Fever With Rash In Children PDF

WEEE Fever with rash in children Dr. walaa yousif September 5th, 2022 Objectives Definitions of skin rash. Approach to patient with fever & rash. Differential diagnosis of fever & rash, this is critical & important because it may be sign of dangerous disease....

WEEE Fever with rash in children Dr. walaa yousif September 5th, 2022 Objectives Definitions of skin rash. Approach to patient with fever & rash. Differential diagnosis of fever & rash, this is critical & important because it may be sign of dangerous disease. Laboratory data needed. Management of different cases of fever & rash. FEVER with RASH ↳ setpoint ↑ hypothalamic eruptionof Temporary redspots reddening canbefiting  5cm ; / } Alley  Papule is a solid, elevated lesion with no visible fluid which may be up to ½ - cm. plague same but > 0.5 cm is  macules are small, flat discolored spots on the surface of the skin; - < 0.5cm but s plaque i. same > 0 - em  Scarlet fever The term "maculopapular" is a compound: macules & papule scarlet fever  Rheumatic fever Nodule is a solid, elevated lesion like papule, but are larger >0.5 cm and deeper. ÷ ÷ - plague is superficial  H4 Vesicles are circumscribed epidermal elevations in the skin containing clear fluid and less than ½ cm. in diameter. ☆ -  Bulla. Like vesicle but the lesion has a diameter of greater - than ½ cm, A pustule is a circumscribed elevation of the skin that contains a purulent - exudate ( vesicle of Pus )  Bleeding tendency doesnotblanhummscg Purpura is a small hemorrhage into the skin, mucous membrane, purpura is caused by extravasation of blood from the vasculature into the skin it does not blanch with pressure. Depending on their size, purpuric lesions are classified as: petechiae — < 5 mm, - O S - Crn purpura — 5-9 mm, ecchymoses — > 9 mm  flat topped edematous hives elevation A wheal is flat-topped elevation in the skin that is edematous, and often erythematous. - They may vary in size from a few mm. to many cm  m.EE EERNAiWS trementy after Infection life long vaccine MMI me → imp. for vaccine MMR a- 2consuntcounnica.io - 000 - - - EXAM'm E from - Head  d wrd 3 5dm Export 3 5 dock 10 144 90 unal 1 Coalesce of rash E- → 0 Pneumonia Encephalitis SSPE i 00Koplik spot so ÷ Clinical features 3 Cs (Cough, Coryza & Conjunctivitis) Four days fever (400c) wish - - - Koplik spots - Generalized, maculopapular,erythematous rash. Confluent Iff  Clinical features and complications of measles 3 5dm Exposure Illness Complications Droplet spread Highly infectious Respiratory during viral shedding Viral shedding Pneumonia 5 Secondary bacterial 0 Days 10–14 1 2 3 4 5 6 7 8 9 10 infection and otitis incubation media Tracheitis Neurological Temp º C Febrile seizures EEG abnormalities Encephalitis Subacute sclerosing panencephalitis (SSPE) ③ Rash → Go nfluent Other v a Diarrhoea ÷ Koplik spots Hepatitis Conjunctivitis and coryza Appendicitis Corneal ulceration Cough Myocarditis Koplik spots Rash White spots on Spreads downwards, buccal mucosa, from behind the ears seen against bright to the whole of the red background. body. Discrete, Pathognomonic, maculopapular rash but difficult to see. initially, becomes blotchy and confluent. - May desquamate in the second week. Figure 15.18 Clinical features and complications of measles. I  ee presist m save ⑧2 e prevent - int Vitae MMR - the exp  So atin van Complication otitis media. pneumonia. may activate latent tuberculosis. Myocarditis and mesenteric lymphadenitis It are infrequent complications. Encephalomyelitis occurs in 1 to 2 per 1000 cases. Subacute sclerosing panencephalitis  German Measles d- now Matovirus a Gar Heart Eye , , inuterduring1st Infection trimester confluffleic o O r days before wh 5 days after  21 days Ip 10 14h IP 14 older children charactertic ofRubella - German (3 deny) measles How is rubella different cerical from memes tetrayest s  Koplinspots in merles on Buccalmucousn Forschimerspots.tntte I D I meries high grade meat SE  are fatrations so Eur Heart Eye T dentures rotate A carousel detfied Blueberry Muffin Rush  congenitalrubello Bmfh.ru deal in  Prevention hurt Age Vaccines Note Deep subcutaneous injection e 9 months Measles into the upper arm. 12-15 Deep subcutaneous injection months MMR -1 into the upper arm. 2 Deep subcutaneous injection 5 years MMR -2 into the upper arm. 0 Nerate 1ˢᵗMonth 13 3 preschool dde year Herpest Etiology HHUNDI Roseola infantum (exanthem subitum, sixth disease) is caused by human herpesvirus (HHV) type 6 (HHV-6) and in 10% to 30% of cases by HHV-7. HHV-6 and HHV-7 are large, enveloped double-stranded DNA viruses, which are members of the herpesvirus family. trunk → extremity then from. starts high fever stops , rash (± seizures / → -  7.. crownappears once fever subsides =  4160 ME Edwani t24hv ennocutors 2nd dry leukupein aim  0 EBV affefso lymphocytes can cause Kissling diseases lymphomatous to CDZI - _ binds → - ↳ LAP, HSM → Pharyngitis kissing disease 0800 EEE EE  rashdue to Ampicillin Iol thought strep to be throuf) JEFF fever phony lymphoden 3 mane C Reactive Tc cells against EBV prevent tosile from C to obstructing airways) ESP. Posterior cervical Hepatosphenomenally  ( immune mediated or BMS ) IgM → Rx : Steroids LAP→ nasopharyngeal - Ca. lymphoma 1-151957 prevent by avoiding contact sports from minor trauma ≤ Rx : Surgery →÷ van  multi staffsions Rashes at different stages in the same time 0  I Supportive usually acyclovir Varicella Zoster immunoglobulin given shortly after exposure in immune compromised patient. Do not use salicylates (Aspirin) drugs. Reye syndrome → 191m90 needustation 0 w  transient ATAXIA SYMPTOM ask about child £ reversible ← VZV Herpessimplex172 b o 7 rsU & O Trigeminal ganglion I O HS1 -> Dormancy in Sacral ganglia O Acyclovir  iiia / m he homemionephitis Cans wereP mn flexure were  2 Thin roofphhrk.es mm HYIEEI.ve  streptolysin Anti  z to it Uir if allergic 1091mi Complications all are infections except PSGN&ARf ( Autoimmune PSGN  CRASH · "Conjunctuvitis" -> - & - & DCORONARY Aneurysm ARTERY death o usually C. give aspirin ] - I became age dryers You need to give It TO coronary A Meurer sepsis Meningis o Meningitis PCV 13 1 Thank Thank you 73 you