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24 Cards in this Set
- Front
- Back
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
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? dx CMV
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* urine, throat, CSF cx
-PCR; -IgM-CMV ab |
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*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
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? dx rubella ?
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Nose, urine, cataracts, CSF cx
-IgG/M Rubella Ab -or titer rise |
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vesicular rash @ birth LBW; chorioretinitis, brain damage; microcephaly; intracranial calfx; microopthlamia; cataracts
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Herpes Simplex
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? dx HSV?
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Culture,
-direct Ag from lesion -CXF PCR -Ig M |
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-transmission risk: HBeAg w/o anti-Be
-3rd trimester; hi HBsAG -asymp initialy |
Hepatitis B
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? How prevent heb B in baby of infected mom?
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prevention: HBIG AND vaccine w/in 12 hrs
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Cutaneous scars, hypopig; limb hypoplasia; encephalitis, low BW, chorioretinitis, microopthalmia, club foot; ? dx and when is mom most risky ?
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varicella; -risky: early pregnancy, at term; -most risky: mom : 5 days prior/48 hrs after delivery
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how dx and tx varicella?
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h/o; cx, PCR, DFA
-culture lesion or direct ag test tx: VZIG @ birth –baby, tx w/ acyclovir if illness occurs |
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-most –risky: last 2 wks pregnancy Mycoraditis;
-SVT~ cox B; causes sepsis-like illness / hepatitis and DIC; |
Enterovirus
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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 |
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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
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tx? dx? of toxo?
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dx: ELISA – IgG/M in mom/baby
-tx :Pyrimethaminew/ foliinic acid -sulfadiazine |
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skel abnl, BW < 2500 g; severe anemia, hydrops, edema, snuffles; HPSM
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Syphilis
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how dx? tx?
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VDRL, FTA ABS in mom
-dark field – mucocutan lesion; tx? pcn G |
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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
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*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
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-contagious until all lesions crust over • no prodrome; F @ beginning; vesicular lesions starts centrally, spreads peripherally
-dew drop on rose petal |
Varicella
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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
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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
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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
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petechial rash, aseptic mengitis; myocarditis F, HA, nuchal rigidity, N/V; encephalitis, peripheral neuritis;
cz, dx? |
Echo 9 ; Dx: throat, stool, CSF cx
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cz of - aseptic mengitis; mac pap and petechial rash; vesicular and uriticaria
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Cox A9
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