Clinical cases Viruses

Question 1

HPV
Fever - 
cough - 
Sore throat -
Other -

Answer 1

Fever - No
cough - No
Sore throat - No
Other - warts/carcinoma

Question 2

MCV
Fever - 
cough - 
Sore throat -
Other -

Answer 2

Fever - no
cough - no
Sore throat - no
Other - papular waxy lesions

Question 3

Smallpox
Fever - 
cough - 
Sore throat -
Other -

Answer 3

Fever - Yes (high)
cough - No
Sore throat - No
Other - HA, extreme fatigue, muscle pain, synchronous rash w/ palm and sole involvement

Question 4

Fever - No
cough - No
Sore throat - No
Other - warts/carcinoma

Answer 4

HPV

Question 5

Fever - no
cough - no
Sore throat - no
Other - papular waxy lesions

Answer 5

MCV

Question 6

Fever - Yes (high)
cough - No
Sore throat - No
Other - HA, extreme fatigue, muscle pain, synchronous rash w/ palm and sole involvement

Answer 6

Smallpox

Question 7

Orfvirus
Fever - 
cough - 
Sore throat -
Other -

Answer 7

Fever - No
Cough - No
Sore Throat - No
Other - Local lesion, hx (sheep/goats)

Question 8

Fever - No
Cough - No
Sore Throat - No
Other - Local lesion, hx (sheep/goats)

Answer 8

Orfvirus

Question 9

VZV
Fever - 
cough - 
Sore throat -
Other -

Answer 9

Fever - Yes (low)
cough - Yes
Sore throat - Yes
Other - General tiredness, asynchronous rash, no palm/sole involvement

Question 10

Fever - Yes (low)
cough - Yes
Sore throat - Yes
Other - General tiredness, asynchronous rash, no palm/sole involvement

Answer 10

VZV (Chickenpox)

Question 11

HSV-1 and HSV-2
Fever - 
cough - 
Sore throat -
Other -

Answer 11

Fever - No
cough - No
Sore throat - No
Other - Rash type (blistering), hx

Question 12

Roseola (sixth disease - HHV6/7)
Fever - 
cough - 
Sore throat -
Other -

Answer 12

Fever - Yes (high)
cough - No
Sore throat - No
Other - Fine maculopapular rash on neck and trunk

Question 13

Fever - No
cough - No
Sore throat - No
Other - Rash type (blistering), hx

Answer 13

HSV-1 and HSV-2

Question 14

Fever - Yes (high)
cough - No
Sore throat - No
Other - Fine maculopapular rash on neck and trunk

Answer 14

Roseola (HHV6/7 - Sixth Disease)

Question 15

Epstein Barr virus 
Fever - 
cough - 
Sore throat -
Other -

Answer 15

Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Enlarged lymphnodes, extreme tiredness, maculopapular rash on trunk

Question 16

Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Enlarged lymphnodes, extreme tiredness, maculopapular rash on trunk

Answer 16

Epstein Barr virus

Question 17

Parvovirus B19
Fever - 
cough - 
Sore throat -
Other -

Answer 17

Fever - Yes (low)
cough - No
Sore throat - Yes (less common)
Other - “Slapped cheek” rash

Question 18

Fever - Yes (low)
cough - No
Sore throat - Yes (less common)
Other - “Slapped cheek” rash

Answer 18

Parvovirus B19 - Fifth Disease

Question 19

Coxsackievirus 
Fever - 
cough - 
Sore throat -
Other -

Answer 19

Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Lesions in mouth, extremities. Peaks in summer and early fall. (Hand, Foot and Mouth Disease)

Question 20

Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Lesions in mouth, extremities. Peaks in summer and early fall.

Answer 20

Coxsackievirus (Hand, Foot and Mouth Disease)

Question 21

Echovirus
Fever - 
cough - 
Sore throat -
Other -

Answer 21

Fever - Yes (low)
cough - Yes (croup)
Sore throat - Yes
Other - Abdominal cramping, diarrhea, non-specific maculopapular rash on trunk

Question 22

Fever - Yes (low)
cough - Yes (croup)
Sore throat - Yes
Other - Abdominal cramping, diarrhea, non-specific maculopapular rash on trunk

Answer 22

Echovirus

Question 23

Measles Virus
Fever - 
cough - 
Sore throat -
Other -

Answer 23

(Rubeola)
Fever - Yes (high)
cough - Yes
Sore throat - Yes
Other -Conjunctivitis, Koplik spots, rash spreads from central to distal

Question 24

Fever - Yes (high)
cough - Yes
Sore throat - Yes
Other -Conjunctivitis, Koplik spots, rash spreads from central to distal

Answer 24

Measles (Rubeola)

Question 25

``` Rubella Fever - cough - Sore throat - Other - ```

Answer 25

Fever - Yes (low) cough - Yes Sore throat - Maybe Other - Fine maculopapular rash

Question 26

Fever - Yes (low) cough - Yes Sore throat - Maybe Other - Fine maculopapular rash

Answer 26

Rubella | German Measles

Question 27

``` dengue fever virus Fever - cough - Sore throat - Other - ```

Answer 27

Fever - Yes (high) cough - Yes Sore throat - Yes Other - Vomit, generalized rash, can be on soles and palsm, case hx important (tropical locations) spread by mosquitos

Question 28

Fever - Yes (high) cough - Yes Sore throat - Yes Other - Vomit, generalized rash, can be on soles and palsm, case hx important (tropical locations) spread by mosquitos

Answer 28

Dengue fever virus

Question 29

``` Scarlet Fever (s. pyogenes) Fever - cough - Sore throat - Other - ```

Answer 29

Fever - Yes (high) cough - No Sore throat - Yes Other - Strawberry tongue, chills, vomiting

Question 30

Fever - Yes (high) cough - No Sore throat - Yes Other - Strawberry tongue, chills, vomiting

Answer 30

Scarlet Fever (s. pyogenes)

Question 31

``` scalded skin syndrome (S. aureus) Fever - cough - Sore throat - Other - ```

Answer 31

Fever - Yes (int) cough - No Sore throat - No Other - Painful, widespread erythroderma, often head and neck, extensive areas of desquamation can be present

Question 32

Fever - Yes (int) cough - No Sore throat - No Other - Painful, widespread erythroderma, often head and neck, extensive areas of desquamation can be present

Answer 32

S. aureus - scalded skin syndrome

Question 33

How to diagnose measles?

Answer 33

Koplik spots | Virus from throat swab or urine - look for IgM or four-fold increase in IgG

Question 34

Tzanck smear

Answer 34

Tell if have giant multinucleated cells (HSV, VZV, CMV, Rubella and autoimmune)