Paeds skin/ vaccines

Question 1

Measles - intubation, nature of rash? contagious from?

Answer 1

Starts on face, spreads to neck and extremeties. intubation - 8-14 days. contagious 3-5 days before rash appears and 4 days after appears.

Question 2

Chicken pox? when contagious when infectious?

Answer 2

intubation - 14 - 21 day. infect from few days before rash appears and 6 days after
risks: encephalitis (ataxia few days after, pneumonia)

Question 3

erythema infectiosum?

Answer 3

human parvovirus b19. intubation 7-10 days. headache, fever, sore throat, abdo pain, arthralgia, red slapped cheek rash spares nasolabial folds 1 week after exposure sx last 2-3 days. when 1- 4 days get erythemous maculopapular rash in proximal extremities. reoccurs after stimuli eg overheating/ exercises. IG may be helpful for immunocompromised.

Question 4

fever, sore throat unwell then rash on chest and torso, then spreads to limbs. course sandpaper rash, may start to peel (dequamation soles of hands and feet)

Answer 4

Scarlet fever, strep pygenes. OE: ENT: whtie strawberry tongue, cervical LN, swollen, red tonsils.
TX:penicillin/ azithromycin for 10 days. return to school after 24 hrs of abx.
intubation 2-4 days, area around mouth is spared from rash.

Question 5

febrile seizure, high fever 4 days, then resolves. and new red rash on trunks then extremeties, buttocks, thighs with macules defined by haloe

Answer 5

Roseala infantum/ HHv6. exclude from school as long as unwell.

Question 6

fever, coryzal, conjunctivitis, red blochy rash on head, neck then rest of body. red spots with white spec inside mouth buccal mucosa

Answer 6

measles. self limiting. paramyxovirus.

Question 7

fever, sore throat then mouth ulcers, spots to vesicles on hand, feet,

Answer 7

hand, foot mouth disease. self limiting. CX: coxsackie B and enterovirus. rash lasts 3-6 days

Question 8

itchy <6YO bullous and non bullous vesciles/ pustules burst with honey coloured crust.

Answer 8

exclude school 48 hrs after abx started or after lesions have healed dry and crusted over. impegito.
TX:localised - topical hydrogen peroxide, or fusidic acid 2%/ mupiricon 2% if resistant.
oral fluclox if widespread/ clarithromycin/ erythromcin (pregnant)

Question 9

MMR vaccine?

Answer 9

1, 3yr 4months

Question 10

vaccines at 2 months?

Answer 10

6 in 1( dipth, tetanus, polio, hepb hib), rotavirus, men B

Question 11

vaccines at 3 months?

Answer 11

6 in 1, rotavirus, PCV (pneumonoccal conjugate)

Question 12

4 month vaccines?

Answer 12

6 in 1, Men B

Question 13

12- 13 months vaccines?

Answer 13

MMR, Hib/ Hep C, PCV, Men B

Question 14

2- 4 yrs vaccines?

Answer 14

annual flu vaccine

Question 15

3 yrs 4 months vaccine?

Answer 15

preschool booster - 4 in 1 (diptheria,tetanus, pertussis, polio)

Question 16

14 yrs vaccine?

Answer 16

3 in 1 (tetanus diptheria, polio), MEN ACWY