Medical students and doctors can study the minutiae of chicken pox and scarlet fever with these malady flash cards.
There are 16 flash cards in this set (3 pages to print.)
To use:
1. Print out the cards.
2. Cut along the dashed lines.
3. Fold along the solid lines.
Sample flash cards in this set:
| Questions | Answers |
|---|---|
| Description of Chicken Pox (Varicella) | A highly contagious viral illness characterized by the development of pruritic vesicles and papules on the skin, scalp, and less commonly, on mucous membranes |
| Risk Factors for Chicken Pox | Incubation period is about 2 weeks No prior hx of varicella, no vaccination Immunocompromised pts |
| Assessment Findings in Chicken Pox | Prodrome Phase: Fever, Malaise, Anorexia, Abdominal Pain, Headache Rash Phase: Crops of lesions begin on trunk, become vesicles, then scabs in 6-10 hours; Successive crops appear over the next several days; Lesions may be found on any mucosal membrane: mouth, larynx, vagina |
| Prevention of Chicken Pox | Vaccination: 12m to 12y - given as single vaccination 13y and up - given as 2 vaccinations 4-8 wks apart Most contagious period is 2 days prior to appearance of rash and up to crusting of ALL lesions Passive immunization with VZIG with 4 days of exposure for immunocompromised pts If unable to administer VZIG within timeframe, consider acyclovir to decrease duration and time of viral shedding |
| Nonpharmacologic Management of Chicken Pox | Supportive Therapy Good hygiene to prevent bacterial secondary infxn Cut fingernails short in young children to decrease incidence of bacterial infxns from scratching Tepid baths for tiching |
| Pharmacologic Management of Chicken Pox | Antipruritics Antipyretics - DO NOT give Aspirin due to increased risk of Reye's syndrome with varicella pts |
| Pregnancy Considerations in Chicken Pox | Do not vaccinate pregnant women In pregnant women who have never had chickenpox or immunizations, avoid contact with recently vaccinated individuals for 6 weeks Fetal infxn following maternal infxn is 25% Increased incidence of pneumonia in women infected during pregnancy Congenital malformations seen in 5% of infants if mother was infected during first or second trimester |
| Expected Course of Chickenpox | Complete resolution in 2-3 weeks Lifelong immunity conferred after disease |
| Description of Scarlet Fever | Childhood disease characterized by sore throat, fever, and a scarlet "sandpaper" rash |
| Risk Factors for Scarlet Fever | Age 6-12 years Wound infection Burns |
| Assessment Findings in Scarlet Fever | Sore throat Headache Fever and chills Vomiting Erythematous tonsils usually covered with an exudate; pharynx may have exudate as well Petechiae on palate White coating on tongue which sheds by day 2 or 3 and leaves a "strawberry" tongue with shiny red papillae Fine sandpaper rash begins on chest and axillae, then appears on abdomen and extremities; blanchable Pastia's lines present (transverse red streaks in skin folds of antecubital space, abdomen, and axillae Desquamation from face which procededs over trunk and finally to hands and feet |
| Diagnostic Studies for Scarlet Fever | Throat Culture Rapid Strep Antistreptolysin O confirms infection but not helpful for diagnosis |
| Prevention of Scarlet Fever | Avoid contact with resp secretions of infected person Prophylactic PCN NOT recommended afte exposure to scarlet fever Antibiotic started within 10 days after onset effective in preventing Rheumatic Fever Antibiotic does not completely eliminate possibility of glomerulonephritis |
| Nonpharmacologic Management of Scarlet Fever | Supportive Care Maintain hydration status |
| Pharmacologic Management of Scarlet Fever | Antipyretics for fever PCN is drug of choice Cephalosporins are acceptable choice Erythromycin or advanced macrolides for PCN allergic pt |
| Expected Course for Scarlet Fever | Excellent prgnosis after appropriate treatment |
