NURS 5433 FAMILY 2 INFECTIOUS/DISEASES/RENAL/UROLOGIC WITH
COMPLETE SOLUTIONS 100% VERIFIED
What is Infectious Mononucleosis?
It is an acute viral syndrome with the classic triad of FEVER, PHARYNGITIS, and
ADENOPATHY.
Infectious disease that derives from EPSTEIN-BARR VIRUS (EBV) and is commonly
known as the kissing disease.
Incubation is 30-50 days.
What are signs and symptoms of mononucleosis?
1. Fever
2. Chills
3. Malaise/fatigue
4. Anorexia
5. Pharyngitis (most severe symptom)
6. White tonsillar exudates
7. Adenopathy/lymphadenopathy (posterior cervical region)
8. hepatosplenomegaly (usually during 2nd week of illness) [avoid contact sports until
spleen returns to normal size]
9. Swollen eyelids (eyelid edema)
Which antibiotic should be avoided in a patient with Mononucleosis?
PCN due to it inciting a rash (not allergic reaction)
What are some differential diagnoses for Mononeucleosis?
- Strep (always r/o because they are very similar)
,- Viral syndromes
- Hepatitis
- HIV
- Cytomegalovirus
- Toxoplasma
- Secondary Syphilis
What diagnostics are needed for Mononeucleosis?
Monospot Screen of HETEROPHIL ANTIBODIES
- usually positive second week of exposure and 7 days of onset of symptoms
CBC
LFTs
IgG/IgM for EBV
Strep Swab to r/o Strep
US to diagnose Splenomegaly
Management of Mononeucleosis
Refer if any complications
Treat symptomatically
More severe cases
- steroids
With concomitant strep
- treat with Macrolide
no PCN in these patients due to rash
, What is Rubeola (measles)?
- It is a highly contagious, viral disease (though once someone has had it, they have
acquired immunity).
It produces a fever that can rise to 104 in a few days.
3Cs: cough, coryza, and conjunctivitis (board question)
Can cause sneezing, congestion, and rash from the face to the trunk and extremities.
What type of spots present with Rubeola?
Koplik's Spots
small bluish-white spots on an erythematous base that cluster adjacent to molars on the
buccal mucosa
Describe the onset of Rubeola lesions
Facial/neck deep, macular rash which spreads to the trunk and extremities
Starts as discrete lesions but becomes confluent and salmon-colored
In treating Rubeola, the live vaccine should be given within how many hrs of exposure?
How much and route of administration.
- 72 hrs
- 0.5 mL SQ
In managing Rubeola, the Ig should be given within how many days of exposure to
susceptible contacts? How much and route of administration?
- 6 days
- Recommended dose: 0.25 mL/kg/dose IM OR
COMPLETE SOLUTIONS 100% VERIFIED
What is Infectious Mononucleosis?
It is an acute viral syndrome with the classic triad of FEVER, PHARYNGITIS, and
ADENOPATHY.
Infectious disease that derives from EPSTEIN-BARR VIRUS (EBV) and is commonly
known as the kissing disease.
Incubation is 30-50 days.
What are signs and symptoms of mononucleosis?
1. Fever
2. Chills
3. Malaise/fatigue
4. Anorexia
5. Pharyngitis (most severe symptom)
6. White tonsillar exudates
7. Adenopathy/lymphadenopathy (posterior cervical region)
8. hepatosplenomegaly (usually during 2nd week of illness) [avoid contact sports until
spleen returns to normal size]
9. Swollen eyelids (eyelid edema)
Which antibiotic should be avoided in a patient with Mononucleosis?
PCN due to it inciting a rash (not allergic reaction)
What are some differential diagnoses for Mononeucleosis?
- Strep (always r/o because they are very similar)
,- Viral syndromes
- Hepatitis
- HIV
- Cytomegalovirus
- Toxoplasma
- Secondary Syphilis
What diagnostics are needed for Mononeucleosis?
Monospot Screen of HETEROPHIL ANTIBODIES
- usually positive second week of exposure and 7 days of onset of symptoms
CBC
LFTs
IgG/IgM for EBV
Strep Swab to r/o Strep
US to diagnose Splenomegaly
Management of Mononeucleosis
Refer if any complications
Treat symptomatically
More severe cases
- steroids
With concomitant strep
- treat with Macrolide
no PCN in these patients due to rash
, What is Rubeola (measles)?
- It is a highly contagious, viral disease (though once someone has had it, they have
acquired immunity).
It produces a fever that can rise to 104 in a few days.
3Cs: cough, coryza, and conjunctivitis (board question)
Can cause sneezing, congestion, and rash from the face to the trunk and extremities.
What type of spots present with Rubeola?
Koplik's Spots
small bluish-white spots on an erythematous base that cluster adjacent to molars on the
buccal mucosa
Describe the onset of Rubeola lesions
Facial/neck deep, macular rash which spreads to the trunk and extremities
Starts as discrete lesions but becomes confluent and salmon-colored
In treating Rubeola, the live vaccine should be given within how many hrs of exposure?
How much and route of administration.
- 72 hrs
- 0.5 mL SQ
In managing Rubeola, the Ig should be given within how many days of exposure to
susceptible contacts? How much and route of administration?
- 6 days
- Recommended dose: 0.25 mL/kg/dose IM OR
