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31 Cards in this Set
- Front
- Back
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normal temp range
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97 - 99.6 F
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tetracycline
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bacteriostatic
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tetracycline
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may be antagonistic when used with a beta lactam
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older infants (> 1 mth) and children < 5 yrs
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may have an exagggerated febrile response ...temp <= 105 F
WHICH could mean serious infections in children older than 5 |
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fever of unknown origin
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roseola infantum, sixth disease
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caused by PRIMARILY by HHV-6
and HHV-7 in 10-30% |
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hhv-6
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major cause of acute febrile illness in infants
and may be responsible for 20~ OF ER visits for children 6-18 mths |
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impetigo clincal presentation
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vesicles or bullae -
most often involve face, most commonly around nares and mouth fever - uncommon |
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impetigo tx
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stay out of school/day care until 24 h antibiotic therapy
nonbullous - topical muciprocin 2nd line - antibiotics(oral) bullous - antibiotics(oral) |
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cellulitis empirical tx
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1st gen cephalosporin
if MRSA in community high then use clindamycin or cotrimoxazole |
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strep pyogenes cause
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cellulitis and erysipelas
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hospitlaization for cellulitis is required:
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for erysipelas and cellulitis of hands, feet, face, perineum, lymphangiitis and those failing outpatient tx
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perianal dermatitis etiology
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strep pyogenes
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tx of herpes simplex in special population
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infants
persons with eczema immunodeficiency should receive intravenous acyclovir |
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lymph nodes in kids
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most prominent in children 4-8 yrs old
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EBV serology
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most reliable test for acute ebv infection is IgM antiviral capsid antigen (I.e. esp in children less 4)
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brudinksi and kerning sin are present in children
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older than 1 year old
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rare causes of rhinorrhea
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choanal atresia or stenosis
csf fistula diphtheria tumor nasopharyngeal malignancy syphilis congenital (snuffles) Wegener Granulomatosis |
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ddx for acute orbital cellulitis
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aspergillosis
rhabdomyosarcoma neuroblastoma Wegener granulomatosis trinchinosis pseudotumor of orbit zygomycosis |
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normal flora of external canal of ear
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corynebacterium
coagulase negative staph aureus |
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otitis externa presentation
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fever absent and hearing unaffected
tenderness aural discharge |
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malignant otitis externa
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same symptoms as o externa PLUS facial nerve palsy
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fluoroquinolones
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contraindicated in <18 mths
plus preg and lactating women |
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tetracycline
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contraindicated in <9 yrs
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sterile vegetation s
endocarditis |
rheumatic heart disease
lupus |
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osteomyelitis
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most common in children 3-10
more common in boys |
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infectious arthritis aka
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suppurative or septic
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children with TB
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rarely infect other children and adults
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TB
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significant cough is absent
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hospitalized tb children
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are respiratory isolation
most recover in 2 wks on tx and non infectious in several days |
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tb disease
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clinical ftx
or abnormal xray |
