INFECTIOUS DISEASES 7-sem/ AIR-DROPLET AND INTESTINAL INFECTIONS.

A 9 year old girl is brought to the clinic because she is suffering from a headache, fever, chills, and a rash. The rash covers her neck, chest, and under her armpits. The parents explain that the rash appeared today, and that for the past two days the patient had been complaining of a sore throat. The child has no allergies, her immunizations are all up to date, and she has no other past medical history. Her blood pressure is 115/70 mm Hg, pulse is 110/min, respirations are 22/min, and temperature is 101.2°F. A physical exam reveals a generalized erythematous rash that has a sandpaper-like texture, and it will also blanch when pressure is applied. The patient also has submandibular lymphadenopathy, and the throat is covered in gray-white exudates. What is the likely diagnosis?

In girl V., 1 year old, appeared the stuffiness in nose, dry cough, body temperature rose till 37,5 °C. Next day cough become attack like with the excretion of small amount of viscid sputum. Noisy breathing. Sharply expressed expiratory dyspnea, breathing rate 40 times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs dissipated dry and single moist rales. Tear of frenulum of tongue. What will be the preliminary diagnosis?

Patient 22 years old, has increase temperature of body till 37,8 °C. Treated under the supervision of district doctor with a diagnosis of influenza. On the 5th day of illness temperature remained the same; began difficultness in opening eyes. On examination – edema on face, expressed conjunctivitis. Mucous of pharynx is hyperemic. Lymph nodes are enlarged in neck. The general state of patient is satisfactory. This disease is related to cold. What disease you suspect?

The patient, 32 years old, has been hospitalized for 2 weeks for the jaundice form of acute hepatitis C. against the background of detoxification therapy during the disease, positive dynamics was noted: weakness decreased, appetite appeared, jaundice of the skin and sclera became smaller, feces turned brown.

When should antiviral therapy be started in patients with acute hepatitis C?

Hand-foot-mouth disease is one of the more distinctive rash syndromes; it is

 MOST frequently caused by?

An 11-month-old boy developed a high fever. This was associated with malaise, irritability and poor feeding. After 48 hours he developed a macular rash along his arms and legs. There was extensive confluent blistering of the perineum, but otherwise the trunk and back were spared. There were no lesions on his scalp. There were a number of perioral lesions, but no lesions visible inside the mouth. Some of the lesions progressed into thin-walled vesicles containing clear fluid. There were macules on the soles of his feet. The fever resolved 24 hours after the rash appeared. The rash took 10 days to clear, but left no scars. 3 weeks later the skin on his feet began to desquamate. He attended a nursery for 3 days a week. He had had his vaccinations as per the  schedule for his age. He had been born at full term and was meeting his developmental milestones. He lived at home with two older siblings.

What is the most likely pathogen?

The most informative biochemical test in the pre- icteric period of viral hepatitis A is:

The incorrect statement in relation to viral hepatitis D:

FOR HERPANGINA THE CHARACTERISTIC SYMPTOMS ARE:

The IgM response occurs earlier in the illness, generally peaking at 7-10 days after infection, and usually disappears within a few weeks, but for some infections it can persist for months such as:

Indicates the formation of chronic hepatitis B after the acute phase detection:

A 25-year-old primigravida presents at 34/40 with a 1-day history of fevers, rash, dry cough and coryzal symptoms. She had recently moved to the UK and was uncertain of her childhood vaccinations. On examination her temperature is 39 °C, and a generalized maculopapular rash which is coalescent on her trunk. Some small cervical lymph nodes are palpable bilaterally. There are small white spots on the buccal membrane beside her molars. She has bilateral conjunctivitis.She is concerned about the risk to her baby. What are the possible adverse effects that she should be made aware of?

A 52-year-old woman developed an encephalopathy and was admitted to her local intensive care unit. On extensive questioning of her partner, a recent travel history and the course of her illness were elicited. She had returned from a 3-week holiday to Bali where she had been bitten by an apparently healthy Rhesus macaque. She had been vaccinated prior to travel with the rabies vaccine, and received two intramuscular rabies boosters after the event. 2 weeks later she had developed localized pain, redness and vesicular skin lesions near the site of the bite, followed by localized numbness. Ataxia and diplopia ensued, with confusion, and then coma.

What intervention could have successfully prevented her illness?

Once exposed to the infection, a person can develop chickenpox in as little as ______ day(s).

Viral pneumonia with a complicated course of 2019-nCoV develops:

Changes in peripheral blood during coronavirus infection:

The clinic of laryngitis is characteristic mainly for:

Edema of the subcutaneous tissue of the neck, extending below the clavicles, is characteristic of:

Infants younger than 3 month of age with suspected pertussis usually are admitted to hospital, as are many between 3 and 6 month of age unless witnessed paroxysms are not severe, as well as are patients of any age if significant complications occur. Typical paroxysms that are not life threatening have the following feature :

Name a possible pathological change in the bronchopulmonary system in whooping cough?

An 18 years old freshman complained of a cough, runny nose, and conjunctivitis. The physician in the campus health center noticed small white lesions inside the patient's mouth. The next day, a confluent red rash covered his face and neck. What can be the diagnosis of this patient:

A 21-year-old patient became acutely ill: a temperature of 38.8 ° C; sore throat. On examination, the pharynx is hyperemic, on the tonsils are whitish, striated with a spatula, all groups of lymph nodes, especially the cervical ones, are up to 3-4 cm in diameter. Enlarged liver and spleen. Against the background of unchanged skin, a small-spotted rash. Blood test: leukocytosis, lymphomonocytosis, ESR 38 mm / h, platelets 220x109 / l. Select the appropriate diagnosis:

A red itchy rash is well known characterestics of rubella virus ,which of the following describe the progression of rash?

Scarlet fever is an upper respiratory tract infection associated with a characteristic rash:

The most typical rash in meningococcemia it:

Kylie Hinkle is 24-year-old woman who presents to your dermatology clinic with a red rash. She has been feeling unwell for the last 6 days with fever, myalgias, cough and sore throat. She also reports some tender lymph nodes on her neck. She has taken ibuprofen for the myalgias and fever, which has helped.A rash started on her face yesterday and is now spreading to her neck and trunk. Upon further questioning you discover that Ms. Hinkle has never received the MMR (Measles, Mumps, Rubella) vaccine.Based on the history and skin exam, what is the most likely diagnosis?

Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation?

The rules of discharging from hospital of salmonellosis patients.

At sick P., 40 years old, the high temperature of body is marked during 8 days, great headache. Objectively: temperature – 39,5 °C, a patient is pale, languid, adynamic. Pulse 82 per a min. A tongue is dry, assessed a brown raid, on the skin of abdomen singles roseolas. A liver + 2 cm. What is the most credible diagnosis?

What changes in general blood analysis are characteristic for typhoid fever?