Rabies

Question 1

What does this have?

Answer 1

highest fatality rate

Question 2

What causes this?

Answer 2

rhabdoviridae lyssavirus - predilection for neuro

Question 3

What animals have this in US?

Answer 3

bats, racoon, skunk, fox

Question 4

What animals have this in developing countries?

Answer 4

dogs

Question 5

How do you get this?

Answer 5

animal bite or organ transplant

Question 6

What is the incubation period?

Answer 6

1-3 months to several years

Question 7

When is it worse?

Answer 7

bite to head or face

Question 8

What is week one presenation?

Answer 8

fever, chills, maliase, myalgia, fatigue, weakness, sore throat, N/V, photophobia, HA

Question 9

What is the most common cause of rabies in US?

Answer 9

bats

Question 10

What do you use for bat exposure or person in room with bat?

Answer 10

post exposure prophylaxis

Question 11

What is week one?

Answer 11

prodromal

Question 12

What is important about the wound?

Answer 12

if radiating!!! = rabies

Question 13

What is the presentation of encephalitic rabies?

Answer 13

fever, pharyngeal spasm, hydrophobia, aerophobia, agitation, mania, paralysis, coma, death

Question 14

How is the parathesia in rabies?

Answer 14

ascending

Question 15

What are DTR in paralytic rabies?

Answer 15

absent

Question 16

Do paralytic rabies pt have hydrophobia?

Answer 16

nope

Question 17

When do most pt die?

Answer 17

within 2 wk of coma

Question 18

Where can virus be isolated?

Answer 18

wound, skin, saliva, CSF

Question 19

What do you have to do if you get a case?

Answer 19

contact health department

Question 20

What is the rabies prophylaxis?

Answer 20

RIG

Question 21

What is RIG used for?

Answer 21

post exposure prophylaxis

Question 22

What is the rabies vaccine?

Answer 22

protection but takes 7-10 days to make ab, use in high risk groups