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Previous Topic | Next Topic  Rubella vs. Robeola 




 
Kaplan Qbank USMLE



Author2 Posts
  #1

how can you differentiate between the two? :?:

  #2

Measels (Rubeola) Incubation period: 7-14 days; Period of communicability: from 2-4 days before appearence of rash until 2-5 days after onset; Sx & signs: Koplik spots, Fever, coryza, cough, conjuctivitis, photophobia, usually mild pruritis; Eruption site: starts around ears & on face and neck, spreads over trunk and limbs, limbs escape in mild cases; Eruption characteristics: Maculopapular brownish, pink and irregular confluent in severe cases, or even petechial, discrete in mild cases; Onset and duration: 3-5 days after onset of sx, lasts 4-7 days; Labs: Granulocytic leukopenia, virus in blood and nasopharynx

Rubella (Geman Measels) Incubation period: 14-21 days; Period of communicability: from 1 wk before onset of sx until rash disappears; Sx&signs: Malaise, fever, H/A, rhinits, post-auricular & suboccipital lymphadenopathy with tender nodes; Eruption site: face & neck, spreads to trunk and limbs; Eruption characteristics: Fine pinkish macules that become confluent and often scarlintiform or pinpoint on 2nd day; Onset&duration: 1 or 2 days after onset of sx, last 1-3 days; Labs: WBC counts usually normal or slightly reduced, virus in blood and nasopharynx







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