Tutorial: Fever

Question 1

Where do you see Henoch-Schlonein Pupura?

Answer 1

buttocks
Legs

Skin
Joints
Haematuria
Abdo

Interssusception

Question 2

Kawasaki presents how?

Answer 2

5 day fever
Large vessel vasculitis

Unilateral lymphadenopathy
Strawberry tongue
Conjunctivitis: non purulent

Generally very miserable.

Question 3

Where does measles rash start?

Answer 3

Behind ears

Koplik spots

Question 4

EBV and CMV?

Answer 4

Nodes
Hepatomegaly-splenomegaly

Oropharynx involvement

Question 5

Rosella causes by?

Answer 5

HHV6/7

Question 6

Describe rosella rash

Answer 6

All over Body
Non-itchy

At break of fever 3days after

Question 7

When are you contagious in Roseola?

Answer 7

during fever.

Safe after 24 hours after afebrile

Question 8

Risk of Parvovirus B19 in pregnancy?

Answer 8

Hydrop Fetalis

Question 9

Roseola for immunosuppressed person?

Answer 9

Probably stay away.

Question 10

What happens if you give amoxicillin to someone with EBV?

Answer 10

Torso rash

Question 11

How to safety net?

Answer 11

Arrange to have a Planned review if needed

Question 12

When you stop an antibiotic need to do what?

Answer 12

Explain why? What to look out for?

Clarify, it’s not allergy

Question 13

When gather urine what to do?

Answer 13

Dip stick

ALWAYS do culture.

Question 14

LP contraindications

Answer 14

Platelets less than 100
Infection at site
increased ICP

Question 15

More likely to have febrile convulsions

Answer 15

Liss-encephaly

Question 16

How to check UTI for young girl?

Answer 16

clean catch - do it twice (not growth of multiple organism)
SPA
In-out catheter

Question 17

Advice for febrile convulsions parents

Answer 17

Lower threshold
No damage: no damage: not prolonged
Common to have if 
Not epilepsy: only with high temps
5-6 years old Will likely stop.
Don't have to stop

If has seizure: make sure , safe position: on side, not in bath.
Call ambulance
Midazolam: intranasal, rectal, bu cal