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20 Cards in this Set

  • Front
  • Back
What are the clinical signs of VZV (chickenpox)
asymmetrical vesicular rash

puritis

fever, malaise, headache, neuralgia
What drug do you NOT give during chicken pox outbreaks?
aspirin (reyes syndrome risk)
What drug can be given to treat chicken pox?
acyclovir
what causes shingles?
this is a reactivation of VZV (chickenpox) later in life
how is chicken pox spread?
via respiratory secretion
when is chicken pox most contagious?
1-2 days before the appearance of lesions, and 4-5 days after lesions appearance
What is the prodromal stage of chicken pox?
only in older kids/adults-

fever, headache, myalgia, anorexia
Who is most prone to shingle?
people who are immunosuppressed, and the elderly
What is the most common sequela of shingles?
post herpetic neuralgia in older people
What is Zostavax used for?
this is a zoster booster for VZV immunity for older pts- in order to prevent shingles
what type of virus is zostavax?
this is a live attenuated virus
can you give zostavax to someone who has NOT had chicken pox?
NO it is too strong
What is the presentation of HHV-6?
fever of 39-41C

followed by rapid rose colored rash involving the truck and neck

COMMON for ER visits without a known source
What is the characteristic rash of parvovirus B19?
slapped cheek appearance,

**Circumoral pallor** (like scarlet fever)
How is parvovirus B19's rash different than scarlet fever?
parvovrius's rash is smooth, unlike the sandpaper rash of scarlet ever
What are the generalized symptoms of Parvovirus B19?
arthalgia's

maculopapular rash of limbs and trunk

PRODOME**
What are the two major complications of Parovirus B19?
anemia (attacking erythroid progenitor cells)

hydrops fetalis
What are the diagnositic features of B19?
facial rash

lacey body rash

detection of B19 IgM antibody
What do the virions of POX viruses look like?
these are large brick shaped virions
What was originally used for small pox vaccinations?
cow pox, used by Jenner