Pediatric -Derm Flashcards
measles
rare at any age, takes 8-12 days for sx, 14 days for rash. Prodrome: fever ( 101+), cough, coryza, conjunctivitis, Koplik spots ( white spot).
Day 14: bright red macular papular rash, contagious before rash. Kids look sick.
mumps ( parotitis)
incubation 12-25 days
late winter and spring
pain and welling in front of and below ear
complication: testicuar pain 1 week later.
tx; supportive care with recovery 1-2 weeks
rubella
germane meals
congenital rubella TRIAD: deafness, cataracts, cardiac defects–> deadly
“ blueberry muffin” baby-pupural on rash
Acquired: erythematous rash progressing from head to toes –> self limiting
chicken pox
varicella- zoster virus
age 5-9 yrs
incubation: 10-21 days
vesicular, erythematous rash on torso, then face
“ dew drops on a rose petal–> vesicular stage
scabs—> not contagious
Tx: supportive
roseola
human herpes virus
3- mon- 4 yens
high five X 3-5 days—> rash
erythema infectious
“ fifth disease” or “ slapped cheek syndrome
parvovirus-joint pain school age kids incubation 4-14 ays red facial rash ( sunburn) and lacy, pink macular rash on torso and ext Preggers: hydrous fetalis tx; supportive
Hand foot syndrome
cosackie virus
unders 5 years
low grade fever, ulcers in mouth and vesicular in hands and feet
d/dx: herpangina ( no hand/foot involvement
gingival stomatitis- on lips/ tongue
kawasaki syndrome
“ mucocutaneous lymph node syndrome”
vasculitis
fever > 5 years and 4 of these: conjunctivitis, rash, mucosal change, edema of hands/ feet, cervical adenopahty> 1.5 cm
complications: aneurysm, coronary- tx begins in 1st days
tx: iVIG, ASA
Updated to vaccine schedule
rotavirus- 2 months
hep a- 1 year
varicella- booster 4, 6
teens: pertussis, meningococcal, and HPV vaccine
Q: which component of DTP causes fever
pertussis component
now use acellular pertusis
Q: which component of DTP causes crying ?
pertussis
