MEASLES

>rubeola
>7 day
measles
>morbilli
dse
>hard
measles
>little
red dse

ETIOLOGIC
AGENT

MOT

INCUBATI
ON

>Morbili
Virus
(paramyxovir
us)
Sensitive to
light, heat
and extreme
acidity and
alkalinity

>Direct
>Indire
ct
>Airbor
ne

10-12
days
(8-20
days)

PERIOD
OF
COM.
4 days
before
and 5
days
after
appeara
nce of
rashes

S/SX

DX TEST

COMPLICAT
ION

MED TX

PREVE
NT

1.PRE-ERUPTIVE
-highly contagious
High grade fever
3C1P
coryza
cough
conjunctivitis
photophobia
Enanthema
>KOPLIK SPOT
(PS)-bluish
whitish spot with
a red halo margin
usually located in
the INNER CHEEK
OPPOSITE TO 2ND
MOLAR.
Stimsons line line
of inflammation
along the margin of
lower
2.ERUPTIVE
EXANTHEMA
Maculopapular
Rash
-reddish in color:
warm
-CEPHALOCAUDAL

>Nose and
Throat Swab
>Urinalysis
>Blood
Exam
>Viral
Serology

BRONCHOPNEUMONI
A- most
common
and
dreaded
>otitis
media
>nephritis
>encephaliti
s
>Blindness

>Pen G- to
prevent
2ndary
bacterial
compli.
>Antiviral:
ISOPRENO
SINE
>Vit A

Vaccin
e:
MMR:
1st
dose
12-15
mo
2nd
dose11-12
yr

NURSING
MGT:
>isolation
>antipyretic
>increase
oral fluid
intake
> nasal &
oral care
> eye care
> skin care

GERMAN
MEASLES
(TIGDAS
HANGIN)
>Rubella
> 3 day
measles

ETIOLOGIC
AGENT

MOT

INCUBATI
ON

Rubivirus
(Rubella)
Togavirus w/
an envelope

>direct

2-3
WEEKS

>indire
ct
>TRANS
PACENT
AL

PERIOD
OF
COM.
7 days
before
and 5
days
after the
appeara
nce of
rash

pruritus
lethargy
irritability
anorexia
3.CONVALESCENT
LEAVES A
BRANNY
DESQUAMATIONbrown
pigmentation
-rashes disappears
S/SX

1.PRE-ERUPTIVE
>LOW GRADE
FEVER
>headache
>malaise
> anorexia
>sore throat
>coryza
>conjunctivitis
>Lymphadenopat
hy
2.ERUPTIVE
FORSCHEIMER
SPOT (PS)
-A red petechial
macule on the
surface of the

DX TEST

COMPLICAT
ION

MED TX

PREVE
NT

>viral
isolationnasopharyn
geal
secretion

> Rubella
syndrome
-intra
uterine
growth
retard.
-mental
retard.
-cardiac
defects
-eye
defects

>symptom
atic and
supportive

Rubell
a
Vaccin
e

>viral
serology

-glaucoma
-cataract
-ear defect
Hearing
loss

>same
with
measles

Expos
ed:
Immun
e
serum
Globuli
n IM
within
1 week
after
exposu
re esp.

soft palate.
>Exanthema
>maculopapular
rash
>testicular pain
>polyarthargia
>polyarthritis

if
pregna
nt

3.CONVALESCENT
>rashes disappear
in the same manner
they appeared
>Does NOT leave
a BRANNY
DESQUAMATION

ETIOLOGIC
AGENT

MOT

INCUBATI
ON

CHICKEN
POX

>VaricelaZoster

10-21
days

>
VARICELL
A

>Herpes
Varicellae

>Direct
>Indire
ct
>Airbor
ne
>Transplacent
al

PERIOD
OF
COM.
2 days
before
the rash
appear
until ALL
vesicles
have
encrushe

S/SX

DX TEST

COMPLICAT
ION

MED TX

PREVE
NT

1.PRE ERUPTIVE
>Fever
>Headache
>Sore Throat
>Malaise

Viral
isolation

>Erysipela
s

Antiviral
-Acyclovir
-Zoveraxx

>microsco
pic exam
of
vesicular

>Cellulitis

Varice
lla
vaccin
e
-2
doses
at 1
mo

2. ERUPTIVE
>exanthema

>impetigo

Antipyretic
-NO NSAID
>Reyes
Syndrome

d
HERPES/
SHINGLE
S
.
UNILATE
RAL
.CLUSTER
.PAINFUL

>VESICULOPAPUL
AR
-CENTRIFUGAL
(TRUNK/CENTERP
ART)

>viral
serology

apart
Pruritus
>antihista
mine
>calamine
>soda
bath

5 Stages of Rahes
1.Macule
2.Papule
3.Vesicle
4.Pustule
5.Crust/Scab

MMRV

Nursing
mgt.
>symptom
atic and
supportive

Celestial Map
-condition
wherein all
stages of chicken
pox are
simultaneously
present
3.CONVALESENT
>Rashes
disappear

MUMPS

ETIOLOGIC
AGENT

MOT

INCUBATI
ON

Paramyxovi

>direct

14-25

PERIOD
OF
COM.
7 days

S/SX

DX TEST

COMPLICAT
ION

MED TX

PREVE
NT

> low grade fever

>viral

>ORCHITIS

>analgesic

>MMR

>Viral
Parotitis
>Epidemi
c
Parotitis
>Infectio
us
Parotitis

rus
(salivasource
infection)

days
>indire
ct

before
and 9
days
after
the
onset of
parotid
swelling

>headache
>earache
>malaise
>myalgia (pain
lower jaw)
>anorexia
>dysphagia
>pain and
swelling on front
and below the ear

isoloation
>blood
exam
>viral
serology
>serum
amylase

most
dreaded in
MALE
>OOPHORI
TISFEMALE
>Mastitis
>pancreati
tis
>myocardi
tis

>antipyretic
>moist heat
and cold
app

>Avoi
d MOT