Diseases We Vax Against Flashcards Preview

Paeds - Well Child > Diseases We Vax Against > Flashcards

Flashcards in Diseases We Vax Against Deck (12):
1

Diphtheria:
- Sx
- Complications

- Sx: coryzal, lymphadenopathy, furry grey coating on throat, SOB, swallowing issues
- Cx: suffocation, CCF, renal failure, nerve damage

2

Pertussis:
- Sx + Sx in older kids
- Ix
- Mx
- Cx

- Sx: coryzal Sx, whopping cough. In older kids, cough can go for ages "100 day cough" and also vomiting, petechiae around eyes
- Ix: nasal swab/PCR, serology
- Mx: Abx - makes index case non-infective but DOESN'T change course of illness, clarithromycin/azithromycin
- Cx: pneumonia, hypoxic encephalopathy

3

When is pertussis most dangerous and why?

Infant: can become cyanosed/apnoiec during whoop -> can get hypoxic encephalopathy -> permanent brain damage

4

Hib: what kinds of infection can it cause?

meningitis, epiglotittis, pneumonia, croup, peri-orbital cellulitis

5

How do you differentiate between peri-orbital and orbital cellulitis?

Eye movements (early stages pain, later stages diplopia), visual acuity (call ophthalmologist)

6

Tetanus:
- what does it cause?
- why is it so important for each individual to be immunised?

- lock jaw, breathing/swallowing problems, convulsions, arrhythmias
- Herd immunity doesn't protect because of ground source, enters through breaks in skin (i.e. not person to person)

7

Polio:
- Route of spread
- What does it cause?

- Faecal-oral: enterovirus
- anterior horn cells affected, clinical features depends on level of infection: mild Sx -> life-threatening paralysis

8

Mumps:
- Sx
- Cx

- Sx: constitutional, parotid swelling (usually bilat, tender)
- Many, inc infertility, encephalitis, meningitis, pancreatitis, myocarditis, miscarriage

9

Measles:
- What are the 3+1 C's of measles?
- What rash do you get with measles?
- Serious Cx

- 3 C's:
• Cough
• Conjunctivitis
• Coryzal
• (Koplick spots)
- Confluent maculo-papular rash
- Cx:
• Bacterial secondary infection e.g. otitis media, pneumonia
• Encephalitis - can get SSPE years later

10

Rubella: when is the infection an issue, and why?

In utero esp T1:
- Congenital cataracts
- Growth retarded
- Deafness
- ID
- Higher risk of congenital cardiac lesion

11

Why is Hep B given at birth in Aus?

- Given at birth due to many unknown statuses of mothers (e.g. from SEA)

12

What is the rash you get with meningococcus

Non-blanching, purpuric rash