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Match the Clinical Course Happening During Chickenpox
Match the Clinical Course Happening During Chickenpox
Incubation Period = May take 1 to 3 weeks Prodromal Period = Include symptoms such as N/V, headache, myalgia, loss of appetite, fever, and malaise Infectious Period = 1 to 2 days before the rash appears until all vesicles have dried or crusted over Reactivation Period = May present as shingles
Match the Clinical Course Happening During Measles
Match the Clinical Course Happening During Measles
Incubation Period = 10 days Prodroma Period = May present as fever, URTI symptoms, conjunctivitis, and Koplik's spots Infectious Period = Highest during late prodromal period Complications = May involve pneumonia, encephalitis, and otitis media
Which of the following are characteristic of chickenpox?
Which of the following are characteristic of chickenpox?
- Involves GI and respiratory symptoms
- Tiny vesicles (small blisters) surrounded by reddened area (correct)
- Presence of Koplik's spots
- Disseminated flat erythematous rash
Which of the following are characteristic of measles?
Which of the following are characteristic of measles?
Which of the following statements regarding the rash of chickenpox is TRUE?
Which of the following statements regarding the rash of chickenpox is TRUE?
Identify the red flag for referral in the following scenario: High temperature, pain, and redness around lesions
Identify the red flag for referral in the following scenario: High temperature, pain, and redness around lesions
Identify the red flag for referral in the following scenario: Requires immediate referral and notification
Identify the red flag for referral in the following scenario: Requires immediate referral and notification
Identify the red flag for referral in the following scenario: Reduced urine output, lethargy, and reduced skin turgor
Identify the red flag for referral in the following scenario: Reduced urine output, lethargy, and reduced skin turgor
Identify the red flag for referral in the following scenario: Erythematous rash or ulceration on the lower leg or ankles in an elderly person
Identify the red flag for referral in the following scenario: Erythematous rash or ulceration on the lower leg or ankles in an elderly person
Which of the following is the MOST important lifestyle advice for people who have not yet contracted chickenpox or measles?
Which of the following is the MOST important lifestyle advice for people who have not yet contracted chickenpox or measles?
How would you recommend the uptake of measles vaccine?
How would you recommend the uptake of measles vaccine?
Is ibuprofen appropriate for patients with chickenpox?
Is ibuprofen appropriate for patients with chickenpox?
Is aspirin appropriate for adults with chickenpox?
Is aspirin appropriate for adults with chickenpox?
Is Promethazine 25mg HS appropriate for a 3 y/o patient with chickenpox complaining of severe itchiness?
Is Promethazine 25mg HS appropriate for a 3 y/o patient with chickenpox complaining of severe itchiness?
Is adding 1% menthol to Topical Calamine Lotion for fever appropriate?
Is adding 1% menthol to Topical Calamine Lotion for fever appropriate?
Which of the following characteristics differentiates cold sores from impetigo?
Which of the following characteristics differentiates cold sores from impetigo?
Which of the following is a red flag for referral for impetigo?
Which of the following is a red flag for referral for impetigo?
Which of the following is NOT a red flag for impetigo?
Which of the following is NOT a red flag for impetigo?
Which of the following pharmacy products would you BEST recommend to a patient with a history of cold sores?
Which of the following pharmacy products would you BEST recommend to a patient with a history of cold sores?
Which of the following would you BEST recommend to a patient with localized non-bullous impetigo?
Which of the following would you BEST recommend to a patient with localized non-bullous impetigo?
How should you counsel on the proper use of aciclovir cream for cold sores?
How should you counsel on the proper use of aciclovir cream for cold sores?
Which of the following characteristics differentiates threadworm from roundworm?
Which of the following characteristics differentiates threadworm from roundworm?
Strict personal hygiene is complementary to pharmacological treatment of threadworms.
Strict personal hygiene is complementary to pharmacological treatment of threadworms.
Mebendazole for threadworm should only be given to the patient and not the family members.
Mebendazole for threadworm should only be given to the patient and not the family members.
The death of worms is expected after 3 hours of using Mebendazole.
The death of worms is expected after 3 hours of using Mebendazole.
The initial dose of Mebendazole for threadworms should be two tablets of 100mg.
The initial dose of Mebendazole for threadworms should be two tablets of 100mg.
A repeat dose of Mebendazole 14 days later is often recommended to ensure complete eradication of threadworms.
A repeat dose of Mebendazole 14 days later is often recommended to ensure complete eradication of threadworms.
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Study Notes
Clinical Course of Chickenpox
- Incubation Period: 1 to 3 weeks
- Prodromal Period: Includes symptoms like nausea, vomiting, headache, myalgia, loss of appetite, fever, and malaise. Occurring 1 to 2 days before the rash appears.
- Infectious Period: 1 to 2 days before the rash appears until all vesicles have dried or crusted over.
- Reactivation Period: May present as shingles.
Clinical Course of Chickenpox (continued)
- Incubation Period: 10 days.
- Prodromal Period: May present as fever, upper respiratory tract infection (URTI) symptoms, conjunctivitis, and Koplik's spots. Highest during the late prodromal period.
- Infectious Period: Highest during late prodromal period.
- Complications: May involve pneumonia, encephalitis, and otitis media.
Differences Between Chickenpox and Measles
- Koplik's Spots: Present in measles, absent in chickenpox.
- Rash: Chickenpox rash involves tiny vesicles (small blisters) surrounded by reddened areas, primarily on the trunk. Measles rash is a disseminated flat erythematous rash, appearing mainly on the face and limbs.
- Symptoms: Measles involves gastrointestinal and respiratory symptoms. Chickenpox's rash spreads first on the face, then the trunk, then extremities.
Referral Red Flags for Chickenpox and Measles
- Bacterial Superinfection: High fever, pain, and redness around lesions may indicate a bacterial superinfection, requiring immediate referral.
- Measles: Requires immediate referral and notification for further evaluation.
- Dehydration: Reduced urine output, lethargy, and reduced skin turgor are signs of dehydration.
- Cellulitis: Erythematous rash or ulceration on the lower leg or ankles in elderly persons suggests cellulitis; immediate referral is necessary.
General Lifestyle Advice
- Vaccination: Vaccination is the most important lifestyle advice to prevent contracting chickenpox or measles.
- Exclusion from nursery or school: Avoid contact with others while infectious to prevent spreading the disease.
- Adequate fluid intake: Ensure adequate fluid intake to prevent dehydration.
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