Wk 17: Paediatric infectious diseases Flashcards

1
Q

What causes impetigo?

A

Staphylococcus aureus or streptococcus pyogenes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the presentation of impetigo?

A
  • Small red lesions
  • Weep
  • Form yellow crust
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the OTC treatment for impetigo?

A

Hydrogen peroxide 1% (BD/TDS for 5 days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the counselling points for impetigo?

A
  • Use own face towel
  • Keep away from school until rash clears
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the symptoms of slapped cheek syndrome?

A
  • Fever 38
  • Ruuny nose
  • Sore throat
  • Headache
  • Upset stomach
  • Generally unwell
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What causes slapped cheek syndrome?

A

Parvovirus b19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How contagious is slapped cheek syndrome?

A

Not contagious once rash appears - 4-14 days after infected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is hand, foot + mouth?

A
  • Causes mouth ulcers + spots on hands + feet
  • Clears up w/in 7-10 days
  • Develops 3-5 days after exposure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the symptoms of scarlet fever?

A
  • Flu like symptoms
  • High temp
  • Sore throat + swollen neck glands
  • 12-48hrs later: rash on chest (sandpaper)
  • White coating on tongue peels leaving it red, swollen + covered in bumps
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How long does the symptoms of scarlet fever last and is it infectious?

A
  • Symptoms last 1 wk
  • Infections 6 days before symptoms until 24hrs after 1st antibiotic
  • No antibiotic: 2-3 wks after symptom
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for scarlet fever?

A
  • Pen V QDS 10 days
  • Drink cool fluids
  • Eat soft food if sore throat
  • Paracetamol for fever
  • Calamine lotion/antihistamine for itching
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the symptoms of measles?

A
  • Spread by droplet inhalation/contact
  • Prodromal period: severe flu + conjunctivitis
  • Develop white spots inner cheek + gums (koplik spots)
  • Rash behind ears + hairline moving down trunk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Would you refer measles?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the symptoms of german measles/rubella?

A
  • Cold like w/ lymphadenopathy (usually asymptomatic)
  • Rash doesn’t spread head downwards
  • Not as contagious
  • Dangerous in early pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What causes chickenpox?

A

Varicella zoster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How long is chickenpox contagious?

A

1-2 days before + 6 days after first crop

17
Q

What is the treatment for chickenpox?

A
  • Fluids
  • Analgesics: avoid NSAIDs
  • Antihistamine: esp sedatives
  • Frequent cool washes, inclusion of sodium bicarbonate
  • Topical calamine lotion or cream
18
Q

Why would you not use NSAIDs for the treatment of chickenpox?

A
  • Inc necrotizing soft tissue infections
  • Inc secondary infections caused by invasive streptococci
  • Inc risk of skin reactions
19
Q

What are the complications of chickenpox?

A

Secondary infections:

  • Staphylococcus aureus
  • Streptococcus pyogenes
  • Scarlet fever
  • Toxic shock syndrome
  • Post chickenpox encephalitis
  • Thrombocytopenia
20
Q

What are the causes of meningitis?

A
  • Bacteria: neisseria meningitidis
  • Infection via haemophilis influenzae
21
Q

What are the symptoms of meningitis?

A
  • Photophobia
  • Stiff neck
  • Lethargy/drowsiness
  • Petechial rash
22
Q

What is whooping cough caused by?

A

Bordetella pertussis

23
Q

What are the presentations of whooping cough?

A
  • Grouped into paroxysms of 20-30 coughs
  • Each ending with inspiratory whoop
  • W/ thick mucus difficult to expectorate
24
Q

What are the dangers of mumps in adult males?

A

Sterility