Measles Flashcards

1
Q

What virus causes measles?

A

• Measles is caused by the morbillivirus from the paramyxovirus family.

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2
Q

How is measles transmitted? (2)

A

• Direct contact with infectious droplets.

• Airborne transmission through breathing, coughing, or sneezing.

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3
Q

What is the incubation period for measles?

A

• The incubation period is approximately 10 days but can range from 1 to 3 weeks

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4
Q

When is a person with measles infectious?

A

• 2–4 days before the rash appears and during the course of the illness.

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5
Q

How long does measles usually last?

A

• Measles typically lasts 7–10 days and is self-limiting.

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6
Q

Can someone catch measles more than once?

A

• It is uncommon to catch measles more than once because it provides lifelong immunity.

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7
Q

What is the benefit of getting the MMR vaccine ?

A

. Unlikely to get measles if fully vaccinated.

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8
Q

What are the prodromal symptoms of measles, and when do they appear? (7)

A

• Prodromal symptoms appear 2–4 days before the rash

Symptoms include :
• Fever (usually above 39°C, reduces after rash appears)
• Aches and fatigue
• Diarrhoea
• Runny/blocked nose, sneezing
• Harsh dry cough
• Red, sore, watery eyes (cold-like symptoms)

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9
Q

What are Koplik spots, and when do they appear during measles?

A

• Koplik spots are small white spots inside the cheeks that appear a few days after prodromal symptoms and last a few days.

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10
Q

Where does the measles rash first appear?

A

• The rash starts on the face and behind the ears,
It spreads to the rest of the body over time.

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11
Q

What are the characteristics of the measles rash? (3)

A

The rash is:

• Red/brown
• Sometimes raised and may join together to form blotchy patches
• Not usually itchy

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12
Q

How long does the measles rash last?

A

• The rash fades 5 days after its onset

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13
Q

What are some respiratory complications associated with measles? (2)

A

Respiratory complications:

•	Pneumonia
•	Otitis media (middle ear infection)
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14
Q

What are the CNS (central nervous system) complications associated with measles ? (2)

A

CNS complications:

• Convulsions
• Meningitis

Other: blindness

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15
Q

In which groups is measles more severe? (5)

A

• Adults
• Pregnant individuals (risk of birth complications)
• Immunocompromised individuals
• People with co-morbidities (e.g. depression, arthritis, diabetes, and high blood pressure)
• Infants

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16
Q

What are the red-flag symptoms of measles that require referral? (4)

A

• Shortness of breath
• A high temperature that does not decrease after taking paracetamol or ibuprofen
• Confusion
• Seizures (fits)

17
Q

How are patients recommended to manage their symptoms ?

A

. Contact GP- telephone appointment
. Take paracetamol/ Ibuprofen

18
Q

What practical measures can patients with measles take ?

A

Avoid spreading virus by:
. Washing hands with soap and warm water
. Use tissues when you cough or sneeze
. Throw used tissues in the bin
. Do not share cutlery, cups, towels, clothes or bedding

. Use cotton wool soaked in warm water to gently remove any crusts from eyes.

. Fluid- ice lollies etc

. Rest

. Keeps away from nursery/schools/work for 4 days when rash first appears