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MD 3 - Paeds > Skin > Flashcards

Flashcards in Skin Deck (45):
1

prodrome of varicella

fever, malaise, anorexia

2

describe the rash of roseola

blanching macular or maculopapular rash
- non-pruritic

3

describe rash of varicella

macules --> papules --> vesicles --> pustules --> crustules
- tends to be more central than peripheral
- occurs in crops
- significant pruritis

4

potential complication of Kawasaki disease

coronary aneurysm in 20-25% of untreated patients

5

describe the rash of parvovirus

diffuse macular erythematous rash with central clearing - lack reticulated
- starts on the cheek and moves downwards
- spares palms and soles

6

timecourse of a haemangioma

not present at birth
grow for several months
fully resolve over several years

7

What is mastocytosis

rare disease causing reddish-brown plaques/macules - caused by excessive infiltration of the skin by mast cells

8

transmission of CMV

direct contact

9

complications of parvovirus

hydrops foetalis
aplastic crisis
arthritis
myocarditis

10

peak incidence of HSP

2-8 years
2x more in males

11

common associated symptom of rubella

lymphadenoapthy - particularly sub-occipital, post auricular and cervical

12

what is henoch schonlein purpura

childhood small vessel vasculitis

13

transmission of varicella

airborne
direct contact with vesicle fluid

14

treatment of Kawasaki disease

admission
ECHO
IVIg
aspirin once a day for at least 6-8 weeks

15

describe the rash of molluscum

umbilicated, pearl-like smooth papules on eyelids, beard, neck, axilla, trunk, perineum, buttocks

16

describe the timecourse of the fever and rash in parvovirus

URTI Sx --> high fever --> rash and disappearance of the rash

17

what is the most common tumour in babies

haemagioma

18

diagnostic criteria for Kawasaki

Fever of more then 38.5 for 5 days or more PLUS 4 out of 5 of the following:
- polymorphous rash
- bilateral conjunctival injection
- mucous membrane changes - lips, strawberry tongue, erythema of oral/pharyngeal mucosa
- peripheral changes
- unilateral cervical lymphadenopathy

19

Describe the rash of rubella

maculopapular rash erupting on the face spreading down to neck/trunk --> extremities

20

diagnosis of EBV

monospot
blood film may show atypical mononuclear cells

21

risks of varicella during pregnancy

- early pregnancy - limb hypoplasia, microcephaly, mental retardation
- late pregnancy - risk of spontaneous abortion

22

common results on blood tests when patient has Kawasaki

- thrombocytosis
- neutrophila
- raised ESR and CRP
- normochromic, normocytic anaemia
- hypoalbuminaemia
- elevated LFT

23

prodrome of parvovirus

high grade fever
headache
coryza
nausea and diarrhoea

24

which mutation is associated with eczema

fillagrin

25

what are the Sx of congenital rubella syndrome

growth retardation
intellectual disability
blindeness
deafness
congenital heart defects
cataracts

26

treatment of HSP

supportive
- check for renal complications

27

Sx of coxsackie

- low grade fever
- maculopapular/vesicular lesions on hands, feet and buttocks
- vesicles/ulcers in/around mouth

28

prodrome of rubella

fever, headache, URTI Sx

29

transmission of molluscum

direct/fomite contact in children
sexual contact in adults

30

what is the main complication of CMV in pregnancy

sensorineural hearing loss in baby

31

describe the rash in HSP

palpable purpura on lower extremities and buttocks in a symmetrical distribution

32

definition of Kawasaki disease

systemic vasculitis of the medium arteries in children

33

complications of roseola

seizures
aseptic meningitis
encephalitis - rare
thrombocytopaenic purpura

34

what are the congenital TORCH organisms

- toxoplasmosis
- other - syphillus, HIV, varicella, Zika
- Rubella
- Cytomegalovirus
- HSV

35

treatment for a port wine stain

laser therapy

36

clinical triad of HSP

palpable purpura
abdominal pain
arthritis/arthralgia

37

long term complication of HSP

nephritis

38

clinical features of roseola

high fever for 3-5 days in an otherwise well child and then the rash appears after the fever resolves

39

what aspects of a haemangioma would make it likely to get surgical treatment

- ulcerating
- on the eyelid or adjacent to the globe
- deforms structures
- grows thicker
- associated with stridor, thrombocytopania
- multiple lesions

40

most common age group to be affected by Kawasaki disease

90% occur in those less than 5 years

41

transmission fo rubella

direct contacts
droplets

42

infectious period of varicella

1-2 days pre eruption --> 5 days post eruption

43

transmission of parvovirus

respiratory droplets

44

transmission of coxsackie

direct contact with fluid

45

who can you give Zoster Ig to for prophylaxis

- non immune pregnant women
- neonates whose mothers develop varicella from 7 days before to 2 days after delivery
- immune deficient