Childhood Diseases

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• Red conjunctiva Swollen with yellow or white discharge

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• Periorbital Cellulitis Brain abscess Decreased vision

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• Optic Antibiotics

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• Instilling antibiotics Hand washing Limit exposure to other children until on antibiotics for 24hrs

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• Chronic red, pruritic crust or vesicles on face, scalp, and/or extensor aspects of arms & legs

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• Secondary skin infections

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• Avoid allergy-causing foods and environmental factors Lubricate with moisturizing ointments and creams (3-4x/day) Apply topical steroids

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• Reduce frequency of bathing to a few times per week in tepid, NOT hot, water Lubricate skin after bathing or swimming Apply topical steroid Use benadryl or atarax for pruritis

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• Crying Irritability Diarrhea Vomiting Colic Wheezing Bloody stools Rhinitis Asthma Sneezing Coughing Eczema *Or a combo within the first 4 months of life

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• Slow growth Possible anaphylaxis

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• Eliminate cow's milk Switch to a casein hydrolysate milk formula such as Pregestimil, Nutramigen, or Alimentum

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• Reassure and educate parents Maintain infants on milk-free diet for 1-2 years, after which small quantities of milk are reintroduced Many children outgrow the sensitivity by 3-4 years

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• Bright red rash with raised borders, often with satellite lesions in skin folds

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• Scarring Systemic infections

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• Topical glucocorticoids or antifungals if nursing management not successful

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• Frequent diaper changes Expose to air for minor diaper derm. Use thick zinc oxide or petroleum to protect skin for moderate-severe diaper derm

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• Formation of black heads or white heads Proliferation of P. acnes (a benign organism always present on the skin)

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• Secondary infection Scarring

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• Supportive care and specific treatments determined by type of lesions Resolves slowly over 6+ weeksTopical benzoyl peroxide inhibits bacterial growthActuate may be used in severe cases, but pregnancy must be prevented while using this med.

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• Explanation of disease process Education about gentle cleansing