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Describe the incubation periods, onset of prodromal symptoms, duration, and characteristics of rashes and other clinical...

  • Describe the incubation periods, onset of prodromal symptoms, duration, and characteristics of rashes and other clinical symptoms of the following viral diseases: rubella (German measles), rubeola (measles), roseola (exanthema subitum), and varicella (chickenpox). List the CDC-recommended childhood vaccination schedule applicable.
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RUBELLA

Rubella also known as German measles or three day measles is an infection caused by rubella virus.This disease is often mild with half of people not realizing that they are affected.

INCUBATION PERIOD

The incubation period for rubella is 14-23 days with an average incubation period of 16-18 days.

ONSET

Prodromal symptoms are unusual in young children but are common in adolescents and adults.The following signs and symptoms usually appear 1-5 days before the onset of rash.eye pain on lateral and upward eye movement, conjunctivitis.

DURATION

The rubella rash usually lasts 3 days..lymph nodes may remain swollen for a week or more and joint pain can last for more than 2 weeks .Children usually recover within 1 week

CHARACTERISTICS OF RASH

Pink or Red rash that begins on the face and then spreads downward to the rest of the body.Mild fever usually under 102 degree farenheit swollen and tender lymph nodes,runny or stuffy nose.

CLINICAL SYMPTOMS

  • symptoms often appear 2-3 weeks after exposure and includes
  • fever
  • headache
  • enlarged neck lymph nodes
  • eye redness
  • red rashes
  • runny nose

VACCINATION

MMR Vaccine starting with 1st dose at 12 months through 15 months of age and second dose at 4 years through 6 years of age

RUBEOLA

Rubeola is a highly contagious infectious disease caused by measles virus.

INCUBATION PERIOD

Measles virus is shed from the Nasopharynx beginning with the prodrome until 3-4 days after rash onset.the incubation period of measles is 10-12 days

ONSET

Initial symptoms generally consist of fever malaise cough conjunctivitis and coryza. The characteristics maculopapular rash appear 2-4 days after onset of the prodrome.

DURATION

A wide spread skin rash is a classic sign of measles.This rash can last upto 7 days and generally appears within 14 days of exposure to virus.

CHARACTERISTICS OF RASH

3-5 days after symptoms begin a rash break out.it usually begins as flat red spots that appear on the face at the hairline and spreads to neck, trunk, arms, legs and feet

CLINICAL SYMPTOMS

  • Cough
  • running nose
  • inflammed eyes
  • sore throat
  • fever and red blotchy skin rash
  • muscle pain
  • kopliks spot
  • sensitivity to light
  • swollen lymph nodes
  • headache
  • dry cough

VACCINATION

MMR vaccine as mentioned above

ROSEOLA

A common viral infection in young children that may cause high fever and a rash

INCUBATION PERIOD

usually from time of exposure to the virus to symptom development.about 5-14 days.the individual remains contagious until 2 or 3 days after fever subsides.

ONSET

typically starts with a sudden high fever often greater than 39.4 degree celcius. some children may experience sore throat,running nose,or cough along with or preceding the fever

DURATION

The fever of roseola lasts from 3 -7 days followed by a rash lasting from hours to few days.

CHARACTERISTICS

A roseola rash starts on the torso before spreading to the arms ,legs,neck, and face.It appears as small pink spots athat may have a lighter ring or halo around them.rash does not cause itching

CLINICAL SYMPTOMS

  • several days of high fever
  • rashes
  • small pinky rash spots
  • irritability
  • running nose
  • red spots on soft palate
  • swollen lymph nodes

VARICELLA

A highly contagious viral infection causes an itchy blister like rash on the skin.

INCUBATION PERIOD

The average incubation period for varicella is 14-16 days after exposure

ONSET

A mild prodrome of fever and malaise my occur 1-2 days before rash onset,particularly in adults.In children the rash is often the first sign of disease

DURATION

The itchy blister rash caused by chicken pox infection appears 10-21 days after exposure to the virus and usually lasts about 5-10 days.

CHARACTERISTICS

The rash is usually itchy and blister like rash. The rash appears initially on the chest ,back,and face,and then spreads over the entire body

CLINICAL SYMPTOMS

  • fatigue
  • fever
  • loss of appetite
  • red spots
  • scab or ulcer
  • blister
  • headache
  • itching
  • swollen lymph nodes

VACCINATION

2 doses of vaccine for children adolescents and adults

dose 1 - 12 through 15 months old

dose 2- 4 through 6 years of old

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