Which vaccine to prevent cerebral edema! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 03-14-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 275 Times in 105 Posts
Reputation: 305
Question Which vaccine to prevent cerebral edema!

During class in kaplan , paediatric prof asked this ques to get some idea ...

In winter season a 20 months baby presents with high fever for 7 days with bilateral conjunctivitis without exudate with erythema in hand and feet , strawberry tongue , trunk rash and inflammation of cervical node , the baby has given most appropriate drug for this condition , but he is in a risk of developing hyperammonemia and cerebral edema and may become comatous .... which vaccine below if given in this pt may prevent those adverse effect of drug ... If possible please ans why u think so ....

1. pmeumococci
2. hemophilus
3. meningococci
4. MMR
5. influenza
Reply With Quote Quick reply to this message



  #2  
Old 03-14-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 248
Threads: 11
Thanked 311 Times in 127 Posts
Reputation: 341
Default re: Which vaccine to prevent cerebral edema!

This question seems to be incoherent because it's not clear which is causing the cerebral edema, is it the disease or is it the drug given
Also the case description goes with Kawasaki syndrome and non of it's treatment cause such complication and none of the vaccines prevent it.
If he's thinking about scarlet fever (which is wrong coz it does not cause this prolonged fever) then again non of the vaccines mentioned is preventative
Send my regards to your teacher
Reply With Quote Quick reply to this message
  #3  
Old 03-15-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 275 Times in 105 Posts
Reputation: 305
Default

Yes may be my ques was not as correct as that prof said ... sorry for that
Its kawasaki disease , of course not , its complication does not cause such disease , but the main point here is winter season , as in kawasaki disease high dose of aspirin we give , so baby have chance of reye syndrome which is characterized by encephalopathy , cerebral edema if he get influenza in that winter season too with kawasaki .... What the main point is ... if its winter season its better to give flu vaccine ......
Reply With Quote Quick reply to this message
 
  #4  
Old 03-15-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 248
Threads: 11
Thanked 311 Times in 127 Posts
Reputation: 341
Default Flu is not mentioned!

Quote:
Originally Posted by FSUSTC View Post
Yes may be my ques was not as correct as that prof said ... sorry for that
Its kawasaki disease , of course not , its complication does not cause such disease , but the main point here is winter season , as in kawasaki disease high dose of aspirin we give , so baby have chance of reye syndrome which is characterized by encephalopathy , cerebral edema if he get influenza in that winter season too with kawasaki .... What the main point is ... if its winter season its better to give flu vaccine ......
OK, now I understand.
But flu vaccine is not mentioned in the options!
Reply With Quote Quick reply to this message
  #5  
Old 03-15-2010
HouseWannabe's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 120
Threads: 13
Thanked 147 Times in 45 Posts
Reputation: 157
Default

hemophilus is the influenza vaccine.
Reply With Quote Quick reply to this message
The above post was thanked by:
FSUSTC (03-15-2010)
  #6  
Old 03-15-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 248
Threads: 11
Thanked 311 Times in 127 Posts
Reputation: 341
Default Are you kidding...

Quote:
Originally Posted by HouseWannabe View Post
hemophilus is the influenza vaccine.
You need to seriously review your microbiology.
Influenza is a virus, Hemophilus influenzae is a bacterium.
Reye syndrome develops in children who are infected with a virus (usually influenza or chicken pox) and take Aspirin. There's no risk of Reye syndrome in children who are infected with Hemophilus influenzae.
Reply With Quote Quick reply to this message
The above post was thanked by:
FSUSTC (03-15-2010)
  #7  
Old 03-15-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 275 Times in 105 Posts
Reputation: 305
Default

Yes i should put flu vaccine there ... its my mistake for that ....
Yes reye syndrome always associated with varicella and influenza
Reply With Quote Quick reply to this message
  #8  
Old 03-15-2010
HouseWannabe's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 120
Threads: 13
Thanked 147 Times in 45 Posts
Reputation: 157
Default

Thank you YoramFishke for your polite reminder that I need to review my micro, good think that I wrote my step and aced it so no review needed just yet.

yes I realize that haemophilus is a bacteria, and that it's not a virus; however if you've read the coating for the influenza vaccine is made from bacterial capsules not viruses.

Also, In infants and young children, H. influenzae type b (Hib) causes bacteremia, pneumonia, and acute bacterial meningitis. What I was trying to say is that Hamophilus is Hib.

This isn't the cause of the influenza pandemic but it's termed haemophilus influenza. Hope I've explained myself enough so to not warrant anymore unneeded criticism.
Reply With Quote Quick reply to this message
  #9  
Old 03-15-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 248
Threads: 11
Thanked 311 Times in 127 Posts
Reputation: 341
Default Still off the point!

Quote:
Originally Posted by HouseWannabe View Post
Thank you YoramFishke for your polite reminder that I need to review my micro, good think that I wrote my step and aced it so no review needed just yet.

yes I realize that haemophilus is a bacteria, and that it's not a virus; however if you've read the coating for the influenza vaccine is made from bacterial capsules not viruses.

Also, In infants and young children, H. influenzae type b (Hib) causes bacteremia, pneumonia, and acute bacterial meningitis. What I was trying to say is that Hamophilus is Hib.

This isn't the cause of the influenza pandemic but it's termed haemophilus influenza. Hope I've explained myself enough so to not warrant anymore unneeded criticism.
You are off the point my dear,
Even if the influenza vaccine is coated with bacterial capsules it's still named Influenza vaccine not hemophilus influenzae vaccine.
Giving Hib does not by any means prevent the development of Reye syndrome.
I apologize if hurt your feelings
Reply With Quote Quick reply to this message
The above post was thanked by:
HouseWannabe (03-15-2010)
  #10  
Old 03-15-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 275 Times in 105 Posts
Reputation: 305
Default

Check it out guys ..... i hope now THE QUES is okhe .... we are here for discussion ... and of course TO ERR IS HUMAN .....
Reply With Quote Quick reply to this message
  #11  
Old 03-21-2010
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 68
Threads: 5
Thanked 47 Times in 29 Posts
Reputation: 57
Default

According to USMLERx, you can give the MMR (measles) vaccine to an infant and prevent a future complication called Pan Sclerosing Encephalitis, 10, 12, 13+ years down the road.

Its been more than 2 months since I read that, but I think thats true. Unless I'm making it up on accident.
Reply With Quote Quick reply to this message
  #12  
Old 03-22-2010
YoramFishke's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 248
Threads: 11
Thanked 311 Times in 127 Posts
Reputation: 341
Default

Quote:
Originally Posted by theartofbone View Post
According to USMLERx, you can give the MMR (measles) vaccine to an infant and prevent a future complication called Pan Sclerosing Encephalitis, 10, 12, 13+ years down the road.

Its been more than 2 months since I read that, but I think thats true. Unless I'm making it up on accident.
Yes, MMR will prevent SPE but it will not prevent Reye syndrome!
Reply With Quote Quick reply to this message
  #13  
Old 12-02-2011
USMLE Forums Addict
 
Steps History: ---
Posts: 125
Threads: 59
Thanked 184 Times in 74 Posts
Reputation: 195
Default

5. influenza
Reply With Quote Quick reply to this message
  #14  
Old 12-03-2011
Adamentium's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 64
Threads: 12
Thanked 95 Times in 20 Posts
Reputation: 105
Default Whats the debate for?

I can see the option of INfluenza vaccine in the question.
Why are you all discussing Hemophilus vaccine. Flu vaccine is same as Influenza(virus) vaccine so acc to Professor Influenza vaccine shud prevent cerebral edema. But m confused why kawasaki is there in the picture ? Is it to bring aspirin in focus?
Reply With Quote Quick reply to this message
  #15  
Old 12-03-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 14
Threads: 5
Thanked 7 Times in 3 Posts
Reputation: 17
Default

1. Aspirin is the only (?) used in Kawasaki disease in children and surprisingly does not cause Reye's syndrome in such patients!!

2. Patients with Kawasaki disease is usually treated also with Ig...and when ever Immunoglobin is given, live vaccines are CI!! Hence, the above arguments u ppl were making does not apply!

Thank u
Reply With Quote Quick reply to this message






Reply

Tags
Infectious-Diseases, Pediatrics-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
MMR Vaccine must be live attenuated? Kamila USMLE Step 1 Forum 11 01-27-2014 12:40 PM
Cerebral Cortex Layers lee-usmle USMLE Step 1 Mnemonics 5 08-05-2011 08:58 AM
Dexamethasone use in edema; mechanism of action hippocampus USMLE Step 1 Forum 1 01-13-2010 10:38 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)