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35 Cards in this Set
- Front
- Back
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clinical manifestations of viral meningitis in children
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following a RTI
headache, irritability, N/V, rigidity, lethargy, photophobia Kernig (leg raise) & brudinski (head raise) signs |
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clinical manifestations of viral meningitis in infants
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depressed mental status
poor feeding bulging fontanelles |
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what labs do you run for viral meningitis
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lumbar puncture
CSF exam= WBC count, protein and glucose levels, gram stain, full micro lab work up PCR |
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how do you treat meningitis
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dexamethasone before or with antibiotics
dec incidence of hearing loss and neurological deficits seen in H. influenzae infections |
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charicteristic sign of Mumps
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fever
bilateral or unilateral parotid swelling often c meningiencephalitis & orchitis |
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* when can you see mumps in the saliva*
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1 week prior to and 1 week after parotid swelling
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*what do you see in the CSF of a pt c mumps*
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mononuclear pleocytosis
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what are the prodrome manifestations of mumps
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fever, headache, vomiting, achiness for 1 to 2 days
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what type of foods or liquids might ingrease parotid pain in mumps pts
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sour or acidic foods
"apple juice was example given" |
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how do you diagnose mumps
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signs +
culture ELISA rtPCR of urine, sputum, or CSF |
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what are the most common complications of mumps
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meningitis
encephalitis orchitis |
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what is the immunization schedule for MMRV
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1st dose @ 1 year
2nd dose @ 4-6 years |
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can you give the MMRV to a pt with HIV?
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as long they are not severely immunocompramised at the time of administration
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*what must you do on all pregnant mothers with any history of HSV*
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C-section
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*when should you suspect that an infant has HSV*
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Seizures*
fever irritability liver dysfunction sepsis |
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what is the treatment for neonatal HSV
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IV acyclovir
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*what is the communicable period for VZV*
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2days before and 7 days after the onset of rash
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what is a classic pain symptom for zoster
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pain along a dermatome
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what CNs are involved with VZV
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CN V
CN VII- (ramsay-hunt synd) |
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when do you see severe neonatal complications of VZV
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mothers with varicella 5 days before to 2 days after delivery
treat infants with VZIG |
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*when can children with VZV return to school*
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when all of the vesicles have crusted over
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*what should you do for all infants <3 months of age presenting with a fever*
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hospitalize
draw blood, urine, and CSF cultures IV broad spectrum antibiotics like: *cefotaxime & ampicillin* or *ampicillin & gentamicin* follow up for 72 hours |
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causitive agent for RMSF
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ricketsia ricketsii
tick borne |
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*what is the difinitive manifestation of RMSF*
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Fever &
Rash begining peripherally and spreading to the entire body, including palms and soles |
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common lab findings for RMSF
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thrombocytopenia
anemia hyponatremia elevated transaminase levels |
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what is the treatment for RMSF
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IMMEDIATE treatment with Doxycycline
child or not |
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agammaglobulinemia info
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Xq22
6-9 month olds recurrent infections arrested B-cell differentiation lymphoid hypoplasia |
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SCID info
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No T-cells and B-cell dysfunction
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common causes of pneumonia in neonates
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group B Strep
E coli Strep pneumo H. influenzae |
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common causes of FEBRILE pneumonia for 1 to 3 month olds
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RSV
PIV, flu, adeno Strep pneumo H. influenzae |
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common causes of AFEBRILE pneumonia at 1 to 3 months
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Chlamydia
Mycoplasma Ureaplasma CMV |
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common causes of pneumonia in 3 to 12 month olds
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RSV
PIV, flu, adeno Strep pneumo H. influenzae Chlamydia mycoplasma group A strep |
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common pneumonias for 1 to 5 year olds
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RSV
PIV, flu, adeno Strep pneumo H. influenzae mycoplasma Chlamydia S. aureus group A strep |
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common causes of pneumonia for 5 to 18 year olds
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Mycoplasma
Strep pneumo Chlamydia H.influenzae viruses |
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what antibiotics should not be given to anyone under 18 or pregnant or lactating women
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flouroquinolones
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