childhood infections

Question 1

chickenpox - presentation

Answer 1

fever
itchy rash - spreads from top. macular → papular → vesicular
mild systemic upset

Question 2

measles - presentation

Answer 2

prodrome - irritable, conjuncitivis, fever
koplik spots - buccal mucosa
maculopapular rash - behind ears to body

Question 3

mumps - presentation

Answer 3

fever
malaise
muscle pain
parotitis - earache, painful eating

Question 4

rubella - presentation

Answer 4

pink maculopapular rash - face to body - 3-5d

lymphadenopathy

Question 5

scarlet fever - presentation

Answer 5

group A strep
age 2-6
fever 24-48h
malaise
tonsillitis
strawberry tongue
flushed cheeks
rash - sandpaper / fine punctuate erythema sparing face. starts on torso. peels later.

Question 6

scarlet fever - diagnosis + management + complications

Answer 6

diagnosis - throat swab
management - oral penicillin V (before swab)
PHE

otitis media, rheumatic fever, GN

Question 7

measles - management

Answer 7

supportive

safety net - come back if not getting better - complications can be life threatening