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SB_Infectious Disease (Pediatrics Royal College 2018) > Pearls > Flashcards

Flashcards in Pearls Deck (16)
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1
Q

Eczema herpeticum

A

IV acyclovir - very febrile

2
Q

Superinfected eczema-severe

A

IV vancomycin

Pt at risk - hemodialysis, DM, eczema

3
Q

Varicella CP

A

In crops
Start at papulles in warm areas to dry to crusting

Vaccine - 95 % effective

4
Q

Measles CP

A

Look sick

Cough
Coryza
Conjunctivitis - bad
Concurrent fever
koplik
Cephalocaudal rash 
Cervical lymphadenopathy
5
Q

Parvovirus CP

A

Slap cheeks

6
Q

BCG vaccine SE

A

Osteomyelitis

Lymphadenitis

7
Q

Mycobacterium LN CP

A
Unilateral
Submandibular region
Toddler
Non tender
Soil found - toddlers putting stuff in mouth and teething

Treat rifampin and clarithromycin

8
Q

Periorbital cellulitis

A

From sinusitis.

9
Q

Cervical adenitis ABX

A

Cefuroxime and clindamycim

Cephazolin-new

10
Q

Causes of erythema nodosum

A
Viruses= EBV,Hep B, mumps
Fungi= Histo, blasto, coccidiodomycosis
Bacteria= GAS, TB, Yersinia, cat scratch, mycoplasma, whipple, tularemia..
Other= sarcoidosis, IBD, OCP, SLE, Behcet, hodgkin, lymphoma, sulfonamides, pregnancy, iodopathic, Sweet syndrome
11
Q

criteria for strep toxic shock syndrome

A
  • Hypotension plus 2 or more of the following:
      -Renal impairment
      -Coagulopathy
      -Hepatic involvement
      - ARDS
      - Generalized erythematous macular rash
      - Soft tissue necrosis
    Definite case
     Clinical criteria + GAS from a normally sterile site
    Probable case
     Clinical criteria + GAS from a nonsterile site
12
Q

criteria for Staph toxic shock

A

MAJOR CRITERIA (ALL REQUIRED)

  • Acute fever
  • Hypotension
  • Rash (erythroderma with convalescent desquamation)

MINOR CRITERIA (ANY 3 OR MORE)

  • Mucous mb inflammation (vaginal, oropharyngeal or conjuctival hyperemia, strawberry tongue)
  • Vomiting, diarrhea
  • Liver abnormalities
  • Renal abnormalities
  • Muscle abnormalities (myalgia or high CK)
  • CNS abnormalities (alt LOC but no focal neuro signs)
  • Thrombocytopenia
13
Q

How do you treat Strep TSS

A

Penicillin IV PLUS
Clindamycin IV PLUS
IVIG 2 g/kg/dose IV x 1
ID Consult stat

14
Q

How do you treat Staph TSS

A

Cloxacillin IV PLUS
Clindamycin IV PLUS
IVIG 2 g/kg/dose IV x 1
ID Consult stat

15
Q

how do you treat TSS of unknown pathogen

A

CeFAZolin IV PLUS
Clindamycin IV PLUS
IVIG 2 g/kg/dose IV x 1
ID Consult stat

16
Q

Mycobacterium tuberculosis

A

Right supraclavicle node drain thorax