Pediatric Infectous Disease Flashcards

1
Q

Where does a latent infection of varicella zoster rest

A

Dorsal root ganglia

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2
Q

How is varicella transmitted

A

Respiratory droplets and direct contacts

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3
Q

When is varicella highly contagious

A

2 days before onset of rash until all lesions crusted over

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4
Q

Teardrops on an erythemtous base

A

Varicella zoster

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5
Q

How does the rash with varicella spread

A

Trunk to head to extremities

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6
Q

How do you test for varicella

A

PCR of fluid

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7
Q

What is the treatment of varicella zoster

A

Antivirals if high risk pt

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8
Q

What is the prevention of varicella

A

Live atttenuated vaccine

2 doses 12-15 months and 4-6 years

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9
Q

What is the most common complication of varicella

A

Staph or strep

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10
Q

What is Ryes syndrome associated with

A

Use of aspirin

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11
Q

What is caused by the paramyxovirus

A

Rubeola : Measles and Mumps

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12
Q

What is another name for measles

A

Rubeola

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13
Q

What dx has cough, coryza, conjunctivitis, and koplik spots

A

Rubeola

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14
Q

How does the rash spread in rubeola

A

Head to feet

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15
Q

How do you diagnose rubeola

A

PCR

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16
Q

What is the treatment of Rubeola

A

Supportive

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17
Q

When is the MMR given

A

2 doses 12-15months and 4-6years

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18
Q

What is the most common complication of Rubeola

A

Otitis media

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19
Q

A pt comes to you with pain and swelling of his jaw. He has also had a fever and HA

A

mumps

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20
Q

when is the mumps most contagious

A

a few days before onset

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21
Q

what diagnosises the mumps

A

PCR

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22
Q

what is the treatment of the mumps

A

supportive and apply warm and cold compresses

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23
Q

what is the prevention of the mumps

A

MMR at 12-15 months and 4-6 years

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24
Q

what is the complication of the mumps

A

orchitis/epididmyitis

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25
Q

what is another name for german measles

A

Rubella

26
Q

what is caused by the togavirus

A

Rubella: German Measles

27
Q

what are some sx of rubella

A

post-auricular, posterior cervical and posterior occipital lymphadenopathy. Red rash that last 3 days

28
Q

where are the lymph nodes swollen in rubella

A

posterior

29
Q

A patient comes to you with swollen lymph nodes, a red rash that is on the body, and forschheimer spots

A

Rubella: German Measles

30
Q

where would you see forschheimer spots

A

Rubella: German Measles

31
Q

how does the rash look and spread in german measles

A

A red maculopapular discrete rash that starts on the face and spreads to the body

32
Q

how long does the rash last in Rubella

A

3 days

33
Q

what are forschheimer spots

A

petechiae on soft palete

34
Q

How do you diagnose rubella

A

IgM serology

35
Q

What is the treatment of rubella

A

supportive

36
Q

what is a complication of rubella

A

Congenital rubella syndome

37
Q

what disease is caused by herpesvirus 6

A

Roseola (6th disease)

38
Q

what is another name for sixths disease

A

Roseola

39
Q

what is a common cause of fever in infants

A

Roseola

40
Q

A pt is brought to you with a very high fever, but the pt appears irritable with a rose colored rash, but overall appears well

A

Roseola

41
Q

How does the sx go in Roseola

A

high fever (last 3-5days) than the rash

42
Q

How does the rash look in Roseola

A

Maculopapular rose colored rash that starts on neck and chest and spreads to face and extremities

43
Q

How do you treat Roseola

A

Supportive

44
Q

what are some complications of Roseola

A

1/3 have febrile seizures

45
Q

What disease is caused by Parovirus B19

A

Erythema Infectiosum “Fifth disease”

46
Q

what is another name for Erythema Infectiosum

A

Fifth disease

47
Q

A patient comes to you with a rash on the cheeks and spread to the trunk

A

Erythema Infectiosum

48
Q

what are the 3 stages of the rash in Erythema Infectiosum

A
  1. slapped cheek
  2. Maculopapular truncal rash
  3. Lacy reticulated truncal rash
49
Q

what are some things that may make the rash itchy in Erythema Infectiosum

A

exercise, bathing, rubbing, stress

50
Q

what is the treatment of Erythema Infectiosum

A

supportive

51
Q

what is a complication of Erythema Infectiosum

A

transient aplastic crisis

52
Q

what disease is caused by the coxsackie virus

A

hand-foot-mouth disease

53
Q

A pt is brought to you with oral lesions on thier mouth and a macular rash on the upper and lower extremities. The rash is not puritic.

A

hand-foot-mouth

54
Q

where are oral lesions commonly found in hand-foot-mouth dieases

A

buccal mucosa and tongue

55
Q

what is the treatment of hand-foot-mouth

A

supportive

56
Q

what is the most common cause of fever in children

A

UTI cause by E.coli

57
Q

what is the treatment of a fever in a child <3 months

A

ampcillin + cefotaxime

58
Q

what is the most common cause of seizures in children

A

febrile seizures

59
Q

what type of febrile seizure is most common

A

simple

60
Q

what are some signs that a seizure was complex rather than simple

A

focal features, >15 min, recurs in 24 hours, some type of neuro problems.

61
Q

If a seizure last longer than 5 min what do you need to give the pt

A

IV Benzo (Diazepam or Lorazepam)