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25 Cards in this Set
- Front
- Back
A 5-year-old female, previously healthy, presents with an erythematous, vesicular rash on the palms and soles and a high fever for several days. Upon examination, she is also found to have ulcers in her mouth. A few days later, the fever and rash resolve. What is the most likely pathogen?
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Enterovirus |
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HSV-1 |
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HIV infection |
oral lesions |
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Enterovirus |
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HHV-6 virus |
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Group A Strep (GAS) |
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A 2-year-old girl presents to the urgent care clinic with a 7-day history of high fever to 38.5 C, a maculopapular rash that began on the palms and soles of her feet, red eyes without discharge, and unilateral cervical adenopathy. What other symptom/sign might you discover on further history and exam?
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Erythematous and edematous feet
(Kawasaki's disease) |
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What are tonsillar exudates present in? |
Strep pharyngitis Tonsillitis |
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Headache found in what? |
Rocky Mountain Spotted Fever |
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Kawasaki disease? |
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White spots on buccal mucosa |
Measles (pathognmonic for this) (also cough, coryza) (rash starts at head and moves downwards) |
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A 3-year-old male presents with fever to 103 F for the past week, injected eyes, and a refusal to walk for the past two days. On physical exam, you note conjunctival injection without pus or exudates bilaterally, prominent papillae of his tongue with redness as well as redness of his hands, and feet. He also has a new non-diffuse maculopapular rash on his torso that gets worse with fever. On examination of the swollen extremities, you are unable to elicit any tenderness or effusions in any joints. Which of the following is the most likely diagnosis? |
Kawasaki disease (KD) |
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Cause of RMSF? |
Rickettsia rickettsii |
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Bone or joint infection signs? |
Patient refuses to walk fever assoc with septic arthritis or osteomyleitis localized symptoms warmth and tenderness and swelling |
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Symptoms of scarlet fever? |
Cause: s pyogenes
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Systemic onset juvenile idiopathic arthritis |
Still's disease intermittent rash, fever, and arthritis spiking fevers salmon rash |
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A 5-year-old male comes to the clinic with a chief complaint of four days of progressively worsening fever and that has been minimally responsive to acetaminophen. The patient complains of sore throat and decreased appetite. His sister had a positive rapid strep test and is now being treated with amoxicillin. Your concern is for Group A strep. What is the next best step in management?
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Rapid strep test with back-up culture if negative
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T/F: you should diagnose strep infection before treating it |
True |
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A 3-year old girl comes to the clinic with a chief complaint of fever (104F) for over a week. Her mom reports that she has been fussy and inconsolable since she became febrile. She has a red tongue, with large papillae, conjunctivitis, a palmar rash, unilateral cervical adenopathy, as well as swollen feet. Given the most likely diagnosis, what is the most important follow-up for this patient over the next few weeks?
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Echocardiogram to look for coronary artery aneurysm
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What disease are children with Kawasaki disease at high risk of developing? |
coronary artery aneurysm |
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What is a treatment of Kawasaki that has decreased risk of coronary artery anuerysms? |
IVIG |
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When to do the following: Ophthalmology follow-up to determine extent of eye damage and determine need for corticosteroids |
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When to do the following: Physical therapy follow-up to help prevent long-term joint deformities and ensure long-term functionality |
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When to do Cardiology follow-up to rule out presence of rheumatic fever |
Of scarlet fever "erythematous, blanching, sandpaper-like rash” with very fine papules secondary to infection with Group A streptococcus." |
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When to do the following: Neurology follow-up to evaluate partial paralysis of lower extremities |
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