BSMCON Communicable Diseases Pediatrics Test #2

Koplik spots in the buccal mucosa

Maculopapular rash that begins on face and neck, and fades in order of appearance

• Soft foods- Koplik Spots
• Low Lights- photophobia
• Droplet and Contact precautions
• Lung sounds-pneumonia risk

• Parotid gland swelling
• Head/ear ache
• Talking painful

• DROPLET precautions
• Soft, blended foods
• Speaking may hurt
• Maintain hydration
• Decrease citrus and other saliva-producing foods

• Inflammation of the testicles or ovaries (keep away from men)
• Encephalitis
• Meningitis
• Deafness

• Rash appears on face and decends, disappears in the same order
• Generalized lymphadenopathy

• DROPLET precautions
• No vaccine for pregnant mothers (avoid pregnant women-teratogen)
• Congenital rubella babies shed for months

• Contagious until all lesions have crusted over
• Rash begins as discolored spots (macules) then raised spots (papules) then vesicles (fluid-filled).
• Rash begins on trunk, scalp, and face, then spreads to the rest of the body
• From 250-500 lesions may be present

Airborne and contact precautions

Acyclovir used for severely immunocompromised patients within 24 hours

Immunoglobulin for all exposed newborns, immunocompromised or unimmunized children

• Dehydration
• Pneumonia
• Skin, bone, joint infections
• Sepsis
• Bleeding problems