ࡱ> ')&#`  bjbjmm . D "  $ hd   M M M   M M M M !w M 0 M  |M M 4 M C  """ """  RAMSEY PEDIATRIC CENTER Hand-Foot-Mouth Disease Diagnostic Criteria -Small, painful ulcers in the mouth (99%), especially on tongue and sides of mouth -Small, thick-walled water blisters or red spots located on the palms, soles, and webs between the fingers and toes (70%) -1 to 5 water blisters per hand or foot Nonessential criteria: -Small blisters or red spots on the buttocks (30%) -Low-grade (100 to 102 degrees) fever -Mainly occurs in children age 6 months to 4 years Cause Coxsackie A-16 virus Home Care -Antacid Solution for Pain Relief: Use an antacid solution four times daily. For younger children, put teaspoon in the front of mouth four times daily after meals. For children over 4, use 1 teaspoon as a mouth wash after meals. -Soft diet: Cold drinks, milkshakes, Popsicles, and sherbet are good choices. Avoid citrus, salty, or spicy foods. For infants, give fluids by cup rather than bottle. -Fever medicine: Give acetaminophen or ibuprofen for fever > 102 degrees or severe mouth pain -Contagiousness: Quite contagious but a mild disease. Incubation period is 3 to 6 days. Can return to daycare when the temperature returns to normal (usually 1 to 3 days). -Expected course: The fever lasts 2 to 3 days. The mouth ulcers resolve by 7 days. The rash on the hands and feet last 10 days. Call Our Office -Signs of dehydration (dry mouth, no tears, no urine > 8 hours) -Stiff neck, severe headache, or acting confused -Red, swollen, and tender gums -Fever persists > 3 days -Child becomes worse 2F; R   &   < L   Ž h7hr+hr+h7h7CJaJh7h76h7h7CJaJh7CJ aJ h7CJ(OJQJaJ(hKfCJ(OJQJaJ(h CJ(OJQJaJ(h7h7CJ(OJQJaJ(12F ; R  ` M  _ gd7$a$gd7$&dPa$gd7   ; < L  $a$gd7gd7 ,1h/ =!"#$% @@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List   z 12F;R`M_;<L  !!f!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!f12F;R`M_;<L  000000000000000000000000000000000000     8@0(  B S  ?  ab^a:     3)r+a7Kfq@dqq @UnknownG:Ax Times New Roman5Symbol3& :Cx ArialCFComic Sans MS"h F=&K% % !r4d3HX)?72Ramsey Pediatric CenterPreferred Customer Mark DaigleOh+'0  , L X dpxRamsey Pediatric CenterPreferred Customer Normal.dot Mark Daigle5Microsoft Office Word@5z @r@w%՜.+,0 hp  Dell ' Ramsey Pediatric Center Title  !"#$%(Root Entry F !w*1Table WordDocument.SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q