You are currently viewing Approach To A Patient With Fever & Rash : Mnemonic

Here is a quick mnemonic ” FEVER AND RASH “ to remember about the Approach To A Patient With Fever & Rash

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NEET PG, FMGE, NExT & NCLEX exams

Fever is a natural response of the body to an infection or illness, and in most cases, it does not require any specific treatment. However, if the fever is high (above 102°F or 38.9°C) or is accompanied by other symptoms like headache, body aches, and chills, it is essential to manage it with proper approach 

Approach To A Patient With Fever & Rash : How To Remember Easily ?

  • F – Full history should be taken, including immune status, medications taken within the previous month, specific travel history, immunization status, exposure to domestic pets and other animals, history of animal bites, recent dietary exposures, existence of cardiac abnormalities, presence of prosthetic material, recent exposure to ill individuals, and sexual exposures.

  • E – Examination of the rash is critical, with an assessment and precise definition of its salient features, such as type of lesions, including macules, papules, plaques, nodules, wheals, vesicles, bullae, and pustules.

  • V – Vesicular processes such as varicella or herpes simplex may evolve to pustules.

  • E – Establish the site of onset of the rash and its direction and rate of spread.

  • R – Rash configuration should also be noted, including annular or target, arrangement of the lesions, and their distribution, whether central or peripheral.

  • A – Attention should also be paid to other pertinent features of the rash, including the existence of palpable or non-palpable purpura, ulcers, and eschars.

  • N – Note the size and shape of the lesions, whether they are petechiae (<3mm) or ecchymoses (>3mm).

  • D – Determination of the exact type of rash is essential in making an accurate diagnosis.

  • R – Review the patient’s medical history and relevant exposures, including recent travel, medication use, immunization status, and contact with animals or ill individuals.

  • A – Assess the appearance and distribution of the rash, including the type of lesions, such as macules, papules, plaques, vesicles, or pustules, and their size, shape, and color.

  • S – Systematically examine the entire body for the presence of rash, paying particular attention to skin folds, pressure areas, and mucous membranes.

  • H – History should also include the site of onset of the rash and its direction and rate of spread.


Mnemonic :  FEVER AND RASH

Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department