Measles Flashcards
Is there a vaccine for Roseola?
no
How is rubeola transmitted?
large respiratory droplets person to person
How long is rubeola pt infectious?
4 days prior to symptoms until 4 days after rash
What is the incubation period of rubeola?
2 wks
What is the CM of rubeola?
fever, cough, coryza, conjunctivitis, Koplik spots, rash, macules
What is pathognomoic of rubeola?
Koplik spots
Where does the rash begin with rubeola?
face and behind ears then spreads to trunk
Will the macules blanch in rubeola?
yes, progresses to papules
What are complications of rubeola?
diarrhea, otitis media, pneumonia, fetal demise, keratoconjunctivitis, postinfectious encephalitis,
What causes the majority of deaths from measles?
pneumonia
When do kids get keratoconjunctivitis with rubeola?
vit A or malnourished
What is the lab test for rubeola?
IgM ab or viral culture
What is the treatment of rubeola?
self limiting, Vit A supplements
What is the vit A supplement for infants
50K IU x 2 days
What is the vit A supplement for 6-11 mo?
100K IU x 2 days
What is the vit A supplement for >12mo?
200K IU x 2 days
What is the treatment for measles?
ribavirin
What do you do for those who have been exposed to measles?
vaccinate 72 hr, give IgM if btw 3-6 days after exposure
What percentage of rubella pts are symptomatic?
20-50%
What is rubella?
german measles
What is more common rubella or rubeola?
rubeola
How do you transmit rubella?
person to person via resp droplets
What is more contagious rubella or rubeola?
rubeola
Can rubella transmit through placenta?
yes
What is the incubation of rubella?
8-9 days after exposure
When do you see the rash with rubella?
16-18 days after exposure
How long does the rubella rash lasts?
1-3 days
What are other symptoms of rubella?
low grade fever, coryza, lymphadenopathy, conjunctivitis, forchheimer spots
What is the special presentation of rubella?
forchheimer spots
What is the test for rubella?
IgM ab exposure
When and what is tested for rubella?
preg women, IgG
What is the treatment for rubella?
supportive, hydration