles a notifiable disease to Public health Wales/England?

On average, what percentage of children have received their 1st and 2nd MMR vaccine in England and Wales during 2021-22 as reported by their relevant public health authorities?

Measles is noted as an eradicable disease, however, this is only possible through high percentages of vaccine uptake to increase herd immunity?