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11 Cards in this Set

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A child presents with high fever, anorexia, oral pain. Painful, shallow linear grayish or whitish vesicles on the posterior oropharynx and posterior third of the tongue; smilar but painless vesicles on feet and hand. What is the most likely diagnosis?
Hand-foot-and-mouth disease
What is the causative agent for hand-foot-and-mouth disease?
Coxsackie Virus A
What is the differential diagnosis of a child presenting with fever, rash and/or oral findings?
Fifth disease
Roseola
HSV
Measles
Varicella
Kawasaki syndrome
Toxic shock sydrome
Which viral exanthem is characterized by a "slapped cheek" rash?
Fifth Disease.
What causes Fifth disease?
Parvovirus
What causes roseola?
HHV-6
Human Herpes Virus 6
A child presents with fever, rash, nonpurulent conjunctivitis, swollen hands and feet, unilateral cervical adenopathy. What important diagnosis should you think of?
Kawasaki syndrome
6 month old baby presents with high fever, irritability, lethargy; appears toxic. What is the immediate managment?
IV access
IV NS bolus
CBC
Blood cultures
Urine cultures
Lumbar puncture
Ceftriaxone
Vancomycin
Hospitalize
7 year old child presents with fever, headache, blurred vision, mild nuchal rigidity and hyperreflexia. What is the most likely diagnosis?
Arboviral meningitis or encephalitis.
E: Enteroviral and arboviral meningitis are the commonest causes of viral meningitis or encephalitis.
7 year old boy presents with acute abdominal pain, lower extremity macular rash which progresses to papules. What is the most likely diagnosis?
Henoch-Schonlein purpura

An antecedent URI is present in 50% of cases; abdominal pain is present in 15%.
Neonates with fever should be admitted to?
The ICU
Assume sepsis; full workup.