infections of children + pregnant mums

Question 1

How does chickenpox spread? (Pattern)

Answer 1

Starts centrally (face + trunk) + spreads to limbs

Question 2

What would igm postive IgG negative indicate in suspected chickenpox and other conditions?

Answer 2

Acute infection

Question 3

How to investigate chickenpox if need to?

Answer 3

Puncture lesion, swab + send for VZV + HSV PCR - diagnostic
Bacterial swab of serous fluid
Blood culture

Question 4

WCC raised, predominantly neutrophils - relevance?

Answer 4

Bacterial infection

Question 5

What can positive ketones on urine indicate, other than DKA?

Answer 5

Dehydration

Starvation

Question 6

What antibiotic is good for staph aureus?

Answer 6

Flucloxacillin

Question 7

Gram-positive coccus in clusters

Answer 7

Staph aureus

Question 8

Gram-positive coccus growing in chains?

Answer 8

Strep

Question 9

Pregnant woman with child with chickenpox - what do you check?

Answer 9

Check her varicella zoster IgG (to see if she’s had it) - if negative give varicella zoster immunoglobulin as chickenpox can cause foetal abnormality

Question 10

What’s a risk of broad spec abx?

Answer 10

C diff

Question 11

Group a strep - name 2 diseases

Answer 11

Rheumatic fever

Scarlet fever