Infectious Diseases

Question 1

What are acute complications of measles?

post-infectious complications?

Answer 1

acute otitis media
bronchopneumonia
acute encephalitis
croup

7-11 yrs: subacute sclerosing panencephalitis

Question 2

What to suspect in a neonate with snuffles, a copper rash and hepatosplenomegaly?

Answer 2

congenital syphilis
send VDRL, RPR, non-treponemal tests
LP them! with CBC and LFTs
Treat with PenG IV x 10-14 days

Question 3

What to do with a bat bite in an unvaccinated child?

Answer 3

rabies Ig & vaccine

tetanus Ig & vaccine

Question 4

Of all the bacterial causes of bloody diarrhea, which requires antibiotic treatment?

Answer 4

Shigella!

TMP-SMX, azithromycin

Question 5

What wounds are considered tetanus prone?

Answer 5

punctures
devitalized
necrotic or gangrenous
frostbite
crush
avulsions
BURNS

Question 6

What does Parinaud’s oculoglandular syndrome look like?

Answer 6

fever
granulomatous conjunctivitis
regional lymphadenopathy

Question 7

Name treatment options for kerion

Answer 7

griseofulvin
terbinafine
fluconazole

the addition of a steroid does not have superior results!