Lecture 14 Common kid illnesses

Question 1

Varicella is characterized by ____ lesions that are at (the same or different?) stages

Answer 1

itchy, different

Question 2

Varicella:

patient is infectious from ____ hours before the skin lesions until the skin lesions are ____

Answer 2

48 hours, fully crusted

Question 3

Varicella lesions are most prominent on the ____. characterized as “ ____”

Answer 3

trunk, dew drops on a rose petal

Question 4

Measles is caused by the ____ virus. Prodrome stage lasting 1 week is characterized fever, photophobia, and the three 3 C’s _________

Answer 4

paramyxo;

conjunctivits, cough, coryza (runny nose)

Question 5

that pathognomonic symptom of measles is ____ (enanthem). it usually appears 2 days ____ the rash

Answer 5

koplik spots;

before

Question 6

Measles rash:

begins on the ____ and spreads to the ____.

Answer 6

head, trunk/extremities;

Question 7

koplik spots are bright ___ spots with a ____ center on the ____ mucosa

Answer 7

red, blue white;

buccal

Question 8

measles complications:
___ ____ pneumonia;
acute disseminiated ____ during recovery;
or subacute ____ ____ 7-10 years after measles

Answer 8

giant cell;
myeloencephalitis;
sclerosing panencephalitis

Question 9

Rubella is a ___ that causes “____ (german) measles”

Answer 9

togavirus;

3 day

Question 10

rubella:

low grade fever, tender _____ cervical and ___auricular and occipital lymphadenopathy, arthralgias, rash

Answer 10

posterior, post

Question 11

rubella:

____ spots are dusky red spots that develop on the ____ at the beginning of the rash (enanthem)

Answer 11

forchheimer spots;
posterior soft/hard palate;

aka palatal petechiae

Question 12

rubella:

rash is described as pink, ____ _____ rash that starts on the ____ and spreads ____. it lasts ___ days

Answer 12

pinpoint maculopapular, face; to trunk/limbs;

3

Question 13

Classic triad of clinical rubella syndrome:
____ (heart), _____, and _____;
sometimes a ______ rash

Answer 13

PDA, cataracs, deafness;

blueberry muffin

Question 14

erythema infectiosum (5th disease) is caused by the ____ virus. what are its 3 distinct phases?

Answer 14

parvovirus B19;

slapped cheeks –> fishnet erythema –> recurrence of rash after resolution

Question 15

Other syndromes caused by B19 virus:
RBC destruction in fetus leading to ____ ____ and death;
pure red cell _____ and ____ anemia in chronic hemolytic disease patients;
chronic ____ in adults

Answer 15

hydrops fetalis;
aplasia, aplastic;
polyarthritis

Question 16

roseola infantum/exanthem subitum is caused by what virus?

Answer 16

herpesvirus 6 or 7

Question 17

Roseola characteristics:

_____ ____ for 3 to 4 days that goes away, followed by ___ ____

Answer 17

high fever;

maculopapular rash

Question 18

hand foot and mouth disease is caused by the _____ virus or _____

Answer 18

coxsackie, enterovirus

Question 19

Characteristics of hand food and mouth disease:
(painful/painless) vesicular lesions on HFM;
most symptoms are seen in the ____

Answer 19

painful;

mouth

Question 20

coxsackie A virus also causes ____, that is characterized by yellowish white papulovesicular lesions on the tonsils, uvula, and palate

Answer 20

herpangina