Paediatrics Flashcards
Sx Kawasaki disease
Rash
Fever
Swollen cervical LNs
Strawberry tongue
Tx kawasaki disease
Aspirin
What is Kawasaki disease?
Medium vasculitis predominantly in children under 5
Infectious mononucleosis
Glandular fever caused by Epstein Barr virus
Glandular fever sx
Sore throat
Lymphadenopathy
Pyrexia
Treatment infectious mononucleosis
Rest, fluids, no contact sport (splenomegaly)
Sx chickenpox
Itchy macropapular rash which becomes vesicular
Rash starts on head/trunk and spreads
When are children infectious with chickenpox
4 days pre rash and 5 days after first appearance
What is scarlet fever?
Reactions to toxins made by group a haemolytic streptococci
Incubation period scarlet fever
2-4 days
Sx scarlet fever
fever
malaise
strawberry tongue
erythematous rash sparing palms and soles
Tx scarlet fever
penicillin
complications of scarlet fever
otitis media, rheumatic fever
Cause of hand foot and mouth
Coxsackie a16 and enterovirus 71
Sx hand foot and mouth
sore throat, oral ulcers, vesicles on palms and soles
What is fifth disease
Slapped cheek
Cause of fifth disease
parvovirus b19
sx fifth disease
slapped cheek appearance, triggered by sunlight and heat
cause of measles
RNA paramyxovirus
sx measles
irritable, conjunctivitis, koplik spots, rash starts behind ears and spreads to body
mx measles
notifiable disease, mostly supportive
cause of rubella
togavirus
Infectious period rubella
7 days before sx to 4 days after rash onset
sx rubella
low grade fever, macropapular rash spreads from face to body
Cause of pertussis
bortedella pertussis
sx whooping cough
paroxysmal cough >2 weeks
Tx whooping cough
Azithromycin