herpes zoster with ALL

Question 1

task

Answer 1

201

Question 2

d/d

Answer 2

-varicella zoster
-think of immunosuppression
-malignancy, hiv,

Question 3

hx

Answer 3

-tell me more about he rash, when, how>distribution, pain>fever/pain before rash preherpetic neuralgia
-how is your general health
-LOW
-recurrent infections
-any lumps and bumps
-sexual hx
-sadma
-pmhg, family hx

Answer 4

-caused by reactivation of varicella zoster
-the virus stays dormant in root of never in brain or soinal cord>gets reactivated due to stress, immune deficiency or older>spreads down the nerve which cause pain
-common sites: chest,abdomen, face but can occur anywhere
RASH
-blister>itch>crust>rash disappear after 7 days>can leave a scar
CONTAGIOUS
-only mildly>whenin contact with fluid of blisters>unusual to get caught

Question 5

IX

Answer 5

-FOR IMMUNOSUPPRESSION

Question 6

MX

Answer 6

RASH
-calamine, cold compresses or solugel
-do not overtreat the rash>get infected
pcm for pain
acyclovir if within first three days
advice about post hereptic neuralgis
-pain can occur after the rash disappears
-will need pain relief
as it is contagious stay isolated specially if with children
Complication
-rarely meningoencephalitis