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Old 01-15-2013
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Default A 3-year-old girl has slapped cheeks

A 3-year-old girl is seen by her physician for an itchy rash. The girl has a “slapped cheek"” rash that the resident has seen many times before. She also has a lacy, reticular, maculopapular rash involving the trunk and extremities. The mother says that her pregnant sister is coming for a visit tomorrow and asks the resident if the girl’s condition could affect the sister. The mother has two other young children at home who have no similar symptoms. Which of the following is the most appropriate response?

A. Only children with underlying disease are susceptible
B. The child is contagious and the sister should not visit
C. The child is not contagious but the sister should not visit
D. The sister is at risk of contagion, but there is no associated risk to her unborn child
E. There is no risk because the child is not contagious at the time the rash is present
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Old 01-15-2013
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Originally Posted by Novobiocin View Post
A 3-year-old girl is seen by her physician for an itchy rash. The girl has a “slapped cheek"” rash that the resident has seen many times before. She also has a lacy, reticular, maculopapular rash involving the trunk and extremities. The mother says that her pregnant sister is coming for a visit tomorrow and asks the resident if the girl’s condition could affect the sister. The mother has two other young children at home who have no similar symptoms. Which of the following is the most appropriate response?

A. Only children with underlying disease are susceptible
B. The child is contagious and the sister should not visit
C. The child is not contagious but the sister should not visit
D. The sister is at risk of contagion, but there is no associated risk to her unborn child
E. There is no risk because the child is not contagious at the time the rash is present
My answer is E. Diagnosis is fifth disease which is contagious until the rash appears.
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Old 01-15-2013
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My answer is E. Diagnosis is fifth disease which is contagious until the rash appears.
Although you wright but i think it saver to keep the pregnant woman away for infected child cuz the 2 other young children may be infected and they are in the prodromal stage of the disease and will develop rash in the coming few days so i will go ans C. The child is not contagious but the sister should not visit.
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Old 01-16-2013
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Nice....Erythema Infectiosum
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Old 01-16-2013
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C. The child is not contagious but the sister should not visit.

Fifth disease is transmitted primarily by respiratory secretions (saliva, mucus, etc.) but can also be spread by contact with infected blood. The incubation period (the time between the initial infection and the onset of symptoms) is usually between 4 and 21 days. Individuals with fifth disease are most infectious before the onset of symptoms. Typically, school children, day-care workers, teachers and mothers are most likely to be exposed to the virus. When symptoms are evident, there is little risk of transmission; therefore, symptomatic individuals need not be isolated.

Last edited by aknz; 01-16-2013 at 04:39 AM.
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Old 01-16-2013
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Originally Posted by heartbeat View Post
Although you wright but i think it saver to keep the pregnant woman away for infected child cuz the 2 other young children may be infected and they are in the prodromal stage of the disease and will develop rash in the coming few days so i will go ans C. The child is not contagious but the sister should not visit.
Good catch and the right answer.
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