Infection, Migraine and Viruses Issues Test Quiz 2023

Infection, Migraine and Viruses Issues Test Quiz 2023 Herpes Simplex Virus - CORRECT ANSWER-Cutaneous infection results in "fluid-filled vesicles with surrounding erythema." Two main types. May also infect: Herpetic Whitlow Gingivostomatitis Herpes keratitis Neonatal congenital abnormalities Viral pneumonia Bell palsy Varicella Zoster Virus - CORRECT ANSWER-The viral cause of two very well known conditions: Varicella rash (Chickenpox)- Pruritic. Starts as papular, changing to vesicular ("Dewdrops on a rose petal"), rupture with crusting. Herpes Zoster (Shingles)- Tingling with pain (prodrome), then eruption of vesicles in a dermatomal distribution. Evolve to pustules and then crusting. Epstein-Barr Virus - CORRECT ANSWER-One of most ubiquitous human viruses. Infectious Mononucleosis is the common manifestation of EBV. Symptoms include: Fever Sore throat Excessive fatigue General malaise Myalgias (in early days) Other signs of Mononucleosis: Lymphadenopathy (often pronounced) Especially posterior cervical chain Transient upper lid edema "Hoagland sign" Splenomegaly (up to 50% of Pts) Maculopapular rash (especially if ampicillin or amoxicillin Rx'd) Cytomegalovirus - CORRECT ANSWER-Congenital infection (from infected mom) is asymptomatic at birth. May develop sensorineural hearing loss or mental retardation CMV can be significant in HIV patients. Leading cause of blindness in HIV population (chorioretinitis) Can also cause gastroenteritis and neurologic conditions Can reactivate over and over