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Flashcards in Pedia 3B Virology Deck (67):
0

Low grade fever
Colds for 1-3 days
Barking cough, hoarseness and INSP stridor

Pharyngo-conjunctival fever (Adeno)
Laryngo-tracheo-bronchitis (Parainfluenza) *
Herpangina (Cox A)
Bronchiolitis (RSV)
Influenza

1

Mild rhinorrhea w/sneezing ff-ed by
wheezy cough and progressive resp distress
Ausc: diffuse rhonchi crackles and wheezes

Pharyngo-conjunctival fever (Adeno)
Laryngo-tracheo-bronchitis (Parainfluenza)
Herpangina (Cox A)
Bronchiolitis (RSV) *
Influenza

2

Fever, drooling of saliva
Vesicles and ulcers over the anterior pillars, soft palate, uvula and tonsils

Pharyngo-conjunctival fever (Adeno)
Laryngo-tracheo-bronchitis (Parainfluenza)
Herpangina (Cox A) *
Bronchiolitis (RSV)
Influenza

3

Abrupt onset of high fever, coryza, conjunctivitis, pharyngitis and dry cough
Accompanied by malaise, myalgia and headache

Pharyngo-conjunctival fever (Adeno)
Laryngo-tracheo-bronchitis (Parainfluenza)
Herpangina (Cox A)
Bronchiolitis (RSV)
Influenza *

4

Fever w/pharyngitis, non-purulet conjunctivitis, pre-auricular and cervical lymphadenopathy

Pharyngo-conjunctival fever (Adeno) *
Laryngo-tracheo-bronchitis (Parainfluenza)
Herpangina (Cox A)
Bronchiolitis (RSV)
Influenza

5

Hepatitis A-E
Communicability is highest during first 2 weeks BEFORE onset of symptoms

A

6

Hepatitis
Acute fulminant hepatitis occurs more frequently

B + D

7

Hepatitis
Associated w/ extra-hepatic manifestations

B & C

8

Hepatitis
Most likely to cause chronic infections w/primary HCC after 2-3 decades from infection

C

9

Hepatitis
Co-infection and superinfection must exist for infection to occur

B + D

10

Hepatitis Markers
Acute, chronic infection or resolved infection

Anti-HBc

11

Hepatitis Markers
Lower risk of transmitting infection

Anti-HBe

12

Hepatitis Markers
INC risk of transmitting infection

HBe Ag

13

Hepatitis Markers
Resolved infection and immunity acquired from immunization

Anti-HBs

14

Hepatitis Markers
Acute or chronic infection

HBs Ag

15

Hepatitis
highly communicable via stool during first 2 weeks before onset of symptoms

A

16

Hepatitis
highly infectious for as long as the patient is positive for its antigen

B

17

Hepatitis
Primary HCC after 20-30 years

C

18

INC serum amylase
Assoc w/pancreatitis

Mumps

19

Usually no prodrome
Dx via appearance of rash

Rubella (German Measles)

20

Prodrome 2-4d high fever, myalgia, cough, pleuritic chest pain and weakness

Atypical measles ??

21

Prodrome of 3-5 days
Cephalocaudal rash

Measles

22

High grade fever for 3 days ff-ed by rash

Roseola infantum

23

Slapped cheek appearance

Erythema infectiosum (Parvo)

24

Lesions appear as crops

Varicella

25

Vesicular lesions distributed along innervations

Zoster

26

Papulo-vesicular lesions

Both varicella and zoster

27

Marker for Hep B infection

HBsAg

28

Hepatitis marker
Immunity through previous infection/vaccination

Anti-HBs

29

Hepatitis Marker
Active viral replication and infectivity

HBeAg

30

Diagnostic Test
Congenital CMV infection

Urine culture

31

Diagnostic Test
HSV encephalitis

CSF DNA PCR

32

Diagnostic Test
Poliomyelitis

Stool culture

33

Diagnostic Test
EBV Infectious mononucleosis

IgM VCA

34

Diagnostic Test
HIV infection

Western blot

35

MC 1' manifestation of HSV

Herpetic Gingivostomatosis

36

MC 2' (Reactivation) of HSV

Herpes labiales

37

Clinical manifestation of CMV

Jaundice
Chorioretinitis
Microcephaly
IUGR

38

Triad of EBV

Splenomegaly
Exudative pharyngitis
Lymphadenopathy

39

Virus assoc w/Burkitt's lymphoma and Hodgkin's Dse

EBV

40

Rash characterized by evolution of all stages starting from the trunk spreading to different parts of the body

Varicella

41

Rash is discrete maculopapules on the face becoming generalized in 24 hours w/minimal desquamation

Rubella (German measles)

42

Rash is discrete maculopapules appearing on the trunk spreading to neck and extremities w/defervesence EXanthema pattern

Sixth disease (Roseola)

43

Rash is initially erythematous facial flushing speading to the trunk as diffuse macular erythema w/central clearing

Fifth disease/Erythema infectiosum/Parvovirus B19

44

Rash is maculopapular in cephalocaudal progression w/hyperpigmentation and desquamation

Rubeola (Measles)

45

Fetal infection may result to intrauterine fetal death or fetal hydrops

Roseola

46

Contagious or Non-contagious
Erythema infectiousum before the rash

Contangious

47

Contagious or Non-contagious
5th day of rashes in measles

Contagious

48

Contagious or Non-contagious
8th day of rashes in chicken pox all dried and crusted

Non-contagious

49

Contagious or Non-contagious
Parotid swelling for 6 days

Non-contagious
>24 hours before swelling
Later than 3 days after swelling subsides

50

Contagious or Non-contagious
8m baba w/congenital rubella

Non-contagious

51

HIV Category (I, II, III)
REcurrent gingivitis or otitis media

Mild I

52

HIV Category (I, II, III)
Recurrent non-typhoidal sepsis

III SEVERE

53

HIV Category (I, II, III)
Chronic diarrhea

Moderate II

54

Rabies Post-exposure prophylaxis
Contact w/ droplets of saliva of rapid patient

RIG
Active vaccination

55

Rabies Post-exposure prophylaxis
Superficial scratch or abrasion by a dog w/o bleeding

Vaccine

56

DHF Grade (I-IV)
Petechiae on legs

?

57

DHF Grade (I-IV)
Ascites/Pleural effusion

?

58

DHF Grade (I-IV)
Imperceptible BP

IV

59

DHF Grade (I-IV)
Pulse pressure <20 mmHg

III

60

Rash appears 7-10 days after brief, non-specific febrile illness

Erythema toxicum

61

Temperature increases as rash appears and will be normal once rash are down legs and feet

Measles

62

Fever may be absent or low grade and coincides w/appearance of discrete pinkish maculopapules on face, spread rapidly over the entire body and clears by 3rd day w/minimal desquamination

Roseola

63

Recrudescence of fever may be noted when the lesions get secondarily infected

Varicella

64

Fever, drooling of saliva, vesicles, ulcers on anterior pillars, soft palate, uvula, tonsils

Herpangina

65

Scattered vesicles on oropharynx and maculopapules vesicles and or pustures on fingers, hands buttocks and feet

Hand food and mouth disease

66

Fever, ulcers on gingival mucus membranes, peri-oral vesicles and submandibular adenitis

Gingivostomatitis