Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Prep > Rashes and Fever in Children > Flashcards

Rashes and Fever in Children Flashcards

1
Q

Roseola INFANTUM

A

High fever, disappears, then Rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Roseola Infantum

A

HHV-6

Rash starts on trunk and spares the face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Chicken Pox

[Varicella]

A

“dew drops on rose petal”

+ fever, malaise, anorexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Erythema Infectiosium

A

Parvovirus B19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Erythema Infectiosum

[Parvovirus B19]

A

“slapped cheek” followed by lacy rash over trunk and arms/legs

adults: arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Erythema Infectiosum
[Parvovirus]

prodrome

A

Starts with fever and URI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Measles

A

Rash start at forehead and move down body

“Koplik spots”
fever
malaise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Koplik spots

A

Measles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Coxsackie virus

A

Hand, foot, and mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

GAS [Group A Strep] causes

A

Scarlet fever AND

Rheumatic fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Scarlet fever

[GAS]

A 
Red, papular rash starting on neck and moving to trunk and arms/legs
\+
"Strawberry tongue"
sore throat
fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Rheumatic fever

[GAS]

A

Red, serpiginous (looking like a worm) macules with pale centers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Serious complications of Rheumatic fever

[GAS]

A

Carditis
Polyarthritis
SubQ nodules
Sydenham chorea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Meningococcemia

[Neisseria meningitidis]

A

Red, maculopapular rash progressing to form Petechiae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Toxic shock synd

[Staph aureus]

A

Diffuse red macular rash with peeling palms and soles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Typhoid fever

[salmonella]

A

Maculopapular rash on lower chest and abdomen

“Rose Spots”

17
Q

RMSF

[Rickettsia rickettsii]

A

Maculopapular rash starting on WRISTS and ANKLES and including palms and soles!!

+ fever, HA, myalgia, arthralgia

18
Q

Lyme dz

[Borrelia Burgdorferi]

A

Bullseye rash

+Malaise, Bell’s palsy, meningitis, carditis, arthritis, heart block !!!

serious complications

19
Q

Roseola Infantum

A

usually before age 3

mild URI and High fever –> rash, sparing face

rash often gone in 1-2 days

supportive care

20
Q

Development of rash in clusters followed by malaise, fever, anorexia

dew drops on rose petal

A

Varicella

Chicken pox

21
Q

Rare cases of chicken pox–> serious complications

A

Encephalitis
Meningitis
Pneumonitis

or superinfection of vesicles by Group A Strep or Staph aureus

22
Q

How long is chicken pox contagious

A

4-5 days after appearance of rash or until all lesions have crusted over

23
Q

Dx of chicken pox

A

usually clinical OR

Tzanck smear or
ID by PCR

24
Q

Tx for Chicken pox

A

Acyclovir may shorten course IF PT IS OLDER THAN 2 YO and IF STARTED within 24 hr onset sx

25
Q

When is chicken pox [Varicella] vaccine given?

A 
1 YO (12-15 mo)
4 YO (booster)
26
Q

Facial rash 2-4 days followed by Lacy, pruritic rash that lasts for 1-2 weeks BUT

A

can relapse for several months

This is Erythema Infectiosum [Parvovirus]

27
Q

Parvovirus - erythema infectiosum is more severe in adults and teens

“slapped cheek”

A

Rheumatic complaints- arthralgias

if pt has sickle cell - can lead to Aplastic crisis with Anemia and Leukopenia

28
Q

Risk of pregnant mother with Erythema Infectiosum [parvovirus]

A

Transmit to baby

Risk of: Fetal hydrops and pregnancy loss

29
Q

Scarlet fever

A

2 days after onset sore throat

“pastia lines” punctate raised red eruptions that become confluent, feel like sandpaper

“Strawberry tongue”

rash fades and desquamation occurs 4-5 days after rash appears

30
Q

1st line tx for Group A strep

A

PCN

if allergic: cephalosporin, macrolide

31
Q

Rash of Meningococcemia [Neisseria meningitidis]

A

Red maculopapular eruption that does NOT blanch

–> petechaie

may coalesce into purpura in a condition known as “PURPURA FULMINANS” can result in gangrene and amputation if associated with DIC

32
Q

Other complications of Meningococcemia

A

Adrenal hemorrhage
Deafness
Brain and Kidney infarctions

33
Q

Empiric tx for infant <30 days old with suspected N.Meningitidis

A

Ampicillin + Gentamicin

34
Q

Empiric tx for adult with suspected N. Meningitidis

A

Vancomycin +

Ceftriaxone

35
Q

Rash starting on ankles and wrist, spread centrally
+
Nonspecific fever, HA, arthralgia, myalgia, fatigue

A

RMSF

Give DOXY

36
Q

Serologic eval of RMSF

A

Low WBC
Low platelets
Low sodium (hyponatremia)
Elevated LFT

37
Q

Prophylaxis for those exposed to Neisseria

A

Cipro or Rifampin

Clinical Prep (41 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions