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Common Childhood Exanthems - Differential Diagnosis
1) Rubeola (Measles) - Measles morbillivirus (MeV)
2) Scarlet Fever - Streptococcus
Common Childhood Exanthems ... MeV) 2) Scarlet Fever ... Parvovirus B19 6) Exanthem ... #Childhood #Exanthems
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... • Infectious Causes ... , Typhoid fever, ... Non-Infectious Causes ... differential #diagnosis #causes
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... Rash - Diagnostic Algorithm ... Leptospirosis, Viral/Drug Exanthemas ... Viral hemorrhagic fevers ... Febrile #Diagnosis #Algorithm
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
BPM INFECTIOUS CAUSES ... • Typhoid Fever ... OTHER CAUSES ... There are specific cases ... #differential #causes
The six classic childhood exanthems
 • First Disease - Measles, Rubeola - Measles Virus
 • Second
classic childhood exanthems ... Disease - Scarlet Fever ... Disease - Roseola, Exanthema ... #childhood #exanthems
Clinical Manifestations of Human Herpes Viruses (HHV)

Herpes simplex virus 1	HSV-1	Frequently subclinical (80-90%) Oral lesions (10-20%) congenital
virus 6 HHV-6 Exanthema ... virus 7 HHV-7 Fever ... , exanthema-subitum-like
Kawasaki Disease

Diagnostic criteria: 5-day fever PLUS four of the following…
 - 
Bilateral conjunctivitis
 - 
Cervical lymph
criteria: 5-day fever ... Polymorphous exanthem
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... #bradycardia #Causes
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
pharyngeal erythema, fever ... pharyngeal erythema, fever ... attack meninges -> Fever ... Sudden onset of fever ... pruritic rash, fever
Causes of Acute Pediatric Cough - Differential Diagnosis Algorithm
No Fever, No Tachypnea
 - Normal Chest Auscultation
Causes of Acute ... Differential Diagnosis Algorithm ... No Fever, No Tachypnea ... Fever, Tachypnea ... #Causes #Peds #