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9 Cards in this Set
- Front
- Back
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What is the most common congenital infection?
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Cytomegalovirus
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What % of cases are symptomatic? What are some symptoms?
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Microcephaly, CNS calcification, MR
Sensironeural hearing loss Choriretinitis HSM, thrombocytopenia |
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What are some sequelae of asymptomatic infecion?
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Hearing loss w/ delayed onset
Rarely, cognitive / developmental problems . |
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What are the TORCHES diseases?
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Toxoplasmosis
Other (TB, malaria etc) Rubella CMV HSV Every other STI Syphillis |
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What is the breakdown of MTCT in terms of route?
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10-20% in utero
65% to 75% labour and delivery 15% BF |
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PMTCT
3 elements |
1) HAART starting in second trimester, AZT during labour, AZT for infant first 6 weeks
2) C/ S if VL > 1000 3) Avoid BF |
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When does PJP commonly present in infants w/ congenital HIV infection?
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3 - 8 months
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How is HIV diagnosed in children?
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> 18 months, serology
< 18 months, DNA PCR |
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How should vaccinations be handled for children with HIV?
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Give vaccines. Make sure immune system is strong enough to handle MMR / VZV.
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