Common Pediatric Ilnesses and Exanthems Flashcards
Varicella rash description
Dew Drops on a rosepetal
When is varicella contagious
48 hours before lesion to when they are fully crusted
Describe the prodrome of measles
Cough, Corysa, conjunctivities, photophobia, fever for 2-8 days
Go to markings assocaited with measles
Koplik’s spots (Usually 2 days before rash)
Rash - 4/5 day, morbilliform eruption. Head down, gets palms/soles
Describe Koplik’s spots
Small irregular bright-red spots with a central bluish-white speck on the buccal mucosa. Next to 2nd molars
Complications of Measles?
Resp. Infections
Encephalitis
Subacute sclerosing panencephalitis
Findings in a rubella patient
Low fever
POSTERIOR cervival and occipital lymphadenopathy
Pink, pinpoint maculopapular rash that starts on face and goes down. Usually lasts 3 days
Go to mark of Rubella?
Forchheimer Spots 00 exanthem on the soft pallate (palatal petechiae)
Why care about Rubella?
Congenital Syndrome – Hearing Loss, Mental Retardation, CV defects, Ocular defects
“Blueberry muffin” rash
Five Syndromes Associated with B19 Infection
- Fifth Disease
- Arthropathy
- Non-immune hydrops fetalis, miscarriage
- Transient aplastic crisis w/ chronic hemolytic disorders
- Chronic pure RBC aplasia in IC individuals
Three phases of Erythema Infectiosum (B19)
Slapped Cheeks
Fishnet Erythema
Recurrence of rash after resolution
Roseola Infantum important details..
HHV 6,7
High fever for 3-4 days
Pale-pink macular rash appears as patient defervesces
Hand-Foot-Mouth Disease Important Details
Coxsackie virus (A16) or Enterovirus (A71) Sore lesions on mouth, less common on hands-feet
Other than HFM disease, Coxsackie A Virus can also cause…
Herpangina
Sore throat, fever
Yellowish-greyish white papulovesicular lesions on the tonsils/uvula/palate
