Lec 12 Fever with Rash Flashcards
ID: Small collection of clear fluid measuring
vesicle
ID: Papular or macular nonblanching lesions due to extravasation of RBCs.
purpura
Other name of German measles.
A. rubella B. rubeola C. roseola D. rosella E. varicella
A. rubella
rubeola = measles roseola = sixth disease / exanthum subitum rosella = a genus of parrots varicella = chickenpox
ID: Viremia in rubella occurs after how many days?
5-7 days
Which is/are transmitted via respiratory droplets?
A. rubella B. rubeola C. varicella D. A&B only E. AOTA
E. AOTA
How long is the incubation period of rubella?
14 days (12-23 days)
True of the clinical features of rubella EXCEPT
A. low grade fever
B. rash lasts for 5 days
C. older people develop sandy rash
D. lymphadenopathy occurs after the rash
A
Rash lasts only for 3 days.
ID: Tiny rose-colored lesions in the oropharynx of rubella patients.
Forchheimer spots
The most common complication in adults and adolescents is
A. arthralgia
B. purpura
C. encephalitis
D. orchitis
A. arthralgia
Enumerate 3 diagnostic procedures for rubella.
viral isolation
rubella IgM
SIGNIFICANT RISE in rubella IgG
True of rubella
A. peaks during summer in the Philippines
B. communicable 7 days before to 7 days after rash disappearance
C. infants with congenital rubella syndrome may be infectious for a year
D. A&B only
E. AOTA
AOTA
ID: common and often fatal complication of measles (rubeola)
measles pneumonia
Enumerate the 3Cs of measles.
cough, coryza, conjunctivitis
T/F: The fever of measles is stepwise and higher than rubella.
T
low-grade to high-grade
True of the measles rash EXCEPT
A. maculopapular rash becomes confluent B. rash persists for 5-6 days C. rash begins on the chest going to extremeties D. rash desquamates E. NOTA
C
Rash begins on the FACE
It is the only rash that desquamates.
ID: Prodromic viral enanthem appearing two to three days before the measles rash. Found in the posterior of the third molar.
Koplik spots
Are Koplik spots pathognomonic of measles?
Yes
ID: Period of communicability of measles.
4 days before to 4 days after the rash
Where is the prediliction of the varicella rash in adults?
face
children - body / generalized
True of varicella EXCEPT
A. erupt in crops B. incubation period 14-16 days C. becomes latent in the sensory ganglia D. single episode of viremia E. NOTA
D. MULTIPLE episodes of viremia
that’s why it erupts in crops
True of varicella rash
A. more vesicular B. may be hemorrhagic C. mild prodrome D. A&B only E. AOTA
AOTA
T/F: Herpes zoster (shingles) is less communicable than varicella (chickenpox).
T
ID: Most common complication of herpes zoster.
post-herpetic neuralgia
ID: Results from maternal infection of varicella-zoster virus during the first trimester of pregnancy.
congenital varicella syndrome
Enumerate features of congenital varicella syndrome.
low birth weight
atrophy of extremity
skin scarring
neurological abnormalities
Involved in the face and skin above the waist.
A. HSV-1
B. HSV-2
A. HSV-1
HSV-2 more on genitals
Transmitted mainly through genital secretions.
A. HSV-1
B. HSV-2
B. HSV-2
HSV-1 more on kissing.
More common HSV in neonates.
A. HSV-1
B. HSV-2
B. HSV-2
Acquired during delivery (vaginal secretions).
T/F: HSV lesions are painful.
F
Zoster lesions are painful, not HSV.
Herpes labialis stays latent where?
A. trigeminal ganglion
B. sacral ganglion
A. trigeminal ganglion
ID: Form of HSV infection associated with high mortality. Often presents with CNS findings and seizures as well as dissemination.
neonatal herpes simplex
ID: vesicular lesions concentrated in the areas of eczematous involvement.
eczema herpeticum
ID: Antivirals are usually reserved for what HSV form of infection?
neonatal herpes
Enumerate antivirals used for HSV.
acyclovir
valacyclovir
famciclovir
penciclovir
T/F: HSV persists for life.
T
ID: Etiologic organism of roseola infantum?
human herpesvirus sixth = sixth disease / exanthum subitum
Features of roseola infantum EXCEPT
A. high-grade fever B. prolonged maculopapular rash C. benign disease D. no desquamation E. NOTA
B.
The rash is TRANSIENT (hours to 2 days only).
True of fifth disease EXCEPT
A. caused by parvovirus B19 B. caused by human herpesvirus 5 C. common in dogs D. called erythema infectiosum E. NOTA
B.
ID: distinctive rash of erythema infectiosum / fifth disease.
slapped cheek rash with circumoral pallor
parang sinampal sa magkabilang cheeks
Which is NOT caused by / related to Epstein-Barr virus.
A. infectious mononucleosis B. Burkitt lymphoma C. Hodgkin lymphoma D. nasopharyngeal carcinoma E. NOTA
E. NOTA
Enumerate features of infectious mononucleosis.
exudative pharyngitis atypical lymphocytosis lymphadenopathy fever HEPATOSPLENOMEGALY
Incubation period of infectious mononucleosis.
30-50 days (2 months)
Most common mode of transmission of EBV.
kissing
EBV = kissing virus
ID: Occurs after treatment of EBV with a certain class of antibiotic.
ampicillin rash
Most common DDx of infectious mononucleosis
Streptococcus pharyngitis
They mistook it for strep pharyngitis, that’s why they give commonly give penicillins.
ID: Most common etiologic agent of hand, foot, and mouth disease.
Coxsackie virus A16
T/F: HFM disease is highly contagious.
T
ID: Characteristic skin lesion of hand, foot, and mouth disease.
elliptical vesicles with erythematous halo
Enumerate 4 fever+rash emergencies.
staph scalded skin syndrome
kawasaki disease
meningococcemia
toxic epidermal necrolysis
(+) strawberry tongue and bilateral dry conjunctivitis
A. staph scalded skin syndrome
B. kawasaki disease
C. meningococcemia
D. toxic epidermal necrolysis
B. kawasaki disease
