Communicable Diseases

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Communicable Disease
* Keep in mind all have fever, swollen LN, rash etc.
Scarlet Fever:
* Cause: Group A beta Hemolytic Streptococcus
* Spread via direct contact/droplet
* May lead to RF
* Uvula/pharynx beefy red; tonsils have white exudate, pinpoint lesions on palate * Sandpaper rash
* Pastina Sign: hyperpigmentation at joints
* TONGUE (white furry white strawberry strawberry )
* So throat culture if they have strept/sore throat
*** Anybody with a sore throat that comes down to school nurse- do not send them back to class, have them sent for throat culture *** Varicella:
* Infectious before rash and until vesicles crust * kid cant go back to school until vesicles are crusted * Strict isolation (from A. those who haven’t had varicella vaccine B. < 12months of age) * ACUTE PHASE: maculopapular rash turns to vesicle with erythematous base oozes and crusts * Itchy scratch spread/2nd infection

* @ Risk for Reye’s Syndrome
* Itchiness – give Benadryl
* PREVENTION vaccinate
Rubeola: (measles)
* Koplik spots ( white circumscribed in red in mouth)
* May have photophobia – wear sunglasses
* PREVENTION: MMR
Rubella:
* Fever is not marked
* Birth defects if mother exposed in first trimester
* **Tylenol for (fever, pain, H/A)
* ISOLATE FROM PREGNANT WOMEN
Roseola Infantum:
* HHV6
* Rash appears AFTER a DECLINE in fever
* At risk for febrile seizures-manage temperature
Erythema Enfectiosum:
- ISOLATE FROM PREGNANT WOMAN EVEN IF OWN CHILD HAS IT. CAN NOT BE AROUND MOM -“5th Disease”
- spread via droplet, no specific TX
-Stage I – “slap cheek” 1-120days may last; Stage III- RECURRENCE of rash (with exercise temperature change etc) Impetigo:
* Group A beta hemolytic STREPT, STAPH AUREUS
* Insect bite
* Contact isolation as long as vesicle present
* Lesion begin as honey color serum then yellow to brown crusts * Complication: postreptococcal...
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