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PEDS Rotation > Peds Infectious dz > Flashcards

Peds Infectious dz Flashcards

Diptheria, Tetanus, Salmonella, Shigella Coxsackie, Roseola, Rubella, Rubeola

1
Q

Rubeola: Virus?

A

Paramyxovirus (Measles)

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2
Q

Rubeola: Sxs?

A

Prodrome:
Cough, Coryza, Conjunctivitis
Fever, Koplik’s Spots

Rash: Head -»> Toe
Maculopapular

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3
Q

Rubeola: Dx?

A

Serology:

IgG, IgM

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4
Q

Rubeola: Complications?

A

Diarrhea
AOM
PNA
Meningitis

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5
Q

Rubella: Virus?

A

Togavirus (German Measles, 3 Day Measles))

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6
Q

Rubella: Sxs?

A

NO prodrome
Fever, Postauricular LAD, Polyarthritis (Teens, Adults)
Truncal Maculopapular Rash

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7
Q

Rubella: Dx?

A

Serology: IgM

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8
Q

Rubella: Complications?

A 
Deafness
Cataracts
Heart Defects
Mental Retardation
Liver/Spleen Damage
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9
Q

Roseola: Virus?

A

Human Herpes 6

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10
Q

Roseola: Sxs?

A 
Prodrome:
High fever (possibly seizures)

Rash: Immediately post fever
Pink maculopapular, Blanchable
Neck and trunk

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11
Q

Roseola: Dx?

A

Viral cx

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12
Q

Erythema Infectiosum: Virus?

A

Parvovirus B19 (5th Dz)

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13
Q

Erythema Infectiosum: Sxs

A

NO Prodrome, No fever
Slapped cheeks
Itchy, lacy maculopapular rash
Arms -» Trunk -» Legs

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14
Q

Erythema Infectiosum: Dx?

A

Serology

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15
Q

Erythema Infectiosum: Complications?

A

Hydrops Fetalis in pregnancy
Anemia (stops RBC prdxn)
— tx w/ transfusion

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16
Q

Mumps: Virus?

A

Paramyxovirus

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17
Q

Mumps: Sxs?

A

Parotitis

(P) Mild fever

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18
Q

Mumps: Dx?

A

Viral cx or PCR
CBC: leukocytosis
Increased Amylase

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19
Q

Mumps: Complications?

A

Orchitis/Oophoritis
Meningitis
Pancreatitis

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20
Q

Coxsackie A: Virus?

A

Picornavirus

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21
Q

Coxsackie A: Sxs?

A

Febrile Pharyngitis

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22
Q

Coxsackie A: Dx?

A

Viral cx

23
Q

Coxsackie A: Complications?

A

Meningitis

Hand-Foot-Mouth

24
Q

Hand-Foot-Mouth: Virus?

A

Coxsackie A

25
Q

Hand-Foot-Mouth: Sxs?

A

Prodrome:
Low fever, malaise, URI sxs

Rash: Oral vesicles/ulcers/stomatitis, Vesicular rash hands/feet (don’t crust over)

26
Q

Coxsackie Herpangina: Sxs?

A

Fever
Pharyngeal vesicles
▪ painful, grayish-white with red halo

27
Q

HIV: Virus?

A

Retrovirus: reverse transcriptase (DNA from RNA),

Targets CD4 helper T-cells

28
Q

HIV: Stage 1?

A

Primary Infection: 2-6 wks post exposure

Sxs:
Mono or flu sxs,
Rash, Ulcers, Anemia, Thrombocytopenia

29
Q

HIV: Stage 2?

A

Latency: Seroconverts -» Ab positive

Asymptomatic approx 10 yrs

30
Q

HIV: Stage 3?

A

Body overwhelmed: CD4 count drops

31
Q

EBV: Sxs?

A

Fever, fatigue/malaise, myalgia
Exudative Pharyngitis
LAD, Splenomegaly, Palatal petechiae

32
Q

EBV: Dx?

A

CBC: lymphocytosis
Monospot: Ab positive

33
Q

Lyme Borreliosis: Bacteria?

A

Borrelia burgdorferi

34
Q

Lyme Borreliosis: Sxs Initial Infection?

A

Erythema Migrans (target lesion), myalgias, arthralgias, HA, fatigue.
Stage 2: early disseminated infxn, skin lesions, malaise,
fever, fatigue, HA, neck pain, myopericarditis,
arrhythmias, heart block, aseptic meningitis, Bells Palsy.
Stage 3: persistent late infection, arthritis, memory loss,
mood changes, sleep disturbances, intermittent
paresthesias, acrodermatitis, chronicum atrophicans.

35
Q

Lyme Borreliosis: Sxs 2nd Stage Infection?

A

Flu sxs
Myopericarditis, Arrhythmias, Heart block
Meningitis
Bells Palsy

36
Q

Lyme Borreliosis: Sxs Late Stage Infection?

A

Arthritis, Paresthesias
Memory loss, Mood changes
Sleep disturbances
Acrodermatitis Chronica Atrophicans (red/blue swelling -» atrophy)

37
Q

Lyme Borreliosis: Dx?

A

Immunofluo/ELISA

Western Blot confirmation

38
Q

Lyme Borreliosis: Tx?

A

Doxycycline or Cefuroxime.

39
Q

Varicella: Sxs

A

Mild flu sxs followed by itching

Red macules -> vesicles -> pustules -> crusts

40
Q

Varicella: Infectious when?

A

Until crusting starts

U 5-7 days after start

41
Q

Erythema Marginatum is?

A

Rash from Rheumatic Fever

Red margins with normal skin in the middle

42
Q

Candidiasis infections U follow?

A

ABX

DM

43
Q

Common Candidiasis infections in kids?

A

Diaper

Thrush

44
Q

Pinworms presentation?

A

Itching

Vulvovaginitis, diverticulitis, appendicitis, cystitis

45
Q

Diphtheria presentation?

A

Pseudomembrane (light-reactive, sharp outline)
Myocarditis
Polyneuropathy
Skin lesions (non-specific)

46
Q

Diphtheria dx?

Tx?

A

Cx

IV antitoxin
PCN, EMC (only helps spread, not tx)

47
Q

Tetanus toxin U found where?

Incubation period?

A

Soil

5-12 days

48
Q

Tetanus presentation: Local?

Generalized?

A

Stiffness in single group of mm

Gradual stiffness (U jaw, neck, back) -->>
Paroyx spasms
49
Q

Tetanus dx?

Tx?

A

Clinical

Antitoxin
Valium or barbiturates
Airway support

50
Q

Salmonellosis U from?

A

Reptiles

Undercooked meat/eggs

51
Q

Salmonellosis presentation?

A

DIARRHEA (Gastroenteritis)

HA, N/V, fever/chills

52
Q

Salmonellosis tx?

A

Supportive if mild gastroenteritis

Ampicillin or Bactrim

53
Q

Shigellosis presentation?

Complications?

A

Fever, malaise, HA –»
Mucus/Blood Diarrhea

Metabolite depletion
Seizures

54
Q

Shigellosis dx?

Tx?

A

Stool cx

Fluids/e-
Bactrim if severe
U resolves 7-10 days

PEDS Rotation (10 decks)

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