Viral skin

Question 1

What is herpes varicella?

Answer 1

chicken pox!
acute eruption of fever, chills, pruritic and erythematous macules and papules starting on face/scalp and spreading to trunk and extremities, evolving to vesicles with cleear fluid
“Dew drop on rose petal” in mouth buccosa

Question 2

How do you treat herpes varicella?

Answer 2

supportive treatment and acyclovir

Question 3

What is herpes zoster?

Answer 3

shingles! “grouped vesicles with erythema”, breakout of erythematous papules and vesicles along dermatome; may come with burning, pain/paresthesia, malaise, myalgia
does not cross midline

Question 4

how do you treat herpes zoster?

Answer 4

antivirals - acyclovir, supportive

Question 5

What’s the difference between herpes simplex 1 and 2?

Answer 5

1 - on mouth, valtrex, abreva gel
2 - on genitals, with –virs

Question 6

What is verruca vulgaris?

Answer 6

WARTS! proliferations of skin and mucosa and commonly fingers, dorsal hands, sites prone to trauma

Question 7

What is the cause of warts?

Answer 7

HPV

Question 8

What is the treatment of verruca vulgaris?

Answer 8

OTC salicylic acid, cryosurgery, imiquimod

Question 9

What is condylomata acuminata?

Answer 9

genital warts from HPV “Cauliflower like lesions”

Question 10

How do you treat condylomata acuminata?

Answer 10

imiquimod, cryosurgery

Question 11

What is molluscum contiagiosum?

Answer 11

single or multiple, rounded, dome-shaped, pink waxy papules; umbilicated with caseous plug

Question 12

what should you consider in children who have molluscum contagiosum?

Answer 12

sexual abuse

Question 13

What is the treatment for molluscum contiagiosum?

Answer 13

resolves on itself, but if desired curettage, cryo, and can try imiquimod too!

Question 14

What is the presentation of rubella?

Answer 14

fever, headache, URI symptoms followed by pink macules/papules that spread downward from face with Forchheimer’s spots (red/petechial macules on soft palate) and lymphadenopathy are common

Question 15

How do you treat rubella?

Answer 15

supportive treatment, but is preventative through measles vaccine

Question 16

What is the presentation of rubeola?

Answer 16

Measles!
3 Cs: cough, coryza (common cold) and conjunctivitis followed by Koplik spots (small white spots with erythematous base) followed by brick red irregular rash, spreads from forehead/hairline to trunk
HIGH FEVER

Question 17

How do you treat rubeola?

Answer 17

supportive treatment!
vitamin A for children

Question 18

What can rubeola cause in children that is life-threatening?

Answer 18

pneumonia

Question 19

What is roseola?

Answer 19

high fever and classical trunk erythema, morbilliform rash, blanchable macules or papules that begin on trunk and spread to extremities.
Mainly in INFANTS!

Question 20

How do you treat roseola?

Answer 20

supportive treatment

Question 21

How does scarlet fever present?

Answer 21

sudden onset fever, pharyngitis, followed by N/V, headache, abdominal pain, strawberry tongue, sandpaper-like rash, desquamation, beau’s lines. Redder in axillary and groin areas

Question 22

How do you treat scarlet fever (scarlatina)?

Answer 22

treat underlying pharyngitis, penicillin, erythromycin

Question 23

What is erythema infectiosum? “fifth’s disease”

Answer 23

low grade fever followed by **bright red, “slapped cheek” appearance ** with circumoral pallor and lacy, reticulated maculopapular rash on extremities followed by trunk

Question 24

What is erythema infectiosum associated with?

Answer 24

miscarriage in pregnancy

Question 25

How do you diagnose and treat erythema infectiosum?

Answer 25

IgM or PCR
Supportive treatment!

Question 26

What is the presentation of hand, foot, and mouth disease?

Answer 26

sore throat, malaise, cough, headache, followed by erythematous macules becoming painful oral vesicles with erythematous halo
yellow-gray vesicle

Question 27

How do you treat hand, foot, and mouth disease?

Answer 27

supportive treatment