COMMUNICABLE DISEASE OF

INTEGUMENTARY SYSTEM
 VIRAL COMMUNICABLE
DISEASE

MEASLES
GERMAN MEASLES
 MEASLES

-It is sometimes
called ‘hard’, ‘red’ or
‘seven day measles’.
Causative Agent
Morbilli
-Paramyxovirus
Rubeola Virus
 MEASLES

Manifestations of Measles:
1. Pre-eruptive Stage
2. Eruptive Stage
3. Post-eruptive Stage
 MEASLES
1. Pre-eruptive Stage
Three (3) C’s
-Coryza
-Cough
-Conjunctivitis
Kuplick Spots
-Fine red spots with bluish white spot at the center
-Found at the inner cheeks
-This is the PATHOGNOMONIC SIGN of Measles
MEASLES
 MEASLES
2. Eruptive Stage
 Rashes are now present
 Maculopapular Rashes
-Flat to elevated
-Reddish in color
-With blotchy appearance
-In the vernacular, pantal-pantal
-Face of the patient looks bloated
-Cephalocaudal distribution
Appears first on the hairline
Head to toe distribution
-Appears on the 3RD DAY of illness
-Within two (2) to three (3) days, the entire body will be covered
with rashes
MEASLES
 MEASLES
3. Post-eruptive Stage
 Time when rashes start to disappear
 Fine, branny desquamation appears
 Then the desquamation peels off
 Peeling off proceeds in a cephalocaudal manner
 It is only the rashes that will be peeling off, NOT THE
SKIN of the patient.
 MEASLES

Concept!
Use of Colantro has a burning effect
causes skin to likewise peel off.
MEASLES
 MEASLES

DIAGNOSTIC TEST:

*there is no specific diagnostic test for measles

 MEASLES

NURSING MANAGEMENT:
• Maintain and increase body resistance
-rest, good nutrition, increase fluid intake
• Keep patient’s back warm and dry
• Provide hygienic measures
-eye care, ear care, nose, mouth and skin care
 MEASLES
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Before rashes appear or

during pre-eruptive stage
 MEASLES
PREVENTIVE NURSING RESPONSIBILITY:
MEASURES:
-Educate the mother about the
possible side effect of the vaccine
1.Immunization
-Anti-measles vaccine (AMV) Important concept:
When given: Age of nine (9) months
Dosage: 0.5 cc • Attack of measles gives permanent immunity to
Route: Subcutaneous the disease
Site: Deltoid muscle • Program of DOH for Measles:
• Ligtas tigdas immunization program
2004
 MEASLES
PREVENTIVE
MEASURES: Important concept:

-Mode of transmission: Airborne

-Common complications:
2. Proper disposal of • Bronchopneumonia
nasopharyngeal secretions • Encephalitis

3.Cover the mouth when

coughing or sneezing
 GERMAN
MEASLES
-It is a viral disease Also called:
 Rubella
that causes rash,  Three (3) day disease
swollen lymph  Poteln
nodes and MODE OF TRANSMISSION:
sometimes fever. Droplet
 GERMAN
MEASLES
MANIFESTATION OF
GERMAN MEASLES:

1. Pre-eruptive Stage
2. Eruptive Stage
3. Post-eruptive Stage
 GERMAN
MEASLES
1. Pre-eruptive Stage
• Fever may be present or absent
• If patient has fever, it lasts only for one (1) to two (2)
days
• Patient has mild cough and mild cold
• NO CONJUNCTIVITIS
Therefore, he only has two (2) C’s.

Important Concept!
Enanthem of German Measles are called
FORSCHEIMER SPOTS
Fine red spots
Also called petechial spots
Appears on the soft palate
 GERMAN
MEASLES
2. Eruptive Stage
With maculopapular rashes • Patient is positive for enlargement of
• Not reddish but pinkish lymph nodes
• Not blotchy but discreet -Suboccipital lymph nodes
• Appearance is fine -Posterior auricular lymph nodes
• Slightly unnoticeable -Posterior cervical lymph nodes
• Rashes are smaller compared with
those of measles
• Also has cephalocaudal distribution
• Appears first at the head
GERMAN
MEASLES
 GERMAN
MEASLES
3. Post-eruptive Stage
• Rashes now start to disappear
-they disappear at the third (3rd) day of illness

Key Concepts:
-In measles, rashes just start to manifest themselves by
the third (3rd) day of the illness
-Enlarged lymph nodes will gradually subside
 GERMAN
MEASLES

• Diagnostic Tests
• Medical Management
• Nursing Management
• Preventive Measures for German Measles
 GERMAN
MEASLES
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• During the entire course of the disease.

• Until enlarged lymph nodes return to
normal
 GERMAN
MEASLES
Important Concepts!
 An attack of German Measles gives permanent
immunity
 MMR vaccine
-Measles, Mumps, Rubella vaccine
-If you are an adolescent, you can receive this but do
not be pregnant within the next three (3) months because you
may give birth to a child with congenital anomalies
 GERMAN
MEASLES
Important Concepts!
 It can become fatal if patient is on her first trimester of pregnancy due
to chances of giving birth to a child with congenital anomalies:
• Microcephaly
• Congenital Defect (Tetralogy of Fallot, etc.)
• Cataract leading to blindness
• Deafness and mutism

NOTE:
If exposed during the first trimester of pregnancy, pregnant mother
must immediately receive immunoglobulin or gamma globulin within
seventy-two (72) hours.
 MEASLES
vs
GERMAN MEASLES
 MEASLES
vs
GERMAN MEASLES

MEASLES GERMAN
MEASLES

• 3 C’s
• Diagnostic Tests • 2 C’s
• Communicable before rashes
• Medical • +Enlargement of Lymph
appear or during pre-eruptive Management
stage Nodes
• Nursing
• Airborne • Communicable during the
Management
• Reddish • Preventive entire course of the disease
Measures for until enlarged lymph nodes
German Measles return to normal
• Gives • Droplet
permanent • Pinkish and slightly
immunity unnoticeable
End of slide

Group 02
Battung, Micah
Bayaca, Jolina
Buenafe, Berick Kyle
Cabuntocan, Sarah Joy