Measles physical examination

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Measles is a condition, that is best diagnosed clinically based on a constellation of signs and symptoms. On physical examination the following are pathognomic for measles:

• Koplik's spot - These are bluish gray spots on an erythematous base, opposite the base of second molars. These present usuaaly 2-3 days after initial prodrome and may or may not persist till the rash disappears. Although pathognomic, these are not present in all the cases. Its absence does not exclude the diagnosis of measles. Shown below are a couple of images depicting Koplik's spots.
  

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  Image showing bluish-grey spots on an erythematous base known as Koplik's spots

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  Image showing Koplik's spots opposite the base of second molars.

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