H3

Question 1

Measles ddx

Answer 1

Kawasaki
Rubella
Adenovirus infection
Non polio enteroviral exam them
Rosella infantum
Epstein

Question 2

Stages of measles

Answer 2

Incubation 10-14
Prodromal 3-5 catral sym and koplik
Exanthematous rashes head downwards
Stage of resolution post measles stains

Question 3

Symptoms of measle

Answer 3

Cough
Rhinitis
Conjunctivitis
Macular papular rash
Low grade fever
Malaria
Body pain
Kopliks spot

Question 4

Risk factors of measle

Answer 4

Dry season
Age 6-24 months
Nutritional status
Unimmunization

Question 5

Measles prevention

Answer 5

Immunization
Ppe
Isolate sick pt
Proper hygiene

Question 6

Measle investigation

Answer 6

Usually clinical
Nasal secretion at prodromal stage :epithelial cells , warthin finkeldey cell
Serology will show measles specific igm
Pcr
Fbc :leucopenia
Eat
Esr and crp in complicated cases

Question 7

Measles management

Answer 7

Supportive
Antipyretic
Topical antibiotic
Calamine lotion
Adequate fluid rehydrating
Oxygen if indicated
Vita a suoolements

Question 8

Ddx measle 2

Answer 8

Drug eruption
Serum sickness
Strep infection

Question 9

Complication of measles

Answer 9

Malnutrition
Extensive ulcerated skin
Anergy
Pneumonia
Bronchitis
Encephalitis
Febrile seizure
Myocarditis
Cancrum Oris
Blindness due to vitamin a deficiency
Purpura fulminans