mouth hand foot cheek

Question 1

hfm

what causes hfm?

Answer 1

coxsackie virus

Question 2

hfm

what are the common symptoms?

Answer 2

prodrome
mouth lesions
skin lesions on palms and soles, grey in colour

Question 3

hfm

what warrants referral?

Answer 3

secondary infection
painful stomatitis (dehydration risk)
neurological involvement

Question 4

hfm

what pharmacological advice can be given?

Answer 4

paracetamol if in distress
bonjela on mouth ulcers (if over 4 months)
difflam spray

Question 5

slapped cheek

what is slapped cheek otherwise known as?

Answer 5

5th disease/erythema infectiosum

Question 6

slapped cheek

what causes slapped cheek?

Answer 6

parovirus b-19

Question 7

slapped cheek

how is infection spread?

Answer 7

via blood transfusion
respiratory secretions
bone marrow transplants

Question 8

slapped cheek

how long is slapped cheek infectious for?

Answer 8

10 days pre rash until it appears

Question 9

slapped cheek

what are the common symptoms?

Answer 9

1. prodrome
2. slapped cheek rash
3. rash on extremities
4. arthropathy in adults

Question 10

slapped cheek

what is the best course of treatment?

Answer 10

rest
fluid intake
antipyretics
moisturiser/antihistamines for itchy skin