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3a > rashes + infections > Flashcards

rashes + infections Flashcards

1
Q

non-blanching purpuric rash, fever, lethargy

A

meningococcal septicaemia
IV abx

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2
Q

widespread blisters/bullae over erythematous skin
fever, arthralgia, myalgia, conjunctivitis
started new drug recently

A

SJS/TEN
identify + remove cause, supportive, ICU

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3
Q

lip fissures, strawberry tongue, conjunctivitis, periungal desquamation, arthralgia

A

kawasaki
IVIG, high dose aspirin, echo

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4
Q

erythematous macules + vesicles, honey coloured crust

A

impetigo
hydrogen peroxide 1% cream, topical fusidic acid/muprirocin, oral fluclox or clarithromycin

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5
Q

blistering then desquammation of flexural areas, buttocks, hands or feet
diffuse blanching erythema around mouth
fever, irritability, positive Nikolsky sign

A

scalded skin syndrome
admission, analgesia, IV abx (fluclox)

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6
Q

red, dry patches with vesicles or ulceration
itchy + painful blisters on face + neck
sore throat, pyrexia, stomatitis

A

eczema herpeticum
oral acyclovir

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7
Q

red or violet subcutaneous nodules on tibial area

A

erythema nodosum
self limiting

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8
Q

target lesions, erosion of bullae on oral, genital + mucosal areas

A

erythema multiform
self limiting
aciclovir, antihistamines + corticosteroids

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9
Q

irritable, conjunctivitis, fever, cough, coryza
maculopapular rash, white spots on buccal mucosa

A

measles
supportive
notify PHE

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10
Q

fever, sore throat, lymphadenopathy, maculopapular rash (with amoxicillin)

A

infectious mononucleosis
supportive

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11
Q

vesicles in mouth + palms + soles of feet
mild illness, sore throat, fever

A

hand, foot + mouth disease
supportive

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12
Q

lethargy, fever, coryza, headache, N+V
malar rash with circumoral pallor + lace rash on trunk + extremities

A

erythema infectiosum (parvovirus)
supportive

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13
Q

itchy rash starting on head + trunk - macular, papular + vesicular
headache, mild fever

A

chickenpox
self-limiting
calamine lotion, simple analgesia, chlorphenamine

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14
Q

beefy red plaques, satellite papules, superficial pustules

A

nappy rash
emollients
topical anti fungal

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15
Q

small, erythematous papule with haemorrhage crusts on fingers, elbows, axillary folds, thighs, genitalia, feet, itchy

A

scabies
hygiene advice
topical permethrin
oral ivermectin

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16
Q

pruritic, circular, erythematous scaly patch spreading centrifugally
central clearing

A

tinea corporis (ringworm)
topical antifungals
systemic - terbinafine, fluconazole or itraconazole

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17
Q

well-demarcated scaly lesion, can be grey patch or black dot on scalp

A

tinea capitis
oral griseofulvin or terbinafine

18
Q

flesh coloured dome-shaped papule

A

molluscum contagiosum
self-resolving (18 months)

19
Q

fever, malaise, tonsilitis, strawberry tongue
fine, punctuate erythematous rash with circumoral sparing

A

scarlet fever
Pen V 10 days (azithromycin pen allergy)
notify PHE

20
Q

erythematous maculopapular rash, starts on face, mild fever, joint pain, sore throat, suboccipital + postauricular lymphadenopathy behind ears + back of neck

A

rubella
supportive
notify PHE

21
Q

high fever, coryza, sore throat, lymphadenopathy, erythematous rash across arms, legs, trunk + face

A

roseola infantum
self-resolving (a week)
antipyretics, oral hydration

22
Q

dry, red, itchy patches on flexor surfaces

A

eczema
avoid irritants, emollients, topical steroids, wet wrapping, cyclosporin

23
Q

fever, malaise, muscle pain
parotitis

A

mumps
supportive
notify PHE

24
Q

scarlet fever school

A

24 hrs after starting abx

25
Q

whooping cough school

A

2 days after starting abx or 21 days from onset of symptoms

26
Q

measles school

A

4 days from onset of rash

27
Q

rubella school

A

5 days from onset of rash

28
Q

erythema infectiosium

A

no exclusion

29
Q

roseola infantum

A

no school exclusion

30
Q

head lice

A

no school exclusion

31
Q

threadworm

A

no school exclusion

32
Q

hand, foot + mouth

A

no school exclusion

33
Q

infectious mononucleosis

A

no school exclusion

34
Q

chickenpox school

A

all lesions crusted over ~5 days from onset of rash

35
Q

mumps school

A

5 days from onset of swollen glands

36
Q

diarrhoea + vomiting school

A

symptoms settled for 48 hrs

37
Q

impetigo school

A

all lesions crusted + healed or 48 hrs after starting abx

38
Q

scabies school

A

until treated

39
Q

influenza school

A

until recovered

40
Q

conjunctivitis

A

no school exclusion

3a (4 decks)

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