Week 4: Congenital Infections Part II Flashcards

1
Q

CHEAP TORCHES LZ

A
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2
Q

Common clinical manifestations of intrauterine infections

A
  • Low birth weight (SGA)
  • Possible malformation
  • Rash
  • Jaundice/direct bilirubin
  • Hepatosplenomegaly
  • Anemia, low platelets
  • Stable
  • or Asymptomatic
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3
Q

Common clinical manifestations of Perinatal infections

A
  • Normal weight (AGA)
  • No malformations
  • Sepsis Syndrome
  • Coagulopathy/DIC
  • Hepatitis
  • Conjunctivitis
  • Sometimes clinically unstable (sepsis)
  • or Asymptomatic
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4
Q

Causative organisms of in utero infections

A
  • HIV
  • CMV
  • HSV
  • Toxoplasma
  • Syphilis
  • Rubella
  • LCMV
  • Parvovirus B19
  • Zika virus
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5
Q

Causative organisms of Perinatal infections

A
  • HIV
  • CMV
  • HSV
  • VZV
  • Enterovirus
  • GC/Chlamydia/HPV
  • Hepatitis B/C/E
  • E coli/GBS/Listeria
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6
Q

Causative organisms of Post-natal infections

A

*Breastfeeding*

  • HIV
  • CMV
  • Hepatitis B virus
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7
Q

Signs and symptoms of congenital/perinatal Rubella

A
  • Sensorineural deafness
  • Cataracts
  • Congenital heart disease
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8
Q

Signs and symptoms of congenital/perinatal Toxoplasma gondii

A
  • Hydrocephalus
  • Diffuse Intracranial calcifications
  • Chorioretinitis
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9
Q

Signs and symptoms of congenital/perinatal CMV

A
  • Microcephaly
  • Perinatal intracranial calcifications
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10
Q

Signs and symptoms of congenital/perinatal Parvovirus B19

A
  • Diffuse edema (hydrops fetalis)
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11
Q

Signs and symptoms of congenital/perinatal VZV

A
  • Limb abnormalities
  • Cicatricial lesions
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12
Q

Signs and symptoms of congenital/perinatal Treponema pallidum

A
  • Skin lesions (including palms and soles)
  • Dactylitis, osteochondritis periostitis
  • Rhinorrhea (snuffles)
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13
Q

Signs and symptoms of congenital/perinatal HSV

A
  • Vesicular lesions
  • Keratoconjunctivitis
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14
Q

For congenital infections consider

A
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15
Q

Case 1 Hx

A
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16
Q

Case 1 Hx

A
17
Q

Question

A
18
Q
A