MMR, Antibiotic allergy, Vaccination, Aspleenism Flashcards
Live vaccines
MMR
Yellow fever
BCG
Varicella/Zoster
Inactivated vaccines
Hepatitis Influenza Meningococcal dTP Rabies Pneumococcal HPV
Aspleenism - causes, risk of OPSI, blood film
medical (graft vs host, auto immune)
traumatic
therapeutic
Howell-Jolly body on blood film
Aspleenism Cx
Infections
Hypercoagulability
Rubella
- sx
- infection control
- fever, lymphadenopathy, rash, conjuctivitis
- Fochheimer spots (soft palate)
-droplet precaution
Measles
- sx
- infection control
- Koplik’s spots
- rash –> can coalesce and slough after 1-3 days
-airborne precautions, highly contagious
Mumps
- sx
- infection control
- cx
fever, headache, fatigues –> parotitis
Cx - orchitis, meningitis, deafness
highly infectious, droplet precautions
Parvovirus
- sx
- infection control
Human Parvorirus B19
- rash (slapped cheek)
- lacelike rash on trunk
with normal immune system, not infectious post onset of rash
Varicella Zoster
- infection control
- sx
- tx
causes chicken pox and herpes zoster
airborne transmission, highly infectious until crusting of lesions
widespread vessicles
cx in adults - pneumonia, skin infection, encephalitis etc
Treat with aciclovir/valacyclovir
Herpes Zoster
- sx
- rx
painful, dermatomal, veicular rash
treat with acyclovir or valacyclovir
vaccine recommended
Abx allergy
- penicillin timeline for negative skin test
- childhood allergy
50% negative in 5 years, 80% negative in 10 years
childhood allergy–>rechallenge unless SCAR
SCAR
SJS
TENS
AGEP
DRESS
Sulfa allergy and frusemide vs sulfonamide
no cross reactivity btwn sulpha allergy and sulfnamide abx
Rate of cross reactivity btwn penicillin allergy and cephalosporin
<1%
