derm

Question 1

presentation eczema kids

Answer 1

before 2 // itchy rash // infants = face + trunk // toddler = extensor // school = flexors

Question 2

mx eczema kids

Answer 2

1 = emollients // steroids // wet wrapping // oral ciclopsorin

Question 3

common presentation seborrhoeic dermatitis

Answer 3

cradle cap in first few weeks // red rash with yellow scale

Question 4

mx seborrhoeic dermatitis

Answer 4

topical emollient // severe = topical imidazole // resolves around 8 months

Question 5

causes nappy rash

Answer 5

irritant dermatitis // candida // seborrhoeic // psorasis // eczema

Question 6

mx nappy rash

Answer 6

keep dry // apply barrier eg zinc // mild steroids if severe

Question 7

organism chicken pox

Answer 7

VZV (herpes)

Question 8

infectivity chickenpox

Answer 8

resp // infective 4 days before rash + 5 days after // incubation 10-21

Question 9

symptoms chickenpox

Answer 9

initial fever –> rash + systemic upset

Question 10

mx chicken pox

Answer 10

trim nails // calamine lotion // keep off school until all lesions are crusted (5 days)

Question 11

who needs PEPSE for chicken pox

Answer 11

immunosuppressed (steroids, methorexate), neonates, pregnant women

Question 12

what PEPSE is given for chicken pox

Answer 12

IvIg (if chicken pox deveops –> IV acyclovir)

Question 13

RF for developing secondary bacterial infection with chickenpox

Answer 13

NSAIDs

Question 14

complications chicken pox

Answer 14

pneumonia // encephalitis // DIC // group A strep –> nec fascitis

Question 15

cause measles

Answer 15

RNA paramyxovirus

Question 16

infectivity measles

Answer 16

aeorsol // VVV infectioous // incubation 10-14 days // infectious from prodrome –> 4 days after rash

Question 17

features measles

Answer 17

prodrome: irritable, conjunctivitis, fever // koplik white spots in mouth // rash behind ears –> whole body (maculopapular) // diarrhoea

Question 18

invx measles

Answer 18

IgM after onset of rash

Question 19

mx measles

Answer 19

supportive + notify public health

Question 20

complications measles

Answer 20

OTITIS MEDIA + PNEUMONIA // encephalitis // subacute sclerosing panencephalitis

Question 21

mx contacts measles

Answer 21

MMR within 72 hours if not vaccinates

Question 22

what causes Erythema infectiosum

Answer 22

parvovirus B19

Question 23

symptoms Erythema infectiosum

Answer 23

slapped cheek red rash // lethargy, fever, headache

Question 24

what causes scarlet fveer

Answer 24

GAS eg pyogenes

Question 25

infevitiivty scarlet fever

Answer 25

resp droplets // incubation 2-4 days

Question 26

presentation scarlet fever

Answer 26

age 2-6 // fever // malaise, headache, N+V // strawberry tongue // fine punctate erthema on torse –> all over body // rough texture

Question 27

invx scarlet fever

Answer 27

throat swab

Question 28

mx scarlet fever

Answer 28

oral pen V (azithro) // return to school 24 hours after abx // NOTFIABLE disease

Question 29

complications scarlet fever

Answer 29

otitis media // rheumatic fever // glomerulonephtitis

Question 30

infection hand foot mouth

Answer 30

coxasakie A16

Question 31

symptoms hand foot mouth

Answer 31

vesicles on mouth, palms, soles // systemic upset, sore throat, fever

Question 32

what causes lice

Answer 32

Pediculus capitis

Question 33

mx lice

Answer 33

malathion, wet combing, dimeticone // household contacts only treated if lice present

Question 34

where do dermoid cysts occur

Answer 34

midline of neck // external eye // posterior ear // may have hair inclusions (same as teratoma)

Question 35

what are desmoid tumours

Answer 35

fibrous tumours - can be cancerous

Question 36

what is epsteins pearl

Answer 36

congenital cyst in mouth // often hard palate