Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Stabilization priorities
Airway compromise risk
Oropharyngeal and laryngeal mucosal sloughing
Stridor
Voice change
Drooling
Hypoxemia
Shock physiology
Hypovolemia from insensible loss
Sepsis consideration
High risk pain state
Analgesia plan early
Avoid NSAID initiation in suspected drug reaction
Thermoregulation loss
Warm environment
Warmed fluids
Recognition and escalation triggers
High risk features for toxic epidermal necrolysis
Epidermal detachment greater than 30 percent body surface area
Positive Nikolsky sign
Flaccid bullae
Mucosal involvement at two or more sites
Oral
Ocular
Genital
Systemic toxicity
Fever
Tachycardia
Hypotension
Altered mental status
Rapid progression over hours to days
Tender erythematous or dusky macules
Confluent purpura
Initial monitoring and access
Monitoring and access
Continuous pulse oximetry
Escalate if rising oxygen requirement
Escalate if work of breathing increases
Cardiac monitoring
Tachyarrhythmia recognition
Large bore IV access
Two peripheral lines
Central access if inadequate access or vasopressors needed
Foley catheter for severe cases
Urine output target assessment
Early consultation and team activation
Team activation
Dermatology urgent
Biopsy plan
Culprit drug identification support
Burn center or ICU early
Transfer criteria review
Fluid and wound protocol alignment
Ophthalmology urgent if any eye involvement
Early prevention of symblepharon
Corneal protection plan
Gynecology or urology if genital involvement
Adhesion prevention plan
Pharmacy support
High risk medication review
Alternative agents planning
Infectious diseases if sepsis concern
Culture strategy
Antibiotic stewardship
Key concepts
Clinical definitions and thresholds
Stevens Johnson syndrome
Epidermal detachment less than 10 percent body surface area
SJS TEN overlap
Epidermal detachment 10 to 30 percent body surface area
Toxic epidermal necrolysis
Epidermal detachment greater than 30 percent body surface area
Prognosis tool
SCORTEN within 24 hours
Repeat SCORTEN at 48 hours
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.