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24 Cards in this Set

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HPSM, hyperbili, blueberry muffin rash (hemolytic anemia)
-eye/ear defects -periventricular calcfx
-hear loss** (can come later)-interstitial PNA, macpap rash
-microcephaly, ocular defects; CV, hypospadias, GI, msk prb
CMV; ganciclovir
? dx CMV
* urine, throat, CSF cx
-PCR;
-IgM-CMV ab
*rash; Cataracts, Deafness, Cong heart disease;
-IUGR, retinopathy; bone radiolucenciences, pne umonitis, heptatitis; HPSM; thrombocytopenia;
older- HA, LAD precede rash; LAD, suboccipital posterior auriciluar;
-pruritic rash, confusion; fever;
Rubella; riks decreases w/ gestational age
? dx rubella ?
Nose, urine, cataracts, CSF cx
-IgG/M Rubella Ab
-or titer rise
vesicular rash @ birth LBW; chorioretinitis, brain damage; microcephaly; intracranial calfx; microopthlamia; cataracts
Herpes Simplex
? dx HSV?
Culture,
-direct Ag from lesion
-CXF PCR
-Ig M
-transmission risk: HBeAg w/o anti-Be
-3rd trimester; hi HBsAG
-asymp initialy
Hepatitis B
? How prevent heb B in baby of infected mom?
prevention: HBIG AND vaccine w/in 12 hrs
Cutaneous scars, hypopig; limb hypoplasia; encephalitis, low BW, chorioretinitis, microopthalmia, club foot; ? dx and when is mom most risky ?
varicella; -risky: early pregnancy, at term; -most risky: mom : 5 days prior/48 hrs after delivery
how dx and tx varicella?
h/o; cx, PCR, DFA
-culture lesion or direct ag test

tx: VZIG @ birth –baby, tx w/ acyclovir if illness occurs
-most –risky: last 2 wks pregnancy Mycoraditis;
-SVT~ cox B;
causes sepsis-like illness / hepatitis and DIC;
Enterovirus
Red blood cell aplasia→hyrops, abortion
-rash: slapped cheek; maculopap w/ centrifugal spread;
-lace-like and/or reticular
- when is patient infectious?
parvo B 19 :Erythema infectiousum
-infectious 7 days prior rash; not at same time as rash
Chorioretiinits, microcephalus, hydrocephalus, jaundice, intracranial calcifications; HPSM; LAD, V/D; Pneumonitis, rash; anemia; MR, sz, blindness, deafness;
- ? what are risk factors; cz?
toxo/Risk factors: cats, raw meat, travel
tx? dx? of toxo?
dx: ELISA – IgG/M in mom/baby
-tx :Pyrimethaminew/ foliinic acid
-sulfadiazine
skel abnl, BW < 2500 g; severe anemia, hydrops, edema, snuffles; HPSM
Syphilis
how dx? tx?
VDRL, FTA ABS in mom
-dark field – mucocutan lesion;
tx? pcn G
Incub 2-4 days -F, V, Sore throat;
-Pastia lines-hyperpigmented skin in creases
, rash > 12-48 hrs onset; ~ strep pharyngitis
DX: throat culture
Scarlet Fever
*dangerous, vaccine!! F, Cough, Coryza, conjunctivits
-Rash > 2 wks exposure; head on rash, centrifically;
x 7 days; brauny texture after red rash
-koplik’s spots
*encephalitis; DX: IgM ab or titer rise
-measles
-contagious until all lesions crust over • no prodrome; F @ beginning; vesicular lesions starts centrally, spreads peripherally
-dew drop on rose petal
Varicella
Inc: 12-14 d - Hi F, malaise, HA, Bachache
- Macpap rash: mouth, throat, face, arms, then trunk, legs; 1-2 days: vesicular, then pustular
- Crust in 8-9 d
- encephalitis
Small pox
F > 5 d AND
-1. conjunctival injection; 2. changes in mouth: red, fissuring, crusting, strawberry tongue; 3: changes in peripheral ex: induration of hadns/feet, redness of palsm, soles, desquatmation of fingers/toes;
4. red rash 5. LAD > 1.5 cm
-SX: pyruia, arthritis, D, carditis, obstructive jaundice; gallbadder hydrops
Kawasaki
T > 38.9; rash (sunburn-like) w/ desquamation
-hypotension: (sys < 90; >15 orthostatic decrease)
-sx or lab abnl > 3 organ systems: GI, hepatic, muscular, mucous membrane, renal, CV or CNS)
Toxic shock
petechial rash, aseptic mengitis; myocarditis F, HA, nuchal rigidity, N/V; encephalitis, peripheral neuritis;
cz, dx?
Echo 9 ; Dx: throat, stool, CSF cx
cz of - aseptic mengitis; mac pap and petechial rash; vesicular and uriticaria
Cox A9