Peds Infectious Rashes OME Flashcards Preview

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Flashcards in Peds Infectious Rashes OME Deck (19)
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1
Q

baby with red cheeks rash + fever for the last few days that now has lacy or reticular rash on arms and trunk. dx?

A

parvovirus B19

2
Q

pregnant women gets infected with parvo…whats the comp?

A

hydrops fetalis for baby =(

3
Q

what population will have complications with a parvo infection?

A

those with SS or other hemoglobinopathies = aplastic crisis

4
Q

sx of measles?

A

fever +rash, cough, runny nose that starts at head and moves down the body. + Koplik spots = white spots on buccal mucosa

5
Q

complication of measles later in life?

A

subacute sclerosing panencephalitis

6
Q

koplik spots vs forchheimer spots

A

koplik = white spots in mouth = measles

forchheimer = red spots my be blochy in mouth = rubella

7
Q

whats the biggest difference between rubella and measles?

A

rubella has a prodrome generalized tender lympadenopathy

8
Q

sx of rubella

A

rash + fever that starts at head and moves down body = faster than measles, forchheimer spots = red spots in mouth

*prodrome = tender generalized lymphadeopathy

9
Q

kid who doesnt have MMR vac comes in with rash on face + fever that is starting to spread to the rest of hte body…what do you need to look for to dx?

A

tender lymphadenopathy! = this will tell u rubella vs measles

10
Q

kid with HIGH fever (104) then fever goes away and rash starts on trunk and spreads, kid had a seizure yesterday. dx?

A

Roseola = HHV-6

11
Q

how do you tx febrile seizures? what infectious rash is this associated with?

A

Benzos for seizures & acetomenophen for fever! (do not use ASA as it will cause ryes syndrome!)

HHV6 = Roseola

12
Q

2 kids come in with rashes. one has rash on face the other has it on the trunk and it has begun to spread outward. PE: vescular rash on erythematus base in various stages of healing. dx?

A

Chicken pox! = Varicella zoster virus

13
Q

what are 2 complications of chickenpox?

A

scarring and scondary infectiosn with staph and GAS.

14
Q

when do you do pox parties?

A

NEVER! get vaccinated(MMRV)! bc now we know singles is fucking shit

15
Q

describe a shingles rash

A

painful rash in dermatomal distrubtion of DRG, NEVER crosses midline, seen in immunocomp pt

16
Q

long term complication of shingles. tx?

A

postherpetic neuralgia after rash has resolves

tx: TCA or gabapentin

17
Q

bilateral parotid swelling and orchitis in pebertal males. dx?

A

mumps

18
Q

what bug causes “Hand-Foot-Mouth Disease(HFMD)”?

A

Coxsackie A virus

19
Q

kid with vesicles on erythematous base in mouth(soft palate, tonsils, uvula), hands, feet & butt. dx?

A

HFMD = Coxsackie A virus