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prodroma
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Severe.
(high fever, marked toxemia)
Severe.
(high fever, marked toxemia)
Mild.
high fever,
mild toxemia
Mild.
(may pass un-noticed)
Mild high fever
or low fever
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Sever sore throat
- Congested Tonsils.
- Covered by pus.
Mucositis:
- Eye conj. + photophobia.
- Mouth Kopliks spots.
- Resp. tract croup or dry cough.
Tender LN++
(retro-auriculr &
sub-occipital)
Mild pharyngeal
Congestion.
Un-noticed Un-noticed
Fever + Triad
1)Ex. Pharyngitis.
2)Spleno-megaly.
3) L.N++
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Maculo-papular


Macula-papular.

Like Measles. Macula-papular. Papulo-vesicular.
(the only one)
poly-morphic
Maculo-papular Maculo papular

- Axilla, groin, neck. Along the hair line
& behind the ears
Like Measles Trunk Trunk
(Centripetal)
Slapped cheek
appearance.
Trunk
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Like measles but
reaches LL in 1 d.

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Mild itching - LN++
|| Fever for 2-3 days
with app. of rash.
LN++

Once the rash app.,
fever disapp.
(by crisis)
Sever itching
GLN
Arthropathy
of small joints.
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Desquamation in desc. Manner
+ hyper-pig. in deep creases
Brany desquamation
with same sequence of app.
No desquamation. (No desquamation
or pigmentation)
healing e out scar
except if is 2ry BI.



Quinzy / Sinusitis
/OM / Mastoidistis.
Meningitis /
Osteomylitis / Septicemia.
Rh. Fever /
APSGN
Stomatits / GE / KWO.
Cancrum oris.

- Laryngitis Tracheitis
- of dormant of TB.
- OM.




(see Neonatology)

- Self-limited.
- Small joints.
- Girls.

2
ry
bact. Inf.
scar.



(LBW / IUGR / cephaly / MR
CP Chore-Retinits)

(2
nd
wk.)
&
(Naso-ph. Carcinoma)


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PREVENTION

(Avoid Aspirin in Viral inf.)




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Brain cell degeneration.


slow virus infection (4-8 ys after infection) & reactivation.

- Dementia personality changes.
- Convulsions
- A & Extra A Manifestations..

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# IN CHILD WITH (sever illness High Fever Needs hospit) + .




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1) S. ms. exertion.
2) Trauma.
3) IM injection.
4) Tonsillectomy bulbar polio

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may occur in the neonatal period.
2-7 days.
M/C cause of OM in children.
LEUCOPENIA.
LN++
pancreatitis is more common in children > adults.
area of induration > 1 cm in diameter.
causes sever dehydration.
ROTA.
Rubella-Chicken pox-parvo-mumps

Mild - stepwise Fever for 5 days
- Abd pain, Diarrhea then Constip.
- NO NV.
- cough, wheeze, epistaxis, lethargy

Maculo-papular
on lower chest & Abdomen.
- Polymorphic
- Associations: ( )
Conjunctivitis -lips tongue - buccal MM
edema of hands & feet (non-pitting),LN++
Disapp. desq. of fingertips (PERI_ANGULAR)
In scarlet fever hyperpig of palmar creases.

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