Paeds - Infections + Rashes

Question 1

features of nappy rash?

Answer 1

red
sore
pimples
blisters

Question 2

Tx for nappy rash?

Answer 2

frequent changing 
wash
dry
no soaps
no talc

Question 3

what is gianotti crosti?

Answer 3

viral symmetrical papular rash

Question 4

features of seborhoeic dermatitis?

Answer 4

face, eyes, nappy, nose
yellow crust
red skin
flakes
pink patches

Question 5

Tx for seborhoeic dermatitis?

Answer 5

ketoconazole cream

steroids

Question 6

features of erythema toxicum? Tx?

Answer 6

2-5days old
pimples on back/bum
systemically well

fades

Question 7

what is cradle cap?

Answer 7

red flaky skin on head

Question 8

what medications can cause SJS?

Answer 8

allopurinol
NSAIDs
anti epileptics
Abx

Question 9

Tx for cradle cap?

Answer 9

wash
brush hair
soften with baby oil

Question 10

diagnostic criteria for eczema?

Answer 10

3 or more of

Visible flexural rash

History of flexural rash

Personal or FHx of atopy

Dry skin in the past year

Onset before 2

Question 11

what is stridor?

Answer 11

inspiratory sound

Question 12

what is the sound of croup like?

Answer 12

barking cough
stridor
prodromal phase

Question 13

cause of croup?

Answer 13

parainfluenza virus

Question 14

Tx for croup?

Answer 14

oxygen
dexamethasone
supportive

Question 15

what causes pertussis?

Answer 15

bordatella pertussis

Question 16

features of pertussis?

Answer 16

inspiratory woop
period of apnoea
sick after coughing

Question 17

Tx for pertussis? how long should you be off work for?

Answer 17

clarithromyin

until 48hours of ABx taken

Question 18

what causes bronchiolitis?

Answer 18

RSV

Question 19

features of bronchiolitis?

Answer 19

coryza
cold
SOB
wheeze
crepitations
fever

Question 20

what are differentials of an URTI and rash?

Answer 20

scarlet fever (GABHS)
allergies
measles
parovirus b19

Question 21

what causes mumps?

Answer 21

paramyxovirus

Question 22

features of mumps?

Answer 22

prodrome
parotid swelling 
fever
dry mouth
abdo pain
confused
testicle pain

Question 23

Ix for mumps?

Answer 23

mumps IgM of saliva

Question 24

Tx for mumps?

Answer 24

isolate
fluids
analgesia
lasts around 1 wk

Question 25

complications of mumps?

Answer 25

orchitis
pancreatitis
meningitis
encephalitis

Question 26

what type of meningitis do neonates get? what should be added for extra cover?

Answer 26

listeria
GBS
e coli

ampicillin (listeria)

Question 27

what type of meningitis do kids get?

Answer 27

h influenza

Question 28

what causes hand foot and mouth disease?

Answer 28

viral (coxsackie/enterovirus)

Question 29

features of hand foot and mouth?

Answer 29

systemic upset
oral ulcers
vesicles on hands and feet

Question 30

Tx for hand foot and mouth?

Answer 30

symptomatic

do not need to keep off school

Question 31

differences between caput succadaneum and cephalohaematoma?

Answer 31

succadaneum
present at birth
resolves over days

cephalohaematoma
develops after birth
parietal region
resolves over months

Question 32

what is herpangina?

Answer 32

viral infection by enteroviruses

Question 33

features of herpangina?

Answer 33

fever
vesicles in throat
systemic upset

Question 34

what birth mark is present from birth?

Answer 34

port wine stain

strawberry present later