DDX - Pediatric Vesicular Rash (SICCC GERMS)

SICCC GERMS is the mnemonic that I use for the differential of vesicular rashes in children. Two major branch points are vaccinated vs. unvaccinated ... THEN... febrile vs. afebrile 

• SICCC
• Smallpox
• Impetigo
• Chickenpox
• Coxsackievirus (Hand, Foot, and Mouth Disease) 
• Contact Dermatitis (Poison Ivy)

• GERMS
• Gladiatorum (HSV)
• Eczema 
• Rickettsialpox 
• Molluscum Contagiosum 
• Scabies

Review

• This track is meant to help listeners differentiate and treat common causes of vesicular rashes in children and also score you points on your STEP 1/2/3 and Residency Board Exams. 
  
• The color-coded highlighting is as follows:
  
• Green - the diagnosis or disease process
• Orange - key features and buzzwords
• Blue - management and treatment