Child comes in with fever, rigors, myaglia and headache of abrupt onset and is now having trouble breathing.
Worst virus is this most likely? what makes this virus so dangerous? |
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Influenza A
eight segments that can infect other species and undergo antigenic shift H5N1 (bird flu), H1N1 (swine flu) |
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Adult pt in december/march with fever, rigors, myaglia and headache of abrupt onset followed by a soar throat with dry cough. He did not get vaccinated for the fly this year.
What Orthomyxovirus virueses could be have?
What are major complications in adults? In kids? (5)
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Influenza A, B,C
complications:secondary bacterial pneumonia, otitis media, flu A: acute respiratory distress syndrome, Guillain-Barré Syndrome, Reye syndrome (virus+aspirin, kids only) |
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Child comes in during the winter following an upper resp infection. mucosal Koplik spots (red,white,blue), and a rash spreading from head->toe,
What is the virus?
What is a major complicaion? |
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Measles
Sub-acute sclerosing pancencephalitis |
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Child comes in low-grade fever, malaise, "earache" that was followed by parotid gland enlargement.
Virus?
Major complication in post-bubertal boys? |
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Mumps
post-pubertal epididymo-orchitis (infection and enargement of testes with severe pain) |
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Kids less than <5 y/o will contract this virus and get Pneumonia with mononuclear infilrate and giant cells. |
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Respiratory syncytial virus |
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Child come in with wheezing and a braking cough, X-ray below.
What is the virus?
What is the syndrom (cough)?
Is this an emergency? |
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Parainfluenza
Coup (laryngeotracheobronchitis)
Yes laryngeotracheobronchitis can close airway |
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Horse handler in Austrilia who has pneumonia and encephaltits. Bare is full of fruit bats. |
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Hendra |
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