Peds
Infectious
Can't Miss
Hodgepodge
Pic free zone
100
High fever that resolves and then is followed by diffuse pink rash
Roseola (HHV-6)
100
This disease causes these classic intraoral lesions preceded by viral prodrome consisting of fevers, runny nose, cough, watery eyes. Accompanied by nonspecific generalized erythematous morbiliform rash
Measles (Rubeola)
100
What is the clinical importance of this finding?
Higher association of VZO.
100
Typically on trunk, begins with herald patch and lasts 6-8 weeks
Pityriasis rosea
100
What are the burn classifications (do not use the word "Degree")?
Superficial
Superficial Partial Thickness
Deep Partial Thickness
Full Thickness
200
Treatment?
Mupirocin 2% ointment bid x 5 days.
(Oral abx reserved for severe cases or failed topical)
200
What test would you order on this patient?
RPR or VRDL
(Nontreponemal screening)
200
Hx of epilepsy. Began as generalized target lesions and progressed to painful bullous lesions and mucous membrane involvement. Dx?
SJS/TEN
200
Diagnosis and cause.
Cutaneous Larva Migrans caused by hookworm
200
Accurately explain how to estimate TBSA involved in thermal burns.
Rule of 9's.
Head/neck: 9%
Anterior torso:18%
Posterior torso 18%
Arm:9% x2
Leg:18% x2
Genitals: 1%
300
Fever for 5 days along with this constellation of sx can lead to which major complication if not treated?
Coronary artery aneurysm.
Kawasaki Disease
300
First line treatment?
Doxycycline
Erythema migrans seen in lyme disease (amox is alternative)300
7 yr old with fever, chills, extremity pain and rash progressing over hours. Arrives in septic shock. Dx?
Meningococcemia
300
Cause?
Lichtenberg figures from lightning strike
300
A dialysis patient presents with painful violaceous plaques that rapidly ulcerated. What is dx.
Calciphylaxis
400
Well appearing, afebrile neonate with numerous solitary pustular lesions. Dx and tx?
Dx: Neonatal Transient Pustular Melanosis
Tx: None
400
Sexually active male presents with this rash. What is dx and tx?
Dx: Disseminated gonococcal infection (can also get arthritis and tenosynovitis)
Tx: 1gm Ceftriazone IV/IM QD x 7days
400
ED management of this neonatal rash (be specific)
Septic workup including LP. IV acyclovir. Admit
400
Hx of back pain and has developed this painless rash. Dx?
Erythema ab igne
(From heating pad)
400
Name at least two diagnoses that have positive Nikolsky sign.
TEN, Staph Scalded Skin Syndrome, Pemphigus Vulgaris
500
This virus causes erythematous "slapped cheek" appearance and lacy rash on trunk/extrems.
Parvo B19 (erythema infectiousum)
500
Young avid hiker presents with this 3 days of fevers and myalgias then developed this rash. What is dx and tx?
Dx: RMSF
Tx: Doxy
500
Erythematous region in pt with fever, hypotension. What is POCUS finding and what is dx?
POCUS: SQ air (hyperechoic regions) with dirty shadowing beneath.
DX: NSTI (nec fasciitis)
500
Recent sore throat now presenting with this rash. Name rash. For double points name the other 4 major criteria used in making the diagnosis
Rash: Erythema marginatum
Major Criteria: polyarthritis, carditis, chorea, erythema marginatum, subcutaneous nodules
500
45yr old female who began taking carbamazepine 3 weeks ago presents with shock and diffuse erythematous maculopapular skin rash as well as facial edema. CBC significant for eosinophilia. What is the dx?
DRESS syndrome
Drug Reaction with Eosinophilia and Systemic Symptoms