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Hand, Foot, and Mouth Disease (HFMD) - (answers)Caused by the coxsacki virus
3-6 day incubation period
Symptoms:
-Low grade fevvers
-sore throat, poor appetite
-malaise prior to rash
-Rash is petechial rash, then blisters start.
-Oral lesions and then hands and feet lesions as well.
-Sometimes can have on torso and extremities.
-Look like canker sores with yellow ulcers and red halo.
Treatment- tylenol, warm baths. Oragel depending on age. Magic moulthwash (benadryl and
maalox) mixture. push hydration.
Education:
-very contagious- must have all of the lesions crusted prior to going back to schoo.
-Illness can last up to one week.
,Hand-foot-and-mouth disease - (answers)· pustular, ulcerating lesions
o on the hands and feet
o oral ulcers
Herpes Simplex Virus - (answers)Spread by respiratory droplets, contact with active lesion, and
contact with body fluid.
Symptoms
-fever
-malaise
-fever
-swollen glands
-grouped vesicles with an erythematous base
-gingiva that bleeds easily with small yellow ulcers.
Treatment
-Symptomatic treatments- oral antivirals or topical antivirals to shorten length of illness.
-will most likely last 2-3 weeks
Roseola - (answers)Caused by
-human herpesvirus 6 (HHV-6) and 7 (HHV-7)
,Symptoms
-High fever for several days
-rash lasting for 1-2 days small pink spots that are patches with white rings around spots
-rash usually starts on trunk and moves to extremities
Treatment
-Fluids, Tylenol, ibuprofen for fever, and rest.
-Symptoms appear within two weeks post exposure
Chickenpox - (answers)-Seeing an uptake in this disease as a lot of people are not vaccinating
with MMR
Caused by Varicella zoster
Symptoms
-crusted painful itchy lesions- can cause severe scabbing
-huge incubation period (21 days)
-fever
-headache
-URI symptoms
Diagnostics
-history and PE
, -VZV PCR
Treatment
-supportive care, tylenol, fluids, rest
-Keep from scratching
-Benadryl or caladyl
-cool compreses
-severe admit for IV acyclovir
Influenza - (answers)Multiple types: A and B most common
Symptoms
-high grade fever
-headache
-chills
-body aches
-runny nose
-dry hacking cough
-N/V and diarrhea
-Croup
Complications
-myocarditis