A two year old boy presents with a rash for one day. Three weeks ago he fell and hit his right cheek on a sofa, causing a superficial scrape 2 centimeters across (see slideshow). He did virtually the same thing again two weeks ago (1 week after the initial injury). Six days ago his father documented an additional area of irritation at the right corner of his mouth (slideshow). Three days ago his mother brought him to a general pediatrician because the scrape was not getting better. A topical steroid was prescribed. Two days ago the boy vomited "until there was nothing left" about two hours after dinner. The parents the vomitus was only partially digested food and wasn't red, green, particularly mucusy, or full of anything that looked like coffee grounds. The boy vomited again after drinking a sippy cup of milk that night before going to sleep. The following morning the boy awoke with dry heaves. A rash behind his ears was noted, consisting of tiny flesh-colored to pink bumps. The rash continued to spread over his body for the next two days; the father reported the child seemed tired on the day of presentation but reported the boy had asked for and kept down water, then rice, and then red beans and rice. The child vomited after milk was reintroduced later in the afternoon on the day of presentation, after which the parents started giving the child Gatorade. The parents report a low-grade subjective fever and cough for the previous two days but no chills, night sweats, or changes in mental status. There is no history of seizures.
The child denied itching and pain in any bones or joints and denied headache. The parents report their son is potty training and his last bowel movement was on the morning of presentation and it well formed without blood. The child attends daycare and his vaccinations are up to date. His six-year old sister had Fifth disease approximately two months ago and both children had molluscum contagiosum 18 months ago, which spontaneously resolved approximately 12 months ago.
Examination revealed a lot of little bumps behind his ears, with some bumps over the cheeks and two areas of the right cheek where the bumps were so close together you couldn't tell where one ended and the next started (see slideshow). The eye and ear exams were deferred. A flat, scaly, 2 centimeter red patch was noted over the right cheek. There were a few lymph nodes felt below the jaw bone, but no lumps behind his ears and no spots in his mouth or the back of his throat. The neck was supple. The child did not attempt to itch the rash. Similar scattered tiny bumps were seen over the back, chest, and arms. There was no tenderness on when pressing firmly of the bones of the arms and legs and thorax.
What do you think it is? What would you do next?

(slideshow)