Please help with this medic..

Y.a an 8 month old male, was admitted for the first time on July 8, 2007.

Chief complaint: rashes

History of present illness:

Condition started 3 days prior to admission as sudden onset of fever, (documented as temperature of 39 celsius). Patient was given paracetamol (naprex 100mg.ml) drops 1.2ml every 4 hours which afforded temporary relief. Patient had minimal rhinorrhea and was noted to have decrease in appetite. Parents did not seek consult because of financial difficulty. The morning prior to admission, temperature was noted to be 37.5celsius and parents noted the appearance of rashes.

(+) soft watery stool 1-2 episodes/day

(+) vomiting

Past history:

Prenatal: mother G2P2002. had prenatal check up at the health center. No maternal illness incurred during the entire gestation. Took multivitamins regularly.

Natal: patient was delivered at home assised by a midwife. Good spontaneous crying was noted right after delivery. Birth rank is 2/2

Postnatal: patient was breastfed since birth up to 6 months old. Solid food was introduced at 5 moths old. Developmental milestones 鈥?unremarkable.

Immunization status:complete primary immunization done at the health center.

P.E: examined a conscious, irritable, afebrile patient with the following vital signs

HR: 100/min RR: 25/min Temp: 37celsius weight: 8 kg

Skin: (+)discrete, small slightly raised pink lesions in the trunk. (-) jaundice