Infectious Mononucleosis Flashcards
1
Q
what is infectious mononucleosis aka
A
glandular fever
2
Q
when does GF occur most
A
young adults
3
Q
what is the basic presentation of GF
A
fever
enlarged lymph nodes
sore throat/pahryngitis/tonsilitis
malaise/lethargy
4
Q
what are some other signs and symptoms of GF
A
jaundice/ hepatitis rash leucocytosis atypical lymphocytes splenomegaly palatal petechiae
5
Q
what si the prognosis and complications of GF
A
protracted - self limit anaemia thrombocytopenia splenic rupture upper airway obstruction increased risk lymphoma
6
Q
what virus causes GF
A
epstein barr virus
7
Q
what is EBV
A
virus of herpes family - persistent infection of epi
8
Q
what are the two phases of EBV infection
A
primary - early childhood rarely leads to GF
if occurs >10y.o.a = GF
9
Q
what si the course of treatment for GF
A
bed rest
paracetamol
no sport
corticosteroids role in complicated cases
10
Q
wat are the means of lab confirmation of GF
A
heterophiles Ab - paul bunnell test - monospot test epstein barr virus IgM blood count and film
11
Q
what are some cases which can lead to similar illness to GF
A
cytomegalovirus toxoplasmosis primary HIV infection - few weeks after initial infection seroconversion illness
