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Flashcards in peds99 Deck (24):
1

management of scarlet fever

goal is to prevent development of rheumatic fever; approp antibiotics include oral penicillin VK, IM benzathine penicillin, or for penicllin allergic patients, erythromycin or macrolides

2

complications of GABHS infections

post-strep glomerulnephritis several weeks later (abx does not prevent this); rheumatic fever; post-strep arthritis (abx does not prevent this); pediatric autoimmune neuropsych disorders assoc with strep infecntions (PANDAS)

3

PANDAS

patients develop the acute onset of obsessive compulsive symptoms ro a tic disorder after strep infection. Antibiotic therapy prevents this complicaiton

4

toxic shock syndrome

toxin-mediated illness characterized by shock, desquamating skin rash, and multiorgan dysfunction

5

causative organisms of TSS

staph aureus is most common; GABHS also

6

diagnostic criteria for TSS

fever greater than 101; hypotension; diffuse macular erythroderma; desquamation; multisystem involvement; neg culture of blood, CSF, and pharynx (except for pos blood culture for staph)

7

viral causes of diarrhea

rotavirus and norwalk virus

8

rotavirus

most common cause of viral gastroenteritis; winter months

9

how is rotavirus spread

fecal oral

10

incub for rotavirus

1-3 days

11

clinical features of rotavirus

may be asymp or may have vomitting, diarrhea, and dehydration; diarrhea is self limited and lasts 4-7 days. Sx of URI may sometimes be present

12

diagnosis for rotavirus

pos stool ELISA; WBCs are absent fro the stool

13

management of rotavirus

supportive

14

norwalk virus spread

fecal oral

15

norwalk virus what populations?

closed popuation like day care centers, schools, cruise ships

16

clinical features between noro and rotavirus

similar; duration of illness s shorter for noro (2-3 days)

17

ELISA useful in the diagnosis of what kind of infections causing diarhhea

rotavirus, giardia, c diff

18

major cause of traveler's diarrhea

ETEC (enterotoxigneic e coli)

19

bloody diarrhea causes?

Shigella, salmonella (or nonbloody), campylobacter jejuni

20

watery diarrhea causes?

ETEC, EPEC, salmonella (or bloody), vibrio cholerae

21

what bacteria is responsible for hemolytic uremic syndroe (HUS)?

EHEC, via endotoxin release

22

do you give antibiotics in EHEC with HUS?

no, it may make the disease worse

23

complication of shigella diarrhea

children may develop seizures

24

what bacteria is assoc with exposure to poultry, milk, eggs, and exposure to lizards or turtles

salmonella