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13 Cards in this Set

  • Front
  • Back

Definition delayed puberty

Girls > 14yrs


Boys > 15yrs

Ages of precocious puberty

Girls <8


Boys < 9.5

Infections that impact baby during pregnancy

HIV


Genital herpes


Hepatitis B and C


Varicella zoster


Mumps


Rubella


Parvovirus B19


CMV


Group B strep



ZikaToxoplasmosisSTIs


ZikaToxoplasmosisSTIs


Toxoplasmosis


STIs

Measles

RNA paramyxovirus


Exclude 4 days after rash


Prodromal stage (3 C's) then exanthomous stage then convalescent stage


Complications - acute otitis media, croup, sinusitis, bacterial pneumonia

Rubella

Togavirus


General pale pink Macpac rash


Starts face neck and spreads to trunk


No prodrome


Parvovirus B19 aka slapped check aka erythema infectiosum

Bright confluent rash with circumoral pallor for 2 - 3 days


Roseola infantum

Human herpes virus 6


Age 6 - 18 months, rare after this


High fever 3 days then bright red rash to trunk sparing limbs and head **appears as fever subsides **


Mild cervical lymphadenopathy


Hand foot and mouth disease

Coxsackie A


Exclude until blisters healed


Usually resolves in 3-5days


Scarlet fever

Group A streptococcal pyogenes


Prodromal symptoms 2 days then rash and 🍓 👅 on day 2


Prominent rash on neck axilla skin folds with circumoral pallor


Feels like fine sandpaper


Phenoxymethylpeniciilon for 10 days can go to school after 24hr abx

Kawasaki disease

Unknown cause


Fever 5 days, maculopapular polymorphous rash, cervical lymphadenopathy, dry red cracked lips, erythema and oedema palms and soles, desquamation


Risk - vasculitis, coronary aneurysm - need aspirin IVIg and echocardiogram

Mumps


Paramyxovirus


Fever headaches malaise


Unilateral or bilateral inflammation of parotids


Complications - orchitis, aseptic meningitis

Treatment for head lice

Need to repeat treatment in 7 days


Treat other household members


Wet combing method


Maldison 0.5% or 1%


Permethrin 1%


Pyrethrins 0.165% plus piperonyl butoxide 1.65%


Exclude until after first treatment

Scabies treatment

Permethrin 5% leave for 8hrs usually overnight then repeat in 7 days