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15 Cards in this Set
- Front
- Back
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in what age group is mono most common?
10-30 20-25 25-40 |
10-30 y.o.
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in what age range is mono most common?
10-20 15-24 24-35 |
15-24 y.o.
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is there a greater incidence in men or women?
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equal incidence
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mono may have a coincidence with the pathogenesis of???
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lymphoma and nasopharyngeal CA
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what is the etiology of mono?
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ebstein barr virus, spread by saliva, ebv is a herpes virus, can be acute or latent, viral shedding via pharyngeal secretions (why it is the kissing disease)
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what type virus is mono?
-vzv -hsv -ebv |
it is the ebstein barr virus that is also a herpes simplex virus
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what are some d/d of mono?
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pharyngitis
hand, foot, mouth disease chronic fatigue depression toxoplasmosis hiv sleep depravation cytomegalovirus flu poor nutrition |
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what is the triad of mono?
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fever
sore throat lymphadenopathy (especially cervical/posterior) |
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what are other s/s of mono?
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fatigue
splenomegaly myalgia palatal petechiae ha anorexia |
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what are the lab tests to perform if someone presents with s/s of mono?
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rapid strep to r/o pyogenes
monospot (latex agglutination; heterophile antibody) there is up to 25% false negatives in first week of sx's CBC w/ diff will show lymphcytosis with atypical lymphocytes ebstein barr virus nuclear antigen (IgG) |
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what is the tx of mono?
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largely symptomatic
increase fluids abdominal protection rest if fatigue motrin/tylenol for pain/fever no contact sports x4 weeks corticosteroids only with significant complications such as pharyngeal edema |
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why can't you give asa to a child?
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leads to reyes syndrome
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is there a known benefit from anti-viral tx for mono?
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no
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what is shown on a CBC that is characteristic of mono?
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lymphocytosis and elevation in atypical lymphs is characteristic of mono
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pt can develop rash incorrectly diagnosed with strep and tx'd with?
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ampicillin or amoxicillin
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