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Clinical Medicine 4 > Ped eyes, skin, rash > Flashcards

Ped eyes, skin, rash Flashcards

(90 cards)

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1
Q

Define Strabismus?

A

Anomoly of ocular alignment

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2
Q

Strabismus one or both eyes?

A

Unilateral or bilateral

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3
Q

Eso vs Exo in Strabismus?

A

Eso=nasal deviation

Exo=temporal deviation

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4
Q

Phoria vs Tropia in Strabismus?

A

Phoria=latent

Tropia=Manifest

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5
Q

Hering Law in Strabismus?

A

Muscles in both eyes receive equal innveration. “Two eye law”.

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6
Q

Sherrington’s law in Strabismus?

A

Reciporcal innervation. “One eye law”

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7
Q

Dx of Strabismus?

A

H + P

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8
Q

Tx of Strabismus?

A

GLasses with and w/o prisms, mitotic drops, patching, visual training, surgery to reposition or shorten. Refer to optho.

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9
Q

Impetigo in what age range?

A

2-5y/o

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10
Q

MC of Impetigo?

A

S Aureus

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11
Q

Primary Impetigo?

A

Direct invasion of normal skin

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12
Q

Secondary Impetigo?

A

Infextion d/t trauma of skin

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13
Q

Which most common form of Impetigo?

A

Non-Bullous

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14
Q

3 forms of Impetigo?

A
  1. Non-bullous
  2. Bullous
  3. Ecthyma
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15
Q

Non-Bullous Impetigo has what appearance?

A

honey-colored

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16
Q

Where does Non-bullous Impetigo occur?

A

Faces and extremities

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17
Q

Systemic sx with Non-bullous Impetigo?

A

No

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18
Q

Bullous Impetigo in what age range?

A

younger kids

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19
Q

Bullous Impetig cyst color?

A

Clear yellow fluid which becomes brown

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20
Q

Bullous Impetigo toxin?

A

S Aureus Toxin A

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21
Q

Least common form of Impetigo?

A

Echyma

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22
Q

What sort of ulcers in Ecthyma Impetigo?

A

Punch Out ulcers with yellow crust

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23
Q

Dx of Impetigo?

A

H+P. Can culture fluid or at base of lesion if tx fails.

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24
Q

Topical tx of Impetigo?

A

If limited number of lesions.

Mupirocin (Bactroban), H2O2 cream

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25
PO tx of Impetigo when?
If bullae or multile lesions in many locations. Diclox, cephalexin, clinda. Bactrim if MRSA.
26
Pinworn aka?
Enterobiasis
27
Etiology of Pinworn?
Enterobilus verminocolanis
28
Transmission of Pinworn? Carried where?
Fecal-oral route. FIngernails, beddins, dust, clothing
29
Describe Pinworm. Where are they?
<1cm, white, threadlike. Visible worms around arms and butt.
30
Where Pinworm inhabit?
Cecum, appendix, ileum, ascending colon
31
Pinworn itching when and where?
Nocturnal perianal and perineal itching
32
Dx of Pinworn?
Hx of nocturnal itch. Collect with cellophane tape or pinworm paddle. Inspect stool or anus. Repeat inspection.
33
Tx of Pinworn?
Albendazole (Albenza) 400mg once. Repeat in 2 weeks. OTC=Pyrantel Panmoate
34
Erythema Infectiosum aka?
Fifth's Disease
35
Eti of Erythema Infectiosum?
Parvovirus B19
36
Incubation period of Erythema Infectiosum?
1-2 weeks before sx
37
Day 1-2 of Erythema Infectiosum?
Fever, HA, nausea, vomiting
38
Day 2-5 of Erythema Infectiosum?
Rash, "slapped cheeks". Reappear with sunlight, heat changes, exercise, stress.
39
Dx of Erythema Infectiosum?
H+P
40
Tx of Erythema Infectiosum?
Supportive only. No meds.
41
What really bad thing can Parvovirus B19 also cause?
Fetal Hydrops (Fetal demise)
42
Transmission of Infectious Mono?
Salivary secretions
43
Incubation of Infectious Mono?
4-7 weeks
44
Sx of Infectious Mono?
Fever, fatigue, pharyngitis, erythema, petechiae, splenomegaly, posterior cervical adenopathy, self-limiting hepatitis
45
Infectious Mono common after use of what abx?
PCN/AMP
46
Dx of Infectious Mono?
H+P. Monospot Heterophile Ab.
47
Tx of Infectious Mono?
Supportive. Steroids is tonsils block airway.
48
Antivirals in Infectious Mono?
NO
49
Careful for how long after Infectious Mono?
3-4 weeks until spleen gets better
50
Measels aka?
Rubeola
51
Etiology of Measels?
Morbilliform virus
52
Incubation of Measels?
7-21d
53
Droplets and contagious in Measels?
Airbone and droplets on surface up to 2h. Highly contagious. Contarious 4d before and 4d after rash.
54
What spots are pathognomic in Measels?
Koplik spots
55
Rash in Measels?
Head to toe maculopapular rash
56
Dx of Measels?
H+P
57
Tx of Measels?
Mostly supportive
58
PPX of Measels?
MMR vaccine within 72h of exposure. IG if w/n 6d of exposure.
59
Tx of severe Measels?
Vitamin A
60
Rubella aka
German Measels
61
Transmit of Rubella?
Airborne transmission
62
How long sx of Rubella last?
2-3 days
63
Sx of Rubella?
Rash, low grade fever
64
Rubella causes what in preggers women?
Birth defects
65
Roseola aka
Exanthema Subitum, 6th disease
66
Etiology of Roseola?
HHV-6/HHV-7
67
Age of Roseola?
90% >2y
68
Roseola and vertical transmission?
Can happen
69
Roseola fever onset and degree?
Sudden high fever 102-104
70
After fever in Roseola what happens next?
ASx rash appears on trunk, arms, legs
71
Kawasaki Dz aka
Mucocutaneous Lymph Node Syndrome
72
What is MC cause of childhood vasculitis?
Kawasaki Dz
73
What age and ethnicity gets Kawasaki Dz?
<5 y/o, Asian
74
Etiology of Kawasaki Dz?
Unknown
75
Kawasaki Dz affects which vessels and which major organ?
Widespread inflammation of medium size vessels and heart
76
Lips and tongue in Kawasaki Dz?
Cracked red lips, strawberry tongue
77
Which lymph nodes enlarged in Kawasaki Dz?
Anterior cervical >1.5cm
78
Tachycardia and fever in Kawasaki Dz?
Tachycardia out of proportion to fever
79
Heart sounds and Kawasaki Dz?
muffled heart sounds
80
Dx of Kawasaki Dz?
Clinical H+P
81
Heart tests in Kawasaki Dz?
Cardiac echo to detect aneurysm every 4-6 weeks
82
Which tx dramatically reduces risk of cardiac aneurysm in Kawasaki Dz?
IVIG
83
If give IVIG in Kawasaki Dz what about vaccines?
No live vaccines for 11 months
84
Tx of inflammation in Kawasaki Dz?
ASA 81-100mg q6h x14d
85
First Dz aka
Measels
86
Second Dz aka
Scarlet Fever from strep
87
Third dz aka
Rubella
88
Fourth Dz aka
?staph?
89
Fifth Dz aka
Erythema Infectiosum Parvovirus B19
90
Sixth dz aka
Roseola HHV-6 and 7

Clinical Medicine 4 (10 decks)

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