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Pediatric Infectious Disease CASE STUDY PHOTOS

Pediatric Infectious Disease CASE STUDY PHOTOS. Pisespong Patamasucon, MD. Bordella Pertussis. How do you confirm your diagnosis? PCR of NP specimen Do you recommend that the patient be excluded from group setting? YES If your answer is “yes”, for how long?

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Pediatric Infectious Disease CASE STUDY PHOTOS

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  1. Pediatric Infectious DiseaseCASE STUDY PHOTOS Pisespong Patamasucon, MD

  2. Bordella Pertussis

  3. How do you confirm your diagnosis? PCR of NP specimen Do you recommend that the patient be excluded from group setting? YES If your answer is “yes”, for how long? Until 5 days after initiation of treatment

  4. Pertussis (Whooping Cough)

  5. How do you plan to take care of close contacts? Less than 7 years without prior vaccination should have pertussis vaccine post exposure. Chemomoprophylaxis for all household contact.

  6. MRSA Cellulitis

  7. How do you plan to treat? Oral TMP/SMZ, oral Clindamycin, oral Doxycycline if > 7 years old How do you manage if this is the 3rd round of the infection? Nasal (Bactoban) Mupirocin bid x 5 days, Clorox (Bleach) body bath 15 minutes twice/week

  8. Cavernous Sinus Thrombosis

  9. Name 3 serious complications of orbital infection. Cavernous sinus thrombosis Meningitis Blindness

  10. Bone involvement in Congenital Syphilis

  11. What is the most common problem in this disease in the USA? Incomplete sepological follow up after treatment in the mother How do you plan to diagnose and treat? Non-treponemal test RPR, VDRL Specific treponemal test FTA-ABS, MHA- TP

  12. Congenital Herpes X X XX X X X XX X X X X X X

  13. When do you suspect congenital herpes? Progressive pneumonia and liver impairment in less than 6-week-old infant with fever and seizure How many forms of presentation of this condition? SEM Disseminated Encephalitis

  14. Ecthyma Gangrenosum

  15. What is the main cause of this condition? Pseudomonias aeruginosa What is your choice of therapy? Name 3 Ticarcillin or timentin Piperacillin or zosyn Cefepime or ceftazidime Aminoglycosides

  16. Meningococcemia

  17. Meningococcemia

  18. Name 3 bad prognostic signs/symptoms/labs Leukopenia Thrombocytopenia Shock Name 1 good prognostic sign/symptom/lab Meningitis

  19. Mumps

  20. Mumps

  21. How do you diagnose this condition? Clinical and serum amylase and serology How long before the patient can go back to school? 9 days after onset of swelling

  22. Scarlet Fever

  23. “Strawberry Tongue” in Scarlet Fever

  24. Name 3 characteristics of scarlet fever Pastia sign Scarlatiniform rash (sand paper-like) Circum oral pallor Strawberry tongue Desquamation of the skin

  25. Varicella

  26. Varicella

  27. Name 3 complications of this condition Secondary bacterial skin infection Necrotizing fasciitis Pneumonia Cerebellar ataxia

  28. Herpangina

  29. Herpangina

  30. Name the etiologic agent Coxsackie virus What is a rare but deadly complication? Myocarditis

  31. Herpes Stomatitis

  32. Herpes Stomatitis

  33. Should you exclude the patient from school? No, if the patient can control the oral secretion

  34. Neonatal Tetanus

  35. What cause this syndrome? C. tetani How do you treat? Antispasm – diazepam Quiet room Penicillin Tetanus Immunoglobulin (TIG)

  36. Rotavirus

  37. Rotavirus

  38. What is the major concern of rotavirus vaccine? Intussusception

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