Tuesday - anderson - infectious exanthems

Question 1

Exanthem vs enanthem

Answer 1

Exanthem - expressed on cutaneous surface

Enanthem - mucosal surface

Question 2

What causes common warts, plantar warts, and genital warts. what is another name for genital warts?

Answer 2

HPV

condylomata

Question 3

Asympotmatic, discrete papular, waxy lesions with an umbilicated (having a small depression that resembles a naval) appearance.

spread how?
treatment?

Answer 3

Molluscum contagiosum (poxvirus)

direct contact

mechanical removal

Question 4

Another name for smallpox

Answer 4

variola

Question 5

circular, solitary lesion on hand beginning as an erythematous papule and developing into a vesicle. Happens to people who work with sheep.

Prognosis?

Answer 5

Ecthyma contagiosum (orf virus, a pox virus.)

heals on its own in 30 to 40 days.

Question 6

Key clinical differences between chicken pox and small pox?

Answer 6

small pox = palms and soles, scabs 10 to 14 days after rash

Chcken pox = seldom on palms and soles, scabs four to seven days after the rash appears.

Question 7

whitlow

Answer 7

Herpes simplex on the finger

Question 8

infant seems playful in spite of high fever, 3 days after fever started gets a maculopapular rash (tiny red bumps) on neck and trunk.

Answer 8

exanthem subitum, roseola (herpes virus 6 and 7

Question 9

adolescent. sore throat, mild fever, enlarged lymph nodes, extreme tiredness that lingers. spleen can enlarge.

What dont you give

Answer 9

mono (epstein barr (herpes class 4))

don’t give ampicillin, you can get a rash

Question 10

Mouth only variant of hand foot and mouth disease. organism?

what types of rashes appear first for HFM?

Answer 10

Herpangina. coxsackie cirus.

enanthem first, then exanthem

Question 11

child: flu-like process with mild fever, malaise, abdominal cramping, diarrhea, non-specific maculopapular rash of trunk.

route of entry?

Answer 11

non-specific viral exanthem (echo virus (enterovirus), enterovirus D-68)

fecal to oral

Question 12

Slapped cheek appearance. Need to keep kid out of school?

Protect who from this?

Answer 12

fifths disease (erythema infectiosum)

parvovirus B19

after rash developes, it is not contagious anymore.

protect pregnant women, this can cause first trimester abortions.

Question 13

Rhinitis and cough, conjunctivitis, discrete red rash, high fever, oral leasion of koplik spots (white spots in mouth)

Answer 13

Measles (parmyxovirus)

Question 14

Upper respiratory symptoms, malaise, low grade fever. Shortly after, a fine maculopapular rash on upper body and spreads to lower body that clears in same way. Forchheimer spots (red dots on soft palate) Sometimes lymphadenopathy.

Answer 14

German measles (toga virus)

Question 15

returned from the caribbean. High grade fever lasting 1-5 days, significant general malaise and vomiting, after fever, a generalized rash sparing the soles and palms

Answer 15

Dengue fever (dengue virus (arbovirus), chikungunya virus)

Mosquito borne