peds97 Flashcards
how is mono associated with malignancy?
EBV assoc with nasopharyngeal carcinoma and Burkitt’s lymphoma; may also caused lyphoprolif disease in immunosupp patient
measles is also known as what
rubeola
clinical features of measles
manifestations develop fter a 8 to 12 day incub period; classic clinical prodrome, followed by transient enanthem and exanthem
classic prodrome for measles
three Cs (cough, conjunctivitis, and coryza), also photophobia and low grade fever
what is coryza
rhinitis
enanthem of measles
koplik spots (small gray papuless on erythematous base on the buccal mucosa) that is transient and present before the exanthem
koplik’s spots
pathognomonic for measles
exanthem of measles
erythematous maculopapular eruption that begins around the neck and ears and spreads down the chest and upper extremities during the subsequent 24 hrs; lasts for 4-7 days
most common complication of measles
bacterial pneumonia
most common cause of death from measles
complication from bacterial pneumonia
other complications in measles
otitis media, laryngotracheitis, encephalomyelitis (inflamm of brain and sc), subacute sclerosing panencephalitis
management of measles
supportive care; vitamin A has been shown to help; immunoglob can be used for post-exp prophylaxis in immunodef kids exposed to measles
rubella aka
german measles
clinical features of rubella
mild and often asymp; prodrome, painful lymphadenopathy, exanthem and mild fever
prodrome of rubella
mild URI and low grade fever