v sy/sg Flashcards
Skin vesicles = dew on a rose petal: a fluid filled vesicle on top of a red base.
o The fluid becomes cloudy, ruptures, and then scabs over.
o Multiple vesicles can occur together to form a crop.
varicella (chickenpox) from varicella zoster virus
mucocutaneous infections, the liver, lungs, and GI
Disseminated herpes from HSV 1/2
fever, “slapped face” rash on cheeks
erythema infectiosum (5th dis) in kids: parvoviridae
cervical dysplasia and carcinoma
cervical cancer from papilloma virus
small red vesicles on the back of the throat.
Herpangina: coxsackie virus A:
-also w mild self-limiting illness characterized by fever, sore throat, and
myalgias
HIV: acute viral illness
mild fever, lymphadenopathy, flu-like symptoms, and maculopapular rash that goes from the forehead to the face to the torso to the extremities lasting 3d
rubella from rubivirus
hemmorrhagic fever
- ebola and marburg virus: filoviridae
- hantavirus pulmonary synd of bunyavirus in eu and asia
protozoal infections in AIDs pts
- Toxoplasma gondii
* Cryptosporidium, microsporidia, and isospora belli:
hemorrhagic cystitis in bone marrow transplant recipients
BC polyomavirus
seizures
- ebola virus from filoviridae
- congenital: cytomegalovirus
vesicles in a u/l dermatomal pattern
varicella zoster virus (chickenpox and shingles)
fever, headache, lower thoracic pain on breathing (pleuritic pain)
Pleurodynia: coxsackie virus B
smoldering wasting dz that is characterized by fever, night sweats, weight loss, diarrhea, and elevated liver enzymes
Mycobacterium acium-intracellulare (MAI) in AIDS pts
severe genital and oral outbreaks.
Herpes simplex
congenital chorioretinitis
rubella from rubivirus when cross placenta
esophageal sores
HIV: acute viral illness
colitis (leading to diarrhea).
CMV in:
- AIDs pts
- immunocomp pts
atypical lymphocytes on blood smear
mononucleosis from EBV (are large activated T cells)
microcephaly
cytomegalovirus
white hair-like projections coming off the side of the tongue.
oral hairy leukoplakia (OHL) when EBV in AIDS pts
severe brain and liver dis when give aspirin if have flu or chicken pox
Reyes synd
swelling of parotid gland
mumps virus
lymphadenopathy and splenomegaly
mononucleosis from EBV (from the proliferating B cells)
small 1-2mm white bumps that have a central dimple.
molluscum contagiosum from poxiviridae
conjunctivitis/swelling of the eyelids/photophobia,
prodrome (during incubation, before rash) of measles virus
mononucleosis
EBV if + monospot test
cytomegalovirus if - monospot test
cough and hypoxa.
• CXR: interstitial infiltrates or be normal.
Pneumocystis jiroveci pneumonia (PCP) in AIDS pts
URI: flu-like symptoms/URI
parainfluenza virus
brain mass: present as seizures, weakness, aphasia.
Toxoplasma gondii in AIDs pts
Fevers, myalgia, chills, and later dry cough, chest pain (pleurisy), and dyspnea, possibly a sore throat
SARS from coronavirus
encephalitis: fever, brain inflammation, headache, and focal neurological deficits
alpha virus of togaviridae (VEE, EEE, WEE)
chorioretinits resulting in blindness.
CMV in AIDs pts
severe resp illness (maybe polio like too)
enterovirus C68
HIV co infections when T cell count of 200-400 (after 7y)
(weight loss, fever, night sweats, adenopathy)
• Infections = severe athletes foot, oral thrush (candida albicans), herpes zoster become more common.
swollen gums with painful vesicles in the mucous membranes and where the entry occured
Gingivostomatitis from HSV 1/2
congenital interventricular defects
rubella from rubivirus when cross placenta
oral thrush and esophagitis.
Candida albicans in AIDs pts
the hepatitis that does not cause liver dis
HGV
negri bodies in cytoplasm
rabes from rhabdoviridae
red-purple plaques or nodules all over the body skin.
Kaposi’s sarcoma
• Can remain limited with only some skin involvement or can progress and go after the LNs, Lungs, and GI tract too
cardiomyopathy
-myocarditis/pericarditis: coxsackie virus B
hemmorrhage
dengue fever from flavivirus
Subacute sclerosing panencephalitis (SSPE)
slow form of encephalitis that is caused by measles v.
•can progress to CNS dz, mental deterioration, and incoordination.
nephritis and ureteral stenosis in renal transplant pts
BC polyomavirus
Red, flat or maculopapular rash that spreads from the forehead to the face, neck, torso and feet by the third day.
–> thicker and then disappear in the same pattern
measles virus
Koplik’s spots
measles virus: 1-2 days before the rash, pt develops small red lesions with blue-white centers in the mouth
hyperactivity and agitation –> confusion , meningismus, seizures, aggressive, fearless, disoriented
acute enchphalitis of rabes from rhabdoviridae
- eventually, low blood O2 levels, infiltrates in multiple parts of the lung and no evidence of heart failure
RDS (non-cardiogenic pulmonary edema): Bird flu pandemic (H5N1) from Orthomyxoviridae
myelopathy and peripheral neuropathy
AIDS
massiver generalized lymphademopathy; also more bac and skin infections at the end
acute viral pd or clinical latency pd of HIV
orchitis
mumps virus: - swelling of the testicle and stretch the capsule to cause intense pain and rarely cause infertility.
1 mo after infection, fever, malaise, lymphadenopathy, and pharyngitis.
acute viral illness of HIV
high WBC, high RBC, and low platelets.
hantavirus pulmonary synd of bunyavirus
dramatic motor paresis or paralysis
neuroinvasive dis from west nile virus from flavivirus
congenital patent ductus
rubella from rubivirus when cross placenta
painful backache, muscle and joint pain, fever and severe headache.
dengue fever from flavivirus