chicken pox

Question 1

epi

Answer 1

winter and spring

Question 2

measures

Answer 2

keep children away from schools until scabs have crusted over
keep nails short , wear long sleeves to stop itching

people of contact monitored for 21 days
and if day of contact is known and no more than 72 hours the vaccine can be given

Question 3

IP

Answer 3

10-14 days

Question 4

when are you infections

Answer 4

even before the rash 1-5 days b4 , during the rash and unit the rash has crusted over

Question 5

tx

Answer 5

usually self limiting but if people are pregnant or have comorbidity give acyclovir

Question 6

diagnosis

Answer 6

clinical symptoms vesicular rash
serology - IG M antibodies
PCR- of mothers amniotic fluid

Question 7

prophylaxis

Answer 7

VZIG after contact with a person if you are immunocompromised, pregnant or a newborn baby

Question 8

what type of herpes virus

Answer 8

HHV3

Question 9

How infectious is it

Answer 9

highly contagious infection rate is of 90% in close contacts.

Question 10

congenital varicella

Answer 10

micrcoephally, limb hypoplasia, skin lesions

Question 11

how is the immunity

Answer 11

life long via iG G

Question 12

difference between adults and kids

Answer 12

In adults, the disease is usually more severe including prodromal symptoms like
anorexia, myalgia, nausea, fever, headache, sore throat, pain in both ears and may
lasts for 2-3 days before the rash comes out.

In children the rash is often the first sign of the disease. It comes on the day the
fever starts and passes through stages for hours: macule, papule, vesicle and scab
(crust). In fact, the first to attract attention are often the vesicles filled with clear
fluid and looking like “dew-drops” on the skin.

Question 13

where does the rash first appear

Answer 13

on the TRUNK

Question 14

how would you describe the vesicles

Answer 14

dew drop and are not umblicated and easily rupture and is a pleomrphic rash with area of inflammation around the vesicles. temperature rises with each fresh
crop of rash

Question 15

is mucosal surfaces involved

Answer 15

yes often involved

Question 16

immunocpmprised

Answer 16

lesions persist for a longer time, grow big
(bullaes) and hemorrhagic, complications (pneumonia,
DIC)

Question 17

complications

Answer 17

superinfection 
varicella gangrenos- with progenies ( mcv I think)  
reyes syndrome - aspirin
cereblitis 
pneumonia

Question 18

dx diagnosis

Answer 18

small pox
herpes simplex
drug reactions

Question 19

evolution of rash

Answer 19

macule , papule, vesicle, crust

Question 20

perinatal varicella

Answer 20

maternal varicella from 5 days to 48 hours after delivery

Question 21

chicken pox vs small pox

Answer 21

chicken pox: superficial rash, eruption diminishes centrifugally , axilla is usually affected

small pox: deeper rash, axilla is usually free By , all of the Smallpox lesions are at the
same stages of development. more lesions on the soles of hands and feet

Question 22

when do you use acyclovir

Answer 22

adult, imunocompromised, neonates, complications

Question 23

vaccine

Answer 23

Routine vaccination at 15-18 months of age

Recommended to all persons >13 years of age withoutevidence of Varicella immunity.. vaccine is given in 2 does

Question 24

is it itchy

Answer 24

YES