Measles Flashcards

1
Q

An acute highly communicable infection characterized by fever, rashes and upper respiratory tract symptoms

A

MEASLES

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2
Q

MEASLES OTHER NAME:

A

Rubeola Virus,
7 day measles

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3
Q

MEASLES Causative Agent:

A

Morbilli paramyxoviridae

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4
Q

Filterable virus of the measles

A

Morbilli paramyxoviridae

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5
Q

Virus or Bacteria?

A

CLASSIFICATION: virus

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6
Q

Mode of Transmission:

A

-Droplet
-Direct contact (secretion of nose and throat of infected
-PROBABLY Airborne

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7
Q

MEASLES Incubation period:

A

10-14 days

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8
Q

PERIOD OF COMMUNICABILITY

A

4 days before and 5 days
after rash appearance

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9
Q

SUSCEPTIBILITY:

A
  1. Babies BORN OF MOTHERS who had the DISEASE IMMUNE for the first months of life
  2. Permanent acquired immunity
    - AFTER ATTACK OF MEASLES
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10
Q

PATHOPHYSIOLOGY

A

Virus directly infects the alveolar macrophages
->replicates for 2-3 days in the LUNGS
-> spread to the
regions of lymphoid tissue
->different systems

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11
Q

Measles s/sx
starts with __ and then later with _?

A

Starts with coryza (nasal drip, colds, flu like symptoms) and later with conjunctivitis (inflammation of the
conjunctiva/inflamed eyes)

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12
Q

Measles s/sx
how many days of coryza?

A

2-3 days of coryza

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13
Q

MEASLES Pathognomonic sign

A

Koplik spots

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14
Q

Characterizes as whitish grayish pecks are found on the inner the surface of the cheeks

A

Koplik spots (Pathognomonic sign)

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15
Q

Characterized by transverse line of inflammation along the eyelid margin

A

Stimson’s line

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16
Q

Appears on the 3rd or 4th day on the face, body and extremities ending in branny desquamation (peeling off)

A

Maculopapular (Morbilliform) rash

17
Q

Measles s/x

A

Coryza
Conjunctivitis
Koplik Spots [pathognomonic]
Maculopapular [Morbilliform] rash
High fever 38.9
Stimson’s Line

18
Q

Maculopapular (Morbilliform) rash

A

branny desquamation (peeling off)

19
Q

Stimson’s line

A

inflammation
along the eyelid margin

20
Q

Koplik spots

A

Pathognomonic sign)
Whitish grayish pecks @ inner surface of cheeks

21
Q

distribution of s/sx?

A

cephalocaudal (head to toe)

22
Q

q Peripheral blood smear
q Sample from the rash, AEICIN blue or METHYLENE STAINING REAGENTS, visualize under microscope

A

Dx test for Measles: WRIGHT STRAINING

23
Q

Dx test for Measles?

A

WRIGHT STRAINING

24
Q

MANAGEMENT

A

o Rest
o TSB (to promote heat loss through evaporation)
o Antipyretics as prescribed (Tylenol)
o Airborne precautions (wear N95 mask/ well fitted
respiratory mask)
o Isolation until about 5 to 7 days after onset of
rash
o Protect eyes from glare of light (photosensitivity;
conjunctivitis, stimson’s line)
o Keep adequately ventilated but free from draft
and chilling

25
Q

2 vaccine prophylaxis/ prevention

A

AMV vaccine
MMR vaccine

26
Q

Measles vaccine should not be given to ?,
or to persons with/////?

A

Measles vaccine should not be given to PREGNANT women,
or to persons with ACTIVE TUBERCULOSIS, LEUKEMIA, LYMPHOMA
or DEPRESSED IMMUNE SYSTEM.

27
Q

COMPLICATIONS OF MEASLES
D-O-P-E

A

Diarrhea
Otitis media
Pneumonia
Encephalitis (inflammation of brain tissues)