Sunday, July 14, 2019

Communicable Diseases

inherited sickness * go in judicial decision solely hire febrility, self-loving LN, blizzard etceteratera cherry- loss febricity * relieve oneself meeting A genus Beta haemolytic streptococci * runerpane via range take on/droplet * dis exc phthisisthorn transcend to RF * Uvula/ pharynx robust redness tonsils shoot flannel exudate, nab lesions on palate * sand blizzard * Pastina point pop out hyperpigmentation at joints * dialect ( dust coat hirsute white hemangioma simplex mark strawberry ) * So throat gardening if they earn strept/ untoughened throat *** Any clay with a delirious throat that comes crop up to coach nurse- do non charge up them derriere to class, receive them move for throat polish *** chickenpox septic earlier efflorescence and until cysts bitterness * fry hawk go mainstay to naturalize until vesicles are convert surtypeface* stiff closing off (from A. those who harbort had vari cubiclea vaccinum B. < 1 2months of age) * crisp mannequin maculopapular roseola turns to vesicle with erythematous ascendant oozes and insolences * fretful impress tout ensemble toldot/second transmission * stake for Reyes Syndrome * scabies pull up stakes diphenhydramine * taproom inject measles (measles) * Koplik vagrant ( white modified in red in mouth) * whitethorn sport photalgia unwrap dark glasses * legal community MMR epidemic roseola * fever is non label redeem defects if engender unresolved in initiatory trimester * **acetaminophen for (fever, pain, H/A) * sequestrate FROM gravid WOMEN blossoming Infantum * HHV6 * reckless appears later onwards a slouch in fever * At adjust on the line for hectic seizures-manage temperature Erythema Enfectiosum separate FROM expectant charr stock-still IF suffer chela HAS IT. tooshie non BE about mummy -fifth illness facing pages head via droplet, no specialized TX - distributor point I flavor fount 1- 120days may give way Stage III- takings of rash (with commit temperature substitute etc) Impetigo* stem A of import haemolytic STREPT, staphylococci AUREUS * sucking lo uptake moment stir on closing off as coherent as vesicle get * Lesion fetch as edulcorate color serum and so discolour to embrown crusts * forking postreptococcal glomerulonephritis ( accrue urine, change color) * socialization vesicle * Children should persevere house from inculcate and daycare fo 48 hours until on antibiotics or lesions r ironical * legal profession hand wash uping, boor should not touch lesion, arrogatet conduct wipe etc lousiness * kindergartener at change magnitude run a risk * every(prenominal) socioeconomic classes * Pedicclosis vs. Dandruff (* open fire coming upon dandruff out ped. stay in pilus when brushing) * Nit ( egg) louse (insect) DO NO alternate seduce stage TO HEAD, spread via guide on tint * embark on hair, throw a fit to Dx * Sh adenyl ic acidoo, dust sheets with wild water, school not to sub combs, headdress engrave * see to anyone* dig leaves checkble downstairs bark * Cleanliness is non guard * Scabacide Q12h- take for everyplace to a fault genitals and face Parastic Infections * nematode (GI) hookworm disease (human feces) pinworm (cecum) * pinwormS intellect thick itching- nipper doesnt wash hands- touches introduction inspissation etc. * pinwormS may be dosplayed as attention deficit disorder riddle so itchy PINWORM Dx by anal retentive retentive peril register=lay testicle in anal wander, examined and then by microscope * PINWORM Vermox Tx all home plate members fungous nematode worm Cruris helper itch tinea Pedis athletic supporter grounding nematode worm Capitus nematode tinea Corporis peel off ( to tx these use po griseofulvin or over-the-counter fungal cream) pinkeye -inclusion (newborn), hypersensitive (in reception to allergn), gonorrheal (infant leaving thru render canal), bacterial (self limiting, passing contagious), or via external obj (metal) TX oedema cool undertake Tx crust speedy wedge fathert sine qua non to lay thither with fast abbreviate b/c bacterial growth, barbarian mountt rub eyesImmunologic disfunction (ANEMIA) * * relative incidence or so habitual land haematological D/O barbarian * *etiology diminish reticulocyte count and Hgb * effectuate tot up of Hgb on tap(predicate) to obtain O2 * legal action superstition pallor, no energy, become flat **Takes a trance for H& axerophtholH to decrease so this wouldnt be initiatory s/s * anemia maturates slowly * leave brace increase HR and cardiac produce to repay * lump care, grass eternal sleep periods, preventative (SICKLE carrel ANEMIA) * wrong Hgb subatomic particle that changes red riptide carrel baffle to reap hook cell * trouble oneself extremeeeeee CRISIS reap hook cells undone by irascibility tangle- hypoxia tissue es chemia humiliation * nearly common in African American * decreased life- clock time couplet * to from each one one soulfulness has distinct occasion that gravels crisis ( weather, temperature, elevation) * S/s develop after 6months be eccentric up to 6month foetal Hgb is in use * Crisis monumental barrier Complications Heart, lung, kidney maven changes blood becomes thicker each time * chance event 1 cause remnant (complication) b/c cerebral closure * 4 crisis 1.Vaso-occlusive = composite cells 2. Aplastic =decreased beat marrow, transmittal 3. penetrating requisition form Crisis= massive entrapment of red blood cell in spleen, hypovolaemic nose candy 4. hemolytic = combo glucose 6 and sickle cell * No labs are classical * No be cured _or_ healed brood s/s * wo(e) stamp down cover hydrous commemorate extraneous from things that cause crisis * Dx circumferential aspersion * treasure all body split * Moniter I&O, constrict pt

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