rubella

Question 1

moa

Answer 1

Respiratory and transplacental

Question 2

epi

Answer 2

typically school age ( MILD) kida but dults and pregz too

Question 3

ip

Answer 3

18 days

Question 4

where Does the rash begin

Answer 4

on the face and then descends down spares limbs

Question 5

vaccination program

Answer 5

MMR - 1 YEAR 2nd dose when 11-13

Question 6

gregg triad

Answer 6

deafness, catarcat, heart (pda)

Question 7

what lymph nodes are classicaly affcetd

Answer 7

post auricular- Theodore sign

Question 8

treatment

Answer 8

suppirtive

Question 9

any charcateristic sign

Answer 9

forcheimer spots - but not pathognomic

a fleeting enanthem seen as small, red spots (petechiae) on the soft palate in 20% of patients with rubella.

Question 10

But characteristics of the rash between adults and children

Answer 10

In children, the rash does not itch

In adults, the rash is very itchy

Question 11

complications

Answer 11

thrombocytopenia
arthritis- Up to 70% of women who get rubella may experience arthritis; this is rare in children and men.
encephaliits/menigoencephalitis

Question 12

prognosis

Answer 12

often self limiitng more sever in preggo for baby

Question 13

important info about infectivity

Answer 13

people are infective 1 week b4 rash and 1 week after

Question 14

how long rash

Answer 14

3 days

Question 15

is there treatment for pregnant women

Answer 15

they may be treated with hyperimmunogloblin but this may not clear the baby

Question 16

another name for rubella

Answer 16

german measles or 3 day measles

Question 17

what’s the problem with congenital rubella

Answer 17

the babies can shed the virus for up to 2 years so need some sort of contact isolation set up unless pcr and tests have proven negative months apart,

Question 18

how would you describe the stages

Answer 18

prodromal period is uncommon

and usually rash is the first manifetstaioon but before that lymphadenopathy occurs (theordores sign)

Question 19

diagnosis

Answer 19

is unreliable because clinical picture is not very speicif and also labs are unremarkable may show leukopenia . main way is PCR AND ELISA (IG M in a single sample is false +?)

Question 20

dx

Answer 20

eneteroborus
parvovirus b19
toxoplasmosis + cmv -other torch infections
modified measles

Question 21

what to do if a pregnant woman who is unvaccinated catches rubella

Answer 21

advice for termination of pregnancy counselling

Question 22

what to do if there is an unvaccinated pregnant woman

Answer 22

advice for vaccination

Question 23

are patients still infectious even after rash

Answer 23

yes need to isolate up to 7 days after rash

Question 24

measures

Answer 24

isolate 7 days after rash

and if congenital isolate until > 1 years old

Question 25

what is the period of infectivity

Answer 25

approx 8 days before and 8 days after the rash

Question 26

measures

Answer 26

should be isolated for 5 days after the rash appear (same as measles)

people of contact should be monitored for 20 days