Module 3 Nurs 5433
What is the causative agent for kawasaki disease?
it is unknown
Who is most at risk for developing kawasaki disease?
Children under the age of 5. Asian descent is most affected
What is the main concern with kawasaki disease?
Development of cardiac problems such as aneurysm, mitral/aortic regurgitation
and MI
What are the diagnostic criteria for kawasaki disease?
(think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
B-bulbar conjunctivitis without exudate
R-Red tongue/oral cavity (strawberry tongue...cracked lips)
I-Internal organ involvement
L-Lymphadenophay
E-Extremity changes (swollen/red hands or feet, desquamation of fingertips)
What are the s/s of 5th disease?
"slapped cheek" appearance, then a lace-like maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3
days, followed by about 7 days symptom free... then the slapped cheek
appearance with circumoral pallor appears
,When you see the slapped cheek rash in 5th disease, is the patient contagious?
No. They are no longer contagious when the rashes appear. Children may attend
school
What are 5 differential diagnoses for 5th disease?
Rubella, Measles, scarlet fever, roseola, kawasaki disease, lyme disease,
mononucleosis, lupus
What diagnostics are needed to determine 5th diease?
none are needed aside from clinical exam.
You can do a b19 assay to confirm if you like, especially in pregnant females (must
refer to OBGYN if confirmed)
Why is 5th disease dangerous for pregnant women?
may cause fetal hydrops and demise
What are complications with 5th disease?
Arthritis (especially in adult women)
gloves and socks syndrome
chronic anemia
aplastic anemia crisis
What follow ups are needed with 5th disease?
none needed unless complications arise
If a parent asks how long the symptoms of 5th disease last, what should you tell them?
1-2 weeks is how long symptoms typically take to resolve. Most patients make
complete recovery and complications are rare
What steps need to be done if a patient presents with slapped cheek rash and is
pregnant?
immediate referral to OBGYN
, What are the causative agents of influenza?
Influenza virus types A and B
What time of year is most prevalent for an influenza infection
late fall to early spring
What is the causative agent for fifth disease?
Human Parvovirus B19
How is fifth disease transmitted
respiratory secretions, blood, and from mother to baby in utero
What is the main age group which fifth disease affects?
15 and under
What are the s/s associated with influenza
abrupt onset of fever, malaise, myalgia, HA, anorexia, rhinitis, sore throat and
non-productive cough.
Kids can have otitis media and GI issues (n/v/d)
What distinguishes common cold from influenza?
sore throat, nasal congestion and sneezing are less common in the flu versus the
common cold
What distinguishes an URI from influenza?
myalgia and malaise are not usually present with URI, but they are with the Flu
What are possible complications of the flu?
PNA, sinusitis, AOM, myositis, pericarditis, reye's syndrome, asthma/copd
exacerbations
What is the causative agent for kawasaki disease?
it is unknown
Who is most at risk for developing kawasaki disease?
Children under the age of 5. Asian descent is most affected
What is the main concern with kawasaki disease?
Development of cardiac problems such as aneurysm, mitral/aortic regurgitation
and MI
What are the diagnostic criteria for kawasaki disease?
(think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
B-bulbar conjunctivitis without exudate
R-Red tongue/oral cavity (strawberry tongue...cracked lips)
I-Internal organ involvement
L-Lymphadenophay
E-Extremity changes (swollen/red hands or feet, desquamation of fingertips)
What are the s/s of 5th disease?
"slapped cheek" appearance, then a lace-like maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3
days, followed by about 7 days symptom free... then the slapped cheek
appearance with circumoral pallor appears
,When you see the slapped cheek rash in 5th disease, is the patient contagious?
No. They are no longer contagious when the rashes appear. Children may attend
school
What are 5 differential diagnoses for 5th disease?
Rubella, Measles, scarlet fever, roseola, kawasaki disease, lyme disease,
mononucleosis, lupus
What diagnostics are needed to determine 5th diease?
none are needed aside from clinical exam.
You can do a b19 assay to confirm if you like, especially in pregnant females (must
refer to OBGYN if confirmed)
Why is 5th disease dangerous for pregnant women?
may cause fetal hydrops and demise
What are complications with 5th disease?
Arthritis (especially in adult women)
gloves and socks syndrome
chronic anemia
aplastic anemia crisis
What follow ups are needed with 5th disease?
none needed unless complications arise
If a parent asks how long the symptoms of 5th disease last, what should you tell them?
1-2 weeks is how long symptoms typically take to resolve. Most patients make
complete recovery and complications are rare
What steps need to be done if a patient presents with slapped cheek rash and is
pregnant?
immediate referral to OBGYN
, What are the causative agents of influenza?
Influenza virus types A and B
What time of year is most prevalent for an influenza infection
late fall to early spring
What is the causative agent for fifth disease?
Human Parvovirus B19
How is fifth disease transmitted
respiratory secretions, blood, and from mother to baby in utero
What is the main age group which fifth disease affects?
15 and under
What are the s/s associated with influenza
abrupt onset of fever, malaise, myalgia, HA, anorexia, rhinitis, sore throat and
non-productive cough.
Kids can have otitis media and GI issues (n/v/d)
What distinguishes common cold from influenza?
sore throat, nasal congestion and sneezing are less common in the flu versus the
common cold
What distinguishes an URI from influenza?
myalgia and malaise are not usually present with URI, but they are with the Flu
What are possible complications of the flu?
PNA, sinusitis, AOM, myositis, pericarditis, reye's syndrome, asthma/copd
exacerbations
