PEDS 3

Question 1

a skin eruption regarded as a characteristic sign of certain diseases
a rash

Answer 1

EXanthem/EXanthema

Question 2

a mucous membrane eruption, especially one occurring in connection with one of the exanthemas.

Answer 2

ENanthem/ENanthema

Question 3

Pruritic, erythematous maculopapular rash followed by successive “crops” of vesicles
Vesicles rupture after 1-2 days, forming a crust

Answer 3

VZV/ Chickenpox

Question 4

How can VZV be prevented ?

Answer 4

2 doses of VZV vaccine (at ages 1 and 4)

Question 5

Breakthrough varicella?

Answer 5

Pts who have received only 1 dose of vaccine

Question 6

high fever, often 39.4–41.1°C (103–106°F) which breaks after 3-4 days (febrile seizures)
Rash appears after lysis of fever
Centrifugal distribution

Answer 6

Roseola

Question 7

Nagayama spots ?

Answer 7

red papules on the mucosa of the soft palate and the base of the uvula in Roseola

Question 8

How is Parvovirus B19 transmitted ? (3)

Answer 8

Droplet
Blood transfusion
Vertical: mother to fetus

Question 9

What are the 3 stages of the Rash for Parovirus B19?

Answer 9

1st stage: facial flushing/“slapped cheek”
2nd stage: generalized macular rash - coalesce
3rd stage: reticular rash - lacy lash

Question 10

presentation of parovirus B19 in adults ?

Answer 10

arthralgia/arthritis
Normal ESR
Hx of exposure to children
Transient pure red cell aplasia (SCD pts)

Question 11

presentation of parovirus B19 in pregnancy?

Answer 11

Fetal hydrops

Question 12

Fever, chills, vomiting
Pharyngitis
“White strawberry tongue”
Tender cervical lymphadenopathy
Pastia’s sign:petechiaein skin creases
group A Streptococci

Answer 12

Scarlet Fever

Question 13

“Sandpaper” rash
Facial flushing with circumoral pallor
Desquamation
“Red strawberry tongue”

Answer 13

Scarlet Fever

Question 14

Kawasaki Disease DIAGNOSTIC CRITERIA

Answer 14

Fever > 5 days plus  > 4 of the following:
Conjunctivitis
Mucositis
Cervical lymphadenopathy 
Rash
Erythema and edema of hands and feet

Question 15

Fever peaks when the rash appears, falls 2-3 days later
Cough, coryza, conjunctivitis
+ Enanthem: Koplik spot

Answer 15

Measles (Rubeola)

Question 16

Forscheimer’s spots on the soft palate
pink maculopapules beginning on the face
and centrifugal spread to the rest of the body
Lasts < 3 days

Answer 16

Rubella

Question 17

sensorineural deafness (<60%)
eye defect
cataracts, retinopathy, microphthalmia
congenital heart disease: PDA 
purpuric "blueberry muffin" rash at birth

Answer 17

Congenital Rubella

Question 18

Type I (IgE-mediated) hypersensitivity reaction
Flexural lichenification in adults
Facial and extensor involvement in infants/children
improves with age

Answer 18

Atopic Dermatitis

Question 19

most common in infancy and adolescence
peaks again at age 30-60
and greasy-looking scales

Answer 19

Seborrheic Dermatitis

Question 20

Am I normal?

Peers increasingly important

Answer 20

Early Adolescence (10 to 14 yo)

Question 21

Females more comfortable, males awkward
Transition; many ideas, often highly emotional thinker
Who am I?
Increasing introspection

Answer 21

Middle Adolescence (15 to 16 yo)

Question 22

Adult appearance
Mostly formal operational
Role with respect to others; sexuality; future
Separation from family toward real independence

Answer 22

Late Adolescence (17 to 20)