Shingles are a painful rash caused by the reactivation of the Varicella-Zoster virus – the same virus that causes chickenpox. 50% of those living to 85 years old will have at least one episode.

Stevens-Johnson syndrome (SJS) is a rare type IV hypersensitivity reaction with sheet-like skin loss and mucosal ulceration.

Infective Endocarditis is an infectious disease of the heart and surrounding vessels commonly seen in patients with a history of cardiac disease.

This rare condition requires a high index of suspicion. Clinical features are progressive, but mortality can double after only 24 hours of presentation!

HSP is a multi-system vasculitic disorder which can affect skin and joints. Children will require a urine dipstick, BP and assessment of fluids.

"You are asked to review a 14 old girl in the ED who is in pain with an infected toe. The orthopaedic team have commenced IV Augmentin…"

"25 year old Female, has been out for a curry and developed a rash and difficulty breathing. After treatment in Resus she was admitted to EDU for a period of observation."

9-month-old unwell & febrile at 39deg , HR 190, peripherally shut down & lethargic.