Paeds infection Flashcards
(57 cards)
What are the 2 most common causes of viral gastroenteritis?
- Rotavirus
- Noravirus
What’s the likely causative organism of gastroenteritis that is caused by eating leftover room temperature rice and that resolves in 24hrs?
Bacillus cereus
What are other bacterial causes of gastroenteritis?
- E coli
- Campylobacter jejuni
- Salmonella
- Shigella
What is encopresis? What is it usually a sign of?
- Faecal incontinence
- Chronic constipation
When can children with Scarlett fever go to school?
24 hrs after abx
When can children with measles go to school?
4 days from onset of rash
When can children with whooping cough go to school?
48 hrs from abx
When can children with rubella go to school?
5 days from onset of rash
What other symptoms do you get with measles?
CCCK
- cough
- conjunctivitis
- coryza
- koplik’s spots
Describe a typical measles rash and how it presents
- Erythematous, macular rash with flat lesions
- Fever
- Rash starting on face
- Rash spreads to rest of body
Describe a typical Scarlett fever rash and how it presents
- A red-pink, blotchy, macular rash with rough “sandpaper” skin
- Starts on the trunk
- Spreads outwards
What are other features of Scarlett fever?
- Strawberry tongue
- Red, flushed cheeks
- Sore throat
- Cervical lymphadenopathy
What is the treatment of Scarlett fever?
Phenoxymethylpenicillin (penicillin V) for 10 days
Describe a typical rubella rash and how it presents
- A erythematous macular rash (milder than in measles)
- The rash starts on the face
- Spreads to the rest of the body.
How long does a rubella rash typically last?
3 days
How long following exposure do measles symptoms present?
10-12 days after exposure
What are the initial symptoms of measles?
Fever, coryzal symptoms and conjunctivitis
How long following fever does a measles rash present?
3-5 days
What can rubella in pregnancy lead to? What triad of symptoms is this characterised by?
- Congenital rubella syndrome
- Triad of deafness, blindness and congenital heart disease
What is the management of rubella?
Management is supportive and the condition is self limiting
What are 2 other names for parvovirus B19?
- Slapped cheek syndrome
- Erythema infectiosum
Describe a typical parvovirus B19 rash and how it presents?
- A bright red rash on both cheeks, as though they have “slapped cheeks”
- A few days later a mildly erythematous rash affecting the trunk and limbs appears that can be raised and itchy
What is the management of parvovirus B19?
The illness is self limiting and the rash and symptoms usually fade over 1 - 2 wks
What is roseola infantum caused by?
Human herpesvirus 6 (HHV-6) and human herpesvirus 7 (HHV-7)
