Browse categories and answer follow-up questions to refine your symptom profile.
Initial Stabilization
Immediate priorities
Airway patency
Stridor
Drooling with inability to handle secretions
Breathing status
Work of breathing
Hypoxemia
Circulation and perfusion
Capillary refill delay
Hypotension
Neurologic status
Altered mental status
Seizure
Dehydration risk
Unable to tolerate oral fluids
Reduced urine output
Escalation triggers
If toxic appearance, sepsis pathway
Blood cultures
Broad spectrum antibiotics per local protocol
If respiratory distress or hypoxemia, resuscitation bay
Supplemental oxygen
Chest imaging based on exam
If neurologic signs, emergent pediatric or neurology consult
Concern for enterovirus neurologic complication
Consider ICU
Infection control
Contact precautions
Gloves and gown for direct contact
Dedicated equipment when feasible
Droplet precautions if prominent respiratory symptoms
Surgical mask for close contact
Cohorting if outbreak setting
Hand hygiene emphasis
Soap and water after diapering
Alcohol based hand rub for routine use
Key Decision Points
Severity stratification
Uncomplicated HFMD
Normal mental status
Adequate oral intake
Moderate dehydration risk
Pain limiting intake
Mild clinical dehydration
High risk or complicated disease
Dehydration with failed oral rehydration
Neurologic symptoms
Cardiopulmonary symptoms
Diagnostic posture
Clinical diagnosis in typical cases
Oral enanthem with extremity rash pattern
Known exposure or daycare cluster
Targeted testing in atypical or severe cases
Alternate diagnosis concern
Complication concern
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.