Rubella: Signs, Exam, and Diagnosis (Pediatric Nursing)

by Paula Ruedebusch

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    00:00 Many patients with rubella have few or no symptoms.

    00:03 Symptoms can be cold-like including a runny nose, a cough, or sneezing.

    00:08 The primary symptom though is a rash and this is gonna start on the face and spread to the trunk and then the limbs.

    00:14 It's usually going to fade after 3 days and it's gonna be pink or light red, and maybe itchy.

    00:20 There are other signs and symptoms including a low-grade fever, swollen lymph nodes in the neck, joint pains, headache, conjunctivitis, and Forchheimer's sign which are red papules that we see on the soft palate.

    00:33 These are gonna occur in 20% of cases.

    00:35 We can also see these in other conditions including strep throat.

    00:38 Here's the rubella rash.

    00:40 Now, use caution when diagnosing a patient's rash because this looks a lot like roseola and it can also resemble the measles. So first, you wanna get your patient's medical history.

    00:50 Then, you're gonna evaluate their immunization status and this is to exclude other causes of their fever and rash.

    00:56 One dose of the MMR is 97% effective against rubella.

    01:01 Next, you'll move on to your physical exam.

    01:04 This includes the vital signs, a thorough head, eyes, ears, nose, throat exam, cardiac, respiratory, and a full skin exam.

    01:12 Now, this part's important because rubella is so teratogenic, you want to do a pregnancy test in women of child-bearing age.

    01:18 Rubella needs to be reported to the Health Department in all suspected cases.

    01:23 How do you diagnose rubella? You can do this via lab testing and you need to consult your local and state Health Department for guidance. Testing is strongly recommended.

    01:32 A positive rubella IgM antibody will show up a short time after this characteristic rash.

    01:39 These IgM antibodies can remain positive for up to one year.

    01:42 There are gonna be some risk factors for a heightened clinical suspicion and this is maybe your patient is unvaccinated or they've had a recent international travel.

    About the Lecture

    The lecture Rubella: Signs, Exam, and Diagnosis (Pediatric Nursing) by Paula Ruedebusch is from the course Infectious Diseases – Pediatric Nursing (Quiz Coming Soon) .

    Author of lecture Rubella: Signs, Exam, and Diagnosis (Pediatric Nursing)

     Paula Ruedebusch

    Paula Ruedebusch

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