PEDS Immunity
Agent: RNA virus
Transmission: Airborne, direct contact with droplets and tansplacental
Complications: Arthralgia and arthritis for adult woman
Symptoms: Pinking, macular papular rash
Forschhelmer's, and petechia ( red or purple) on soft palate
Rubella ( 3-day measles, German)
Agent: Bordetella pertussis
Transmission: direct contact, respirating droplets from coughing
Complications: pneumonia and other respiratory illness from atelectasis to hypoxia
Treatment: antibiotic
Pertussis (whooping cough)
Agent: RNA virus
Transmission: direct contact with droplets or airborne
complications: croup or bronchopneumonia
Treatment: treat symptoms
Symptoms: rash begins ears down to the hairline and spreads down toward the feet. koplic spots on the buccal mucosa. red maculopapular rash that turns brown.
3 c's: Coryza (runny nose) cough and conjuctivitis
Rubeola ( measles)
Agents: paramyxovirus
Complications: aseptic menigitis and meningoencephalitis, orchitis, and hearing impairment.
symptoms: fever, myalgia, malaise and headache
Mumps
Agent: human herpes virus (HHV-6)
transmission: secretion of symptoms
symptoms: high fever (103-106) can cause febrile seizure. cough, runny nose, abdominal pain, headache, vomiting and diarrhea..
so they will have high fever and breakout with a rash head to toe after 24-48 hours.
Roseola infantation (sixth dx)
transmission: airborne, respiratory droplets blood and transplacental
high risk if pregnant. This can cause a miscarriage.
"slap cheek" appearance. instense, fiery red, edematus rash of the cheeks
in childrea: headache, malaise, runny nose and mild fever.
Erythema infectionusum (fifth DX)
Direct, droplet and airborne
The lesions appear "crop," first appearing on the trunk.
macularpapular teardrop vesivles with an erythematous base and then pastules dries develop crust.
AVOID any aspirin due to rye syndrome.
oatmeal bath
varicella vaccine
herpes zoster
Varicella (chicken fox)
acquired leading disorder: acute or chronic
S/S
sudden onset of bruising and petechiae
TX: steroids and IVIG. if meds doesn't work, splenectomy maybe done
Immune thrombocytopenic purpura
Agent: Borrelia burgdorferi
bite of an infected tic
"bullseye" rash.
lyme Disease
Rocky mountain spotted fever
Reservoir: wild rodent and dogs
Vector: tic
Treatment: doxycycline flouroquinone
no vaccine available
S/s rash that spread, headache, ever, anorexia, restlessness
Ricketsial infection
Herpes-liked virus
Transmission: saliva, intimate contact, blood
Complications: exantherns, hepatitis, splenic rupture in the first 1.3 weeks
AVOID contact sports due to splenic rupture.
Treatment: steroids
bedrest, hydration, relief of comfort
Epstien Barr virus (mononucleosis)
cause by coxsackievirus A16
inflammation an dlesion in the mouth, palm and sole of the feet.
complications: potential dehydration in young children because they refuse to eat dure to painful lession.
Hand, foot, and mouth disease
agant: Group a beat hemolytic streptococcoci
Transmission: airborned and direct contact
treatment: antibiotics
Symptoms:
"strawberry tongue"
rash like "sandpaper" in the groin, axilla and neck
desquamination
fever, vomiting, headache, abdominal pain, nausea and pharyngitis
Scarlet fever (strep throat)
ingestion of eggs from contaminated soil.
abdominal pain and vomiting
roundworm
ingestion and inhalation of eggs. nocturnal anal itching and sleeplessness
Pinworm
ingestion from handling or eating infected pork. may have nausea, vomiting, anorexia and weight loss.
Tapeworm
skin penetration from the contact with soil.
dermatitis, anemia, pneumonitis
Hookworm