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IDIS derm > Maculopapular And Fever > Flashcards

Maculopapular And Fever Flashcards

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Dermatology Board Prep flashcards
1
Q

Enteroviral rashes sx

A

Begin on face and neck
Descend to trunk and possibly extremities
Can be on palms and soles
Fever

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2
Q

Enteroviral rashes causes

A

Coxsackievirus and echovirus

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3
Q

Roseola Infantum aka exanthem subitum aka sixth Disease sx

A

Trunk, extending to proximal arms and neck
Prominent on butt
Spares the face
Fever

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4
Q

Roseola Infantum aka exanthem subitum aka sixth Disease causes

A

HHV6 and HHV7

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5
Q

Erythema infectiosum aka fifth disease sx

A

Slapped cheeks
Then spreads to extensor surfaces of arms and thighs and butt
Worse with sun or exercise
Fever

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6
Q

Erythema infectiosum causes

A

Erythrovirus B19

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7
Q

Rubeola aka measles sx

A 
Upper lateral neck and hairline then spreads to upper body, lower body, and distal extremities 
3 Cs
Koplik spots on buccal mucosa
Branny desquamation 
Fever
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8
Q

Rubeola aka measles causes

A

Measles virus

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9
Q

Rubella aka German measles sx

A 
Frontal and retroauricular then spreads over body and limbs
Not on palms and soles
Forcheimer spots in roof of mouth 
Rash is due to virus-Ab complexes
Fever

Congenital rubella: deafness, eye probs, cong. heart dz

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10
Q

Rubella aka German measles causes

A

Rubella virus

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11
Q

Scarlet fever sx

A

Erythematous skin esp. in flexor creases (Pastia’s lines are petechiae in creases)
Strawberry tongue
Sandpaper rash, blanching
Starts at neck then spreads to head and extremities
Abrupt onset of sore throat, fever, malaise, headache

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12
Q

Scarlet fever causes

A

Strep pyogenes

Erythrogenic toxins A, B, and C

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13
Q

TSS sx

A 
Fever
Low bp 
Major organ involvement (3)
Erythematous macular rash, sometimes looks like sunburn
Desquamation of palms and soles
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14
Q

TSS cause

A 
Staph aureus (TSST1)
Strep pyogenes (Exotoxin A)
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15
Q

Tinea versicolor or Pityriasis sx

A 
Upper trunk (not usually below the waist)
Neck, proximal upper extremities
NO FEVER 
Branny scaling maculopapules
Spots don’t tan
Can be hypo or hyper pigmented
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16
Q

Tinea versicolor or Pityriasis cause

A

Malassezia furfur
Or Pitysporum
Acids damage melanocytes

17
Q

Meningococcemia sx

A

Maculopapules, petechiae, purpura, or ecchymosis
Blanching patches
Can be hemorrhagic with central necrosis
Fever

18
Q

Meningococcemia cause

A

Neisseria meningitidis

19
Q

Secondary syphilis sx

A 
Scaly maculopapules
Papules in anogenital area
Painless mucosal erosions 
Involves palms and soles
Hair loss common 
Fever
20
Q

Secondary syphilis cause

A

Treponema pallidum

21
Q

Rocky Mountain Spotted Fever sx

A

Macules then maculopapules then petechiae
Distal extremities
Starts on wrists and ankles and spreads centripetally (in) to trunk, scalp, palms, and soles (ascending)
Fever
SEVERE headache

22
Q

Rocky Mountain Spotted Fever cause

A

Rickettsia rickettsii

Tick vector

23
Q

Endemic typhus aka murine typhus sx

A 
Maculopapules 
Starts in axillae and extends trunk 
Sparse on extremities and face 
NOT on palms/soles
Fever
24
Q

Endemic typhus aka murine typhus cause

A

Rickettsia typhi

Vector louse

25
Q

Epidemic typhus sx

A

Pink macules that become hemorrhagic during 2nd week
sides of trunk, spreads out (centrifugal)
NOT on palms/soles or face
Fever

26
Q

Epidemic typhus cause

A

Rickettsia prowazekii

Vector flea

27
Q

Ehrlichiosis and Anaplasmosis sx

A

Fever, HA, myalgia, malaise
Maculopapules on trunk and extremities
May be petechial
Abnormal liver enzymes

28
Q

Ehrlichiosis and Anaplasmosis causes

A 
Ehrlichia chaffeensis (monocytes)
E. ewingii and Anaplasma sp. (granulocytes)
29
Q

Dengue aka breakbone fever sx

A 
Morbilliform rash that becomes petechial. 
Late purpura on extremities
Can be hemorrhagic
Rash starts in chest 
Inner arms, upper chest, shoulders, neck, and palate
Fever 
Joint and muscle pain 
Caribbean, Mexico, SE Asia, Pacific
30
Q

Dengue aka breakbone Fever cause

A

Dengue virus

31
Q

Chikungunya Fever sx

A

Maculopapules on face, upper extremities, and trunk
Arthralgia and neurological problems
Africa, India, SE Asia, Caribbean

32
Q

Chikungunya Fever cause

A

Chikungunya virus

IDIS derm (5 decks)

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