Hand footand mouthdiseaseHerpangina

Infectious disease

Herpangina

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Template

Herpangina

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Counseling

Herpangina is caused by a common virus and the sores usually heal within a week; antibiotics do not help.

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Counseling

Giving tylenol or motrin before drinks can ease the pain. Wash hands often, especially after diaper changes, and do not share cups or utensils. Return precautions given including not drinking well or fewer wet diapers, prolonged fever, headache with stiff neck, unusual sleepiness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Posterior oral ulcers, fever
  • No specific therapy
  • Hand hygiene; no shared utensils
  • Child care attendance: no fever, drooling controlled, can participate
  • Aseptic meningitis (rare)

Return precautions in the template

not drinking well or fewer wet diapersprolonged feverheadache with stiff neckunusual sleepiness

Sources