Homework Help

[ChAoTiCpInOy]

A toddler girl is leaning over to play witht the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions - a group of about seven to eight blitserlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic.

1) What are the lesions diagnostic of? Explain how you decided.
2) Although this particular condition is soemwhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?
3) The mother says that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl's illness and the baby's condition.
4) What factors probably influenced the fact that the baby did not have sympomatic illness when his sister was experiencing it? And what factors led to the eruption of lesions now?


- I personally think that it is being caused by sometype of ringworm. Any thoughts?

 

[olds]

Quick?
Waffles

 

[ChAoTiCpInOy]

Thanks olds.

 

[PhoKingGuy]

Ring worm?? Are you just guessing???

Varicella Zoster, wikipedia it.

Ring worm would be completely different.

 

[zinfamous]

Why are you coming here for this?

please tell me your real name, b/c this is the last type of reasoning I would want from a PCP or Nurse practitioner.

 

[ChAoTiCpInOy]

It's homework and I can't figure it out. It's not chicken pox because there's no fever.

 

[JEDIYoda]

salmonella

 

[olds]

"baby was breast-fed" are they trying to tell you it's an allergy?

 

[RollWave]

Originally posted by: ChAoTiCpInOy
A toddler girl is leaning over to play witht the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions - a group of about seven to eight blitserlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic.

1) What are the lesions diagnostic of? Explain how you decided.
2) Although this particular condition is soemwhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?
3) The mother says that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl's illness and the baby's condition.
4) What factors probably influenced the fact that the baby did not have sympomatic illness when his sister was experiencing it? And what factors led to the eruption of lesions now?


- I personally think that it is being caused by sometype of ringworm. Any thoughts?

My best guess:
1) Varicella Zoster i.e. shingles or chicken pox. If its in a specific part of the baby's back its because it tends to localize in specific dermatomes.
2) Answered above
3) Baby caught it from sibling.
4) Took a while for the baby to experience this because the newborn still had its mother's IgGs from blood until recently. Now that the mother's Abs to chickenpox are gone, bam the baby has it.

 

[ChAoTiCpInOy]

Originally posted by: RollWave

Originally posted by: ChAoTiCpInOy
A toddler girl is leaning over to play witht the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions - a group of about seven to eight blitserlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic.

1) What are the lesions diagnostic of? Explain how you decided.
2) Although this particular condition is soemwhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?
3) The mother says that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl's illness and the baby's condition.
4) What factors probably influenced the fact that the baby did not have sympomatic illness when his sister was experiencing it? And what factors led to the eruption of lesions now?


- I personally think that it is being caused by sometype of ringworm. Any thoughts?

My best guess:
1) Varicella Zoster i.e. shingles or chicken pox. If its in a specific part of the baby's back its because it tends to localize in specific dermatomes.
2) Answered above
3) Baby caught it from sibling.
4) Took a while for the baby to experience this because the newborn still had its mother's IgGs from blood until recently. Now that the mother's Abs to chickenpox are gone, bam the baby has it.

It can't be ringworm? And really it can be localized like that in only one spot?

 

[RollWave]

Originally posted by: ChAoTiCpInOy

Originally posted by: RollWave

Originally posted by: ChAoTiCpInOy
A toddler girl is leaning over to play witht the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions - a group of about seven to eight blitserlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic.

1) What are the lesions diagnostic of? Explain how you decided.
2) Although this particular condition is soemwhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?
3) The mother says that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl's illness and the baby's condition.
4) What factors probably influenced the fact that the baby did not have sympomatic illness when his sister was experiencing it? And what factors led to the eruption of lesions now?


- I personally think that it is being caused by sometype of ringworm. Any thoughts?

My best guess:
1) Varicella Zoster i.e. shingles or chicken pox. If its in a specific part of the baby's back its because it tends to localize in specific dermatomes.
2) Answered above
3) Baby caught it from sibling.
4) Took a while for the baby to experience this because the newborn still had its mother's IgGs from blood until recently. Now that the mother's Abs to chickenpox are gone, bam the baby has it.

It can't be ringworm? And really it can be localized like that in only one spot?

No reason to believe ringworm. Yes, the reason we call shingles "shingles" is because it can happen on random dermatomes of the body. Google the dermatome man. Imagine it on a baby. This is my guess as to whats going on in that kiddo.

 

[jagec]

Originally posted by: ChAoTiCpInOy

It can't be ringworm? And really it can be localized like that in only one spot?

Wait until you learn about herpes virus. Crazy.

 

[ChAoTiCpInOy]

Originally posted by: RollWave

Originally posted by: ChAoTiCpInOy

Originally posted by: RollWave

Originally posted by: ChAoTiCpInOy
A toddler girl is leaning over to play witht the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions - a group of about seven to eight blitserlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic.

1) What are the lesions diagnostic of? Explain how you decided.
2) Although this particular condition is soemwhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?
3) The mother says that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl's illness and the baby's condition.
4) What factors probably influenced the fact that the baby did not have sympomatic illness when his sister was experiencing it? And what factors led to the eruption of lesions now?


- I personally think that it is being caused by sometype of ringworm. Any thoughts?

My best guess:
1) Varicella Zoster i.e. shingles or chicken pox. If its in a specific part of the baby's back its because it tends to localize in specific dermatomes.
2) Answered above
3) Baby caught it from sibling.
4) Took a while for the baby to experience this because the newborn still had its mother's IgGs from blood until recently. Now that the mother's Abs to chickenpox are gone, bam the baby has it.

It can't be ringworm? And really it can be localized like that in only one spot?

No reason to believe ringworm. Yes, the reason we call shingles "shingles" is because it can happen on random dermatomes of the body. Google the dermatome man. Imagine it on a baby. This is my guess as to whats going on in that kiddo.

What about lack of fever or pain?

 

[PhoKingGuy]

Roll Wave explained it perfectly, thats what it is.

If the OP is a NP or PCP that is quite sad as this is something covered in an intro survey class.
Ring worm doesn't manifest itself as blisters. Its a fungus and would cause rashes and acute redness


<- Microbiology + Immunology undergrad senior

 

[ChAoTiCpInOy]

What about the lack of fever/pain?

 

[sao123]

Chickenpox Party anyone??

 

[DrawninwarD]

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

Obviously the baby has lupus.

 

[SirStev0]

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

fever/pain are for suckers.


I like Chick Pox as well. Just google some info on it.

 

[TheVrolok]

Originally posted by: PhoKingGuy
Roll Wave explained it perfectly, thats what it is.

If the OP is a NP or PCP that is quite sad as this is something covered in an intro survey class.
Ring worm doesn't manifest itself as blisters. Its a fungus and would cause rashes and acute redness


<- Microbiology + Immunology undergrad senior

There is absolutely 0 chance that the OP is a NP/PA/PCP. He guessed ringworm for Christ's sake. I'm guessing this is High School advanced bio, or some undergrad bio/micro intro course. A NP/PA/PCP would not get to where they are and not have this obvious answer.

 

[TheVrolok]

Originally posted by: SirStev0

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

fever/pain are for suckers.


I like Chick Pox as well. Just google some info on it.

Shouldn't you be in class, or studying, or something useful? Slacker!

 

[SirStev0]

Originally posted by: TheVrolok

Originally posted by: SirStev0

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

fever/pain are for suckers.


I like Chick Pox as well. Just google some info on it.

Shouldn't you be in class, or studying, or something useful? Slacker!

The life of a med student is chocked full of chillin' out, relaxin' and wireless connects that make neffin' anywhere possible!

 

[TheVrolok]

Originally posted by: SirStev0

Originally posted by: TheVrolok

Originally posted by: SirStev0

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

fever/pain are for suckers.


I like Chick Pox as well. Just google some info on it.

Shouldn't you be in class, or studying, or something useful? Slacker!

The life of a med student is chocked full of chillin' out, relaxin' and wireless connects that make neffin' anywhere possible!

I was down in Philly sitting in a on class the other day, and about 5 kids in the class were playing UT on a local wirelss LAN during lecture. Sweet.

 

[Sedition]

got beaten to it.

 

[RollWave]

Originally posted by: SirStev0

Originally posted by: TheVrolok

Originally posted by: SirStev0

Originally posted by: ChAoTiCpInOy
What about the lack of fever/pain?

fever/pain are for suckers.


I like Chick Pox as well. Just google some info on it.

Shouldn't you be in class, or studying, or something useful? Slacker!

The life of a med student is chocked full of chillin' out, relaxin' and wireless connects that make neffin' anywhere possible!

Bored med students unite? Haha