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Flashcards in Peds Infectious dz Deck (54):
1

Rubeola: Virus?

Paramyxovirus (Measles)

2

Rubeola: Sxs?

Prodrome:
Cough, Coryza, Conjunctivitis
Fever, Koplik's Spots

Rash: Head ->>> Toe
Maculopapular

3

Rubeola: Dx?

Serology:
IgG, IgM

4

Rubeola: Complications?

Diarrhea
AOM
PNA
Meningitis

5

Rubella: Virus?

Togavirus (German Measles, 3 Day Measles))

6

Rubella: Sxs?

NO prodrome
Fever, Postauricular LAD, Polyarthritis (Teens, Adults)
Truncal Maculopapular Rash

7

Rubella: Dx?

Serology: IgM

8

Rubella: Complications?

Deafness
Cataracts
Heart Defects
Mental Retardation
Liver/Spleen Damage

9

Roseola: Virus?

Human Herpes 6

10

Roseola: Sxs?

Prodrome:
High fever (possibly seizures)

Rash: Immediately post fever
Pink maculopapular, Blanchable
Neck and trunk

11

Roseola: Dx?

Viral cx

12

Erythema Infectiosum: Virus?

Parvovirus B19 (5th Dz)

13

Erythema Infectiosum: Sxs

NO Prodrome, No fever
Slapped cheeks
Itchy, lacy maculopapular rash
Arms ->> Trunk ->> Legs

14

Erythema Infectiosum: Dx?

Serology

15

Erythema Infectiosum: Complications?

Hydrops Fetalis in pregnancy
Anemia (stops RBC prdxn)
--- tx w/ transfusion

16

Mumps: Virus?

Paramyxovirus

17

Mumps: Sxs?

Parotitis
(P) Mild fever

18

Mumps: Dx?

Viral cx or PCR
CBC: leukocytosis
Increased Amylase

19

Mumps: Complications?

Orchitis/Oophoritis
Meningitis
Pancreatitis

20

Coxsackie A: Virus?

Picornavirus

21

Coxsackie A: Sxs?

Febrile Pharyngitis

22

Coxsackie A: Dx?

Viral cx

23

Coxsackie A: Complications?

Meningitis
Hand-Foot-Mouth

24

Hand-Foot-Mouth: Virus?

Coxsackie A

25

Hand-Foot-Mouth: Sxs?

Prodrome:
Low fever, malaise, URI sxs

Rash: Oral vesicles/ulcers/stomatitis, Vesicular rash hands/feet (don't crust over)

26

Coxsackie Herpangina: Sxs?

Fever
Pharyngeal vesicles
▪ painful, grayish-white with red halo

27

HIV: Virus?

Retrovirus: reverse transcriptase (DNA from RNA),
Targets CD4 helper T-cells

28

HIV: Stage 1?

Primary Infection: 2-6 wks post exposure

Sxs:
Mono or flu sxs,
Rash, Ulcers, Anemia, Thrombocytopenia

29

HIV: Stage 2?

Latency: Seroconverts ->> Ab positive

Asymptomatic approx 10 yrs

30

HIV: Stage 3?

Body overwhelmed: CD4 count drops

31

EBV: Sxs?

Fever, fatigue/malaise, myalgia
Exudative Pharyngitis
LAD, Splenomegaly, Palatal petechiae

32

EBV: Dx?

CBC: lymphocytosis
Monospot: Ab positive

33

Lyme Borreliosis: Bacteria?

Borrelia burgdorferi

34

Lyme Borreliosis: Sxs Initial Infection?

Erythema Migrans (target lesion), myalgias, arthralgias, HA, fatigue.
Stage 2: early disseminated infxn, skin lesions, malaise,
fever, fatigue, HA, neck pain, myopericarditis,
arrhythmias, heart block, aseptic meningitis, Bells Palsy.
Stage 3: persistent late infection, arthritis, memory loss,
mood changes, sleep disturbances, intermittent
paresthesias, acrodermatitis, chronicum atrophicans.

35

Lyme Borreliosis: Sxs 2nd Stage Infection?

Flu sxs
Myopericarditis, Arrhythmias, Heart block
Meningitis
Bells Palsy

36

Lyme Borreliosis: Sxs Late Stage Infection?

Arthritis, Paresthesias
Memory loss, Mood changes
Sleep disturbances
Acrodermatitis Chronica Atrophicans (red/blue swelling ->> atrophy)

37

Lyme Borreliosis: Dx?

Immunofluo/ELISA
Western Blot confirmation

38

Lyme Borreliosis: Tx?

Doxycycline or Cefuroxime.

39

Varicella: Sxs

Mild flu sxs followed by itching
Red macules -> vesicles -> pustules -> crusts

40

Varicella: Infectious when?

Until crusting starts
U 5-7 days after start

41

Erythema Marginatum is?

Rash from Rheumatic Fever
Red margins with normal skin in the middle

42

Candidiasis infections U follow?

ABX
DM

43

Common Candidiasis infections in kids?

Diaper
Thrush

44

Pinworms presentation?

Itching
Vulvovaginitis, diverticulitis, appendicitis, cystitis

45

Diphtheria presentation?

Pseudomembrane (light-reactive, sharp outline)
Myocarditis
Polyneuropathy
Skin lesions (non-specific)

46

Diphtheria dx?

Tx?

Cx

IV antitoxin
PCN, EMC (only helps spread, not tx)

47

Tetanus toxin U found where?

Incubation period?

Soil

5-12 days

48

Tetanus presentation: Local?

Generalized?

Stiffness in single group of mm

Gradual stiffness (U jaw, neck, back) -->>
Paroyx spasms

49

Tetanus dx?

Tx?

Clinical

Antitoxin
Valium or barbiturates
Airway support

50

Salmonellosis U from?

Reptiles
Undercooked meat/eggs

51

Salmonellosis presentation?

DIARRHEA (Gastroenteritis)
HA, N/V, fever/chills

52

Salmonellosis tx?

Supportive if mild gastroenteritis
Ampicillin or Bactrim

53

Shigellosis presentation?

Complications?

Fever, malaise, HA -->>
Mucus/Blood Diarrhea

Metabolite depletion
Seizures

54

Shigellosis dx?

Tx?

Stool cx

Fluids/e-
Bactrim if severe
U resolves 7-10 days