Chickenpox hx & counselling

Question 1

focussed hx

Answer 1

vague prodrome - fever, malaise, myalgia

rash - crops of highly itchy lesions mostly on head, neck & trunk. crust after 5 days& fall off 1-2 wks later

Question 2

red flags

Answer 2

high fever
non-blanching rash
N/V
lethargy
headache
reduced appetite
neck stiffness
photophobia

Question 3

reassure

Answer 3

common 9/10 ppl

Question 4

complications

Answer 4

shingles later in life
rare: pneumonia, encephalitis, cerebellar ataxia

Question 5

mx

Answer 5

fever - calpol

itch - topical calamine lotion,

nails short, smooth cotton fabrics

avoid school until vesicles crusted (5 days from onset)

avoid pregnant mothers, immunocompromised, neonates