ID - harder things to remember

Question 1

what causes erythema infectiosum

Answer 1

parvovirus B19

Question 2

sx erythema infectiosum

Answer 2

viral sx followed by erythematous molar rash with a slapped cheek appearance and circumoral pallor

might have lacy, reticular maculopapular rash on extremities

Question 3

one unique thing that erythema infectiosum can cause

Answer 3

aplastic crisis - obtain NAAT if this is the case to identify parvovirus B19

Question 4

tx erythema infectiosum

Answer 4

supportive

Question 5

HFM disease is caused by

Answer 5

Coxsackievirus A virus

Question 6

sx HFM

Answer 6

mild fever and URI sx –> erythematous macules that become painful and oral vesicles surrounded by a thin halo of erythema –> grey-ish yellow vesicular macular or maculopapular nonpruritic contender skin lesions in distal extremities - includes palms and soles

Question 7

does HFM involve palms and soles

Answer 7

yes

Question 8

tx HFM

Answer 8

supportive

Question 9

pertussis is also called

Answer 9

whooping cough

Question 10

sx pertussis

Answer 10

catarrhal phase - URI sx
paroxysmal phase - severe paroxysmal coughing fits with inspiratory whooping sound; post-tussive vomiting
convalescent phase - resolution of cough

Question 11

dx pertussis

Answer 11

order throat culture and PCR; can be clinical dx

CBC - absolute lymphocytosis

Question 12

tx pertussis

Answer 12

macrolides; supportive

Question 13

Sx measles

Answer 13

HIGH FEVER + cough, coryza (inflammation of mucus membranes + discharge), conjunctivitis

Koplik spots - pale white or blue papule with an erythematous base on buccal mucosa

rash - morbilliform, brick red rash beginning at hairline and spreading downwards

Question 14

tx measles

Answer 14

supportive

Question 15

complications of measles

Answer 15

diarrhea MC
pneumonia MC cause of measles-related death

Question 16

rubella is also called

Answer 16

German measles

Question 17

measles is also called

Answer 17

rubeola

Question 18

sx rubella

Answer 18

low grade fever
lymphadenopathy (posterior cervical and posterior auricular)
pink or light red maculopapular rash that spreads to trunk and extremities

Forchheimer spots - smalll red macules or petechiae on soft palate (also seen w scarlet fever)

may have arthralgia and arthritis

Question 19

in what two diseases do you see Forchheimer spots

Answer 19

rubella
scarlet fever

Question 20

tx rubella

Answer 20

supportive

Question 21

does measles rash blanch

Answer 21

NO

Question 22

roseola is MC caused by

Answer 22

HHV6

Question 23

sx roseola

Answer 23

HIGH FEVER and lymphadenopathy - child appears well

rash - rose-pink, macular or maculopapular, blanch able rash beginning on trunk and neck before spreading to FACE

nagayama spots - erythematous papule, macules, ulcers on soft palate and uvula

Question 24

tx roseola

Answer 24

supportive

Question 25

does the rash of roseola blanch

Answer 25

YES

Question 26

does child appear in distress for roseola

Answer 26

NO - appears well; may be irritated

Question 27

what is the triad for toxoplasmosis

Answer 27

hydrocephalus
intracranial calcifications
chorioretinitis

Question 28

how is toxoplasmosis transmitted

Answer 28

fecal-oral

Question 29

how to diagnose toxoplasmosis

Answer 29

PCR and CT

Question 30

tx toxoplasmosis

Answer 30

pyrimethamine, sulfadiazine, folinic acid x 1 year

can add prednisone

Question 31

what is the most common congenital viral infection

Answer 31

CMV

Question 32

sx congenital CMV

Answer 32

blueberry muffin-like rash - hemorrhagic purpuric eruptions

jaundice

hepatosplenomegaly

microcephaly

Question 33

what is the MC sequelae of congenital CMV

Answer 33

sensorineural hearing loss

Question 34

dx congenital CMV

Answer 34

PCR

Question 35

tx congenital CMV

Answer 35

Ganciclovir
valganciclovir if life threatening