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39 Cards in this Set
- Front
- Back
What are the ssx of varicella? |
1. Crops of lesions progress rapidly from: 2. Red macules-->papules-->pustules-->crusts |
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What is the MCC of varicella? |
1. HHV-3--- VZV |
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What are the complications associated with chickenpox? |
1. Reye's syndrome 2. Zoster--- shingles |
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How do you tx chickenpox? |
1. Acyclovir
AVOID SALICYLATE |
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What is the vaccine for VZV? |
1. Varivax |
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What are the ssx of HFM disease? |
1. Small, fragile vesicles with red areolae on palms/soles and other surfaces 2. Fever, malaise, arthralgias |
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What are the MCC of HFM disease? |
1. Coxsackie A 2. Enterovirus 71 |
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How do you tx HFM disease? |
1. Supportive |
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What are the ssx of herpangina? |
1. Few grayish papules-vesicles with erythematous areolae on tonsils, soft palate, uvula, and tongue |
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How do you tx herpangina? |
1. Symptomatic/supportive |
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What are the ssx of herpes zoster? |
1. Vesicles on red, edematous, tender plaques 2. Dermatomal distribution |
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How do you tx herpes zoster? |
1. Valacyclovir 2. Famciclovir 3. Acyclovir |
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What are the ssx of smallpox? |
1. Centrifugal macular rash---> papules--> vesicles---> pustules 2. Rash starts at head and moves to trunk |
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What is the MCC of smallpox? |
1. Variola virus: dsDNA, brick-shaped |
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How do you dx smallpox? |
1. Guarineri bodies
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How do you tx smallpox? |
1. Cidovir 2. Smallpox vaccine |
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What are the ssx of rickettsialpox? |
1. Herald lesion at bite site 2. Black eschar 3. Rash that is evenly distributed EXCEPT for palms, soles, and mucous membranes |
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What is the MCC of rickettsialpox? |
1. R. akari |
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1. R. akari--- pleomorphic obligate intracellular bacterium |
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What are the ssx of disseminated Vibrio vulnificus infection? |
1. Erythematous pathces---> ecchymoses---> vesicles---> bullae 2. GI ssx 3. Malaise, chills, fever |
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What is the morphology of Vibrio vulnificus? |
1. Curved gram negative rods |
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How do you tx disseminated Vibrio vulnificus infection? |
1. Doxycycline + ceftazadmie 2. Symptomatic/supportive |
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What are the ssx of ecthyma infectiosum? |
1. Red-to-purple tender papule--> umbilicated pustule
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What is the MCC of ecthyma infectiosum? |
1. Orf virus--- sheep poxvirus |
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How do you tx ecthyma infectiosum? |
1. Symptomatic/supportive 2. Avoid infected sheep |
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What are the ssx of molluscum contagiosum? |
1. Translucent, pink or flesh-colored, dome-shaped papule with central depression |
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What is the MCC of molluscum contagiosum? |
1. Molluscum contagiosum virus--- dsDNA |
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How do you tx molluscum contagiosum? |
1. Crytotx 2. Curettage |
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What happens when you press on the center of a molluscum contagiosum lesion? |
1. Cheese-like material comes out 2. Molloscum bodies on giemsa stain |
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What are the ssx of SSS? |
1. Tender, scarlatiniform rash 2. Impetigo-like 3. Flaccid, clear bull |
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What is the MCC of SSS? |
1. S. aureus |
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What are the degenerate bacteria? |
1. Rickettsia 2. Chlamydia 3. Mycoplasma |
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How do you tx SSS? |
1. Usually self-limited 2. Oxacillin, nafcillin |
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What is the MCC of toxic epidermal necrolysis? |
1. Drug tx--- sulfonamides, barbiturates, NSAIDs, phenytoin, allopurinol, penicillin |
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What are the ssx of meningococcemia? |
1. Erythematous macules, petechiae, purpura, ecchymoses 2. Possible Waterhouse-Friderichsen |
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How do you tx meningococcemia? |
1. Penicillin G 2. Ceftriaxone |
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What are the ssx of Kawasaki syndrome? |
1. Red and swollen palms 2. Prominent rash on trunk---desquamation 3. Fever 4. Strawberry tongue 5. Cervical LAD |
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What are the MCC of Kawasaki syndrome? |
1. Rickettsia 2. EBV 3. Retroviruses 4. S. viridans 5. Staph |
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How do you tx Kawasaki syndrome? |
1. IgG + aspirin |