Early Childhood Diseases

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• Respiratory secretions Contact with skin lesions Incubation 2-3wks

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• Antiviral Acyclovir VZIG in high risk Diphenhydramine for itching

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• Isolation Daily tepid baths Calamine lotion Keep fingernails short

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• Direct contact with nasal discharge, skin or lesions

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• FeverMalaiseHighly Puritic rashMacule to vesicle PseudomembraneLymphadenopathy

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• Myocarditis Neuritis

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• PCN or Erythromycin Complete bedrest to prevent myocarditis

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• Isolation Epinephrine available Observe respirations for obstruction Humidified Oxygen

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• Facial rash with "slapped face" appearance Maculopapular red spots on extremities

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• Self limited arthritis Arthralgia

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• Antipyretics and Analgesics

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• Avoid pregnant women Isolation not necessary

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• 6mos-3yrs:       High fever in well appearing child       Pink macules on trunk that spread to neck, face and extremities      Not itchy      Lymphadenopathy      Inflammed pharynx      Cough      Coryza

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• Recurrent febrile seizures Rarely encephalitis

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• Antipyretics for fever

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• Discuss Precautions if prone to febrile seizures

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• Respiratory Droplet Direct contact with secretions, blood or urine

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• Fever Malaise Cough Conjunctivitis Photophobia Koplik Spots in mouth Red rash on face that spreads downward Anorexia Lymphadenopathy Desquamation

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• Otitis Pneumonia Bronchiolitis Obstructive Laryngitis Encephalitis

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• Supportive care

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• Respiratory Isolation until 5th day of rash Antipyretics Dim lights Examine Cornea for signs of ulceration Vaporizer Tepid Baths