Peds Infectious Rashes OME

Question 1

baby with red cheeks rash + fever for the last few days that now has lacy or reticular rash on arms and trunk. dx?

Answer 1

parvovirus B19

Question 2

pregnant women gets infected with parvo…whats the comp?

Answer 2

hydrops fetalis for baby =(

Question 3

what population will have complications with a parvo infection?

Answer 3

those with SS or other hemoglobinopathies = aplastic crisis

Question 4

sx of measles?

Answer 4

fever +rash, cough, runny nose that starts at head and moves down the body. + Koplik spots = white spots on buccal mucosa

Question 5

complication of measles later in life?

Answer 5

subacute sclerosing panencephalitis

Question 6

koplik spots vs forchheimer spots

Answer 6

koplik = white spots in mouth = measles

forchheimer = red spots my be blochy in mouth = rubella

Question 7

whats the biggest difference between rubella and measles?

Answer 7

rubella has a prodrome generalized tender lympadenopathy

Question 8

sx of rubella

Answer 8

rash + fever that starts at head and moves down body = faster than measles, forchheimer spots = red spots in mouth

*prodrome = tender generalized lymphadeopathy

Question 9

kid who doesnt have MMR vac comes in with rash on face + fever that is starting to spread to the rest of hte body…what do you need to look for to dx?

Answer 9

tender lymphadenopathy! = this will tell u rubella vs measles

Question 10

kid with HIGH fever (104) then fever goes away and rash starts on trunk and spreads, kid had a seizure yesterday. dx?

Answer 10

Roseola = HHV-6

Question 11

how do you tx febrile seizures? what infectious rash is this associated with?

Answer 11

Benzos for seizures & acetomenophen for fever! (do not use ASA as it will cause ryes syndrome!)

HHV6 = Roseola

Question 12

2 kids come in with rashes. one has rash on face the other has it on the trunk and it has begun to spread outward. PE: vescular rash on erythematus base in various stages of healing. dx?

Answer 12

Chicken pox! = Varicella zoster virus

Question 13

what are 2 complications of chickenpox?

Answer 13

scarring and scondary infectiosn with staph and GAS.

Question 14

when do you do pox parties?

Answer 14

NEVER! get vaccinated(MMRV)! bc now we know singles is fucking shit

Question 15

describe a shingles rash

Answer 15

painful rash in dermatomal distrubtion of DRG, NEVER crosses midline, seen in immunocomp pt

Question 16

long term complication of shingles. tx?

Answer 16

postherpetic neuralgia after rash has resolves

tx: TCA or gabapentin

Question 17

bilateral parotid swelling and orchitis in pebertal males. dx?

Answer 17

mumps

Question 18

what bug causes “Hand-Foot-Mouth Disease(HFMD)”?

Answer 18

Coxsackie A virus

Question 19

kid with vesicles on erythematous base in mouth(soft palate, tonsils, uvula), hands, feet & butt. dx?

Answer 19

HFMD = Coxsackie A virus