Infectious Mononucleosis Flashcards

1
Q

What is infectious mononucleuosis known as

A

glandular fever

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2
Q

how is glandular fever transmitted

A

saliva and aerosa

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3
Q

What causes infectious mononucleosis

A

Ebstein Barr virus

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4
Q

what family of viruses is EBV

A

herpes simplex - established persistant infection in epithelial cells

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5
Q

what age group is glandular fever seen in

A

adolescents

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6
Q

what is the clinical presentaion

A
Fever, headache, malaise, sore throat, lethargy
Enlarged lymph nodes
Palatal petechiae
Splenomegaly
Jaundice/hepatitis
Leucocytosis
Atypical lymphocytes
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7
Q

When do people get a macular rash

A

if they have been given ampicillin inappropriateyl for their sore throat

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8
Q

What antibodies are found in glandular fever

A

heterophile

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9
Q

What tests are used to find these antibodies

A

Paul bunnel

Monospot

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10
Q

What are other causes of diseases similar to glandular fever

A

Cytomegalovirus
Toxoplasmosis
Seroconversion illness in HIV

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11
Q

What is the treatment of glandular fever

A

bed rest - avoid sport for six weeks

paracetamol

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12
Q

When can steroids be used

A

haemolytic anaemia
resp obstruction
neuro involvement

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13
Q

What are the complicatinon

A
anaemia
thrombocytopenia
splenic rupture
airway obstuction 
increased lymphoma risk
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