(smallpox) And (chickenpox/shingles) Flashcards

1
Q

What cases smallpox virus?

A

Variola virus

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2
Q

Who gets variola? How is it spread

A

-Anyone who comes in contact with the virus
- Mainly by direct and prolonged face-to- face contact

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3
Q

When are people with small pox contagious?

A

When the first sore appears until the last smallpox scab fell off

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4
Q

What are the symptoms of small pox

A

Scabs and sores in the skin

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5
Q

What is the progression of smallpox

A

Incubation period- initial period- early rash phase-postular rash phase

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6
Q

Incubation period

A

-7-19 days with an average of 10-14 days
- No symptoms and not contagious

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7
Q

Initial period

A

-2-4 days
- high fever, body and headaches and possibly vomiting
- no rash and typically not contagious

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8
Q

Early rash phase

A

-sores start in mouth and throat then goes to face and downward/outward
- sores on palms and soles
-Sores fill with fluid

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9
Q

Postular rash

A

-last 10 days
-patient contagious
-14 days after rash appears most sores have scabbed over

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10
Q

What is the pathogenesis of variola

A

Virus entry and multiply in respiratory epithelium-> blood circulation primary viremia->liver, spleen-> 2nd viremia->Capillary vessel-> Dermis

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11
Q

How do we identify it

A

Modified-type smallpox
Flat-type small pox
Hemorrhagic smallpox

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12
Q

How do we diagnose?

A

-Today it is difficult since most doctors have never seen it
- Testing is available though

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13
Q

What are the treatments

A

Symptomatic care- preventing dehydration, reducing fever

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14
Q

Can we prevent variola?

A

Vaccines are available to prevent illness

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15
Q

History of small Pox?

A
  • likely existed for +3,000 years
  • increased trade b/w countries and crusades further spread smallpox
  • in 16th century, trade and exploration brought smallpox to carribean and South America
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16
Q

What causes chickenpox and shingles?

A

Varicella virus

17
Q

Who gets chicken pox? shingles?

A
  • anyone who breaths in the varicella-zoster virus
  • anyone who has dormant varicella-zoster virus hiding in the spinal cord
18
Q

What are the symptoms of chicken pox?

A

Bumpy, itchy rash
-starts from the head down
Small fluid filled bumps

19
Q

What are the symptoms of shingles

A

Painful rash with blisters in limited areas of the body

20
Q

How do we treat chickenpox and shingles?

A
  • calamine lotion on individual ‘pox’
    -oatmeal bath
  • keep cool
  • covering and not itching the rash, antivirals for extreme cases, management of symptoms
21
Q

Can we prevent chicken pox and shingles

A

-chicken pox vaccine
- varicella vaccine for adults
- zoster vaccination

22
Q

Can you catch shingles?

A

No, you must have chicken pox first

23
Q

3 historical facts

A

-1767 chicken pox was finally fully distinguished from small pox
- 1909 differentiation of herpes zoster and varicella zoster
- 1972 first vaccine was available

24
Q
A