Back to basics is switching it up and bringing you some advanced material today.  Patient have a weird rash and you can't figure it out?  Consider a paraneoplastic dermatosis!

Pediatric rashes are tricky - this is certainly one you'll see! Here we review the diagnosis and treatment of a common disease.

A 50 year old male with a recent lung mass resection presents with chills and diffuse burning rash.  Patient was well appearing and afebrile. There were no mucosal lesions. Initial lab testing was significant for a leukocytosis of 19 with 89% neutrophils. Patient was started on steroids and observed in the hospital. 

Read on for a "can't-miss" diagnosis that should be on your differential for a child with prolonged (>/= 5 days) fever.

Facial paralysis can be challenging for both the patient and provider: remember to include Ramsay Hunt on your differential!