Paediatrics: Hand, Foot, and Mouth Disease: Free MSRA Podcast

🎧 FREE MSRA PODCAST – Hand, Foot and Mouth Disease (HFMD)A high-yield clinical deep dive perfect for revising this classic childhood condition – guided by exam-focused revision notes and real-life case framing.🧠 Key Learning Points📌 Definition• Common viral illness in young children• Characterised by fever, mouth ulcers, and blisters on hands and feet📌 Causes & Virology• Caused by enteroviruses, mainly:• Coxsackievirus A16• Enterovirus 71• Both A and B subtypes can cause other complications (e.g. meningitis, myocarditis)📌 Transmission• Highly contagious• Spread via:• Faeco-oral and oral-oral routes• Saliva, nasal secretions, blister fluid• Contaminated surfaces (e.g. toys)• Incubation: 2–6 days📌 Risk Factors• Children under 5 years old• Close-contact environments (e.g. nurseries, preschools)• Adults rarely affected due to prior immunity📌 Pathophysiology• Virus enters via respiratory tract or ingestion• Replication → immune response → blisters, ulcers• Affects: skin, mucous membranes, lymphoid tissue📌 Symptoms• Initial fever, sore throat, malaise• Blisters on palms, soles, mouth (buccal mucosa, tongue, gums)• Possible non-itchy skin rash elsewhere• Occasionally associated with nail shedding weeks later📌 Differential Diagnoses• Herpangina (oral ulcers only)• Chickenpox (widespread rash, crusts)• Other viral exanthems – distribution is key📌 Diagnosis• Clinical diagnosis based on appearance• Lab confirmation (PCR, IgM, stool/blister swabs) rarely needed📌 Management• No antiviral – supportive care only• Focus on:• Hydration• Pain relief (paracetamol/ibuprofen)• Topical oral gels for mouth ulcers• School/nursery exclusion not always needed – follow local policy📌 Complications• Rare but possible:• Dehydration, secondary bacterial infection, viral meningitis, encephalitis• Coxsackie B may cause myocarditis (rare)• HFMD is usually self-limiting – resolves in 7–10 days📌 Pregnancy• No major harm to baby expected• Close to delivery: alert midwife/doctor for advice• Coxsackie B may carry slight risk – needs specialist input📌 Memory Tips• Think: FHM + F = Feet, Hands, Mouth + Fever• Viruses: A16 + EV71• Spread: oral-oral + faeco-oral• Common sites = classic pattern📎 More MSRA Resources for Hand, Foot and Mouth Disease📝 Revision Notes: https://www.passthemsra.com/topic/hand-foot-and-mouth-disease-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/hand-foot-and-mouth-disease-flashcards/💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/hand-foot-and-mouth-disease-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/hand-foot-and-mouth-disease-rapid-quiz/🎯 Topic Quiz Page: https://www.passthemsra.com/quizzes/hand-foot-and-mouth-disease/🎓 Full Paediatrics Course: https://www.passthemsra.com/courses/paediatrics-for-the-msra/#MSRA #MSRARevision #MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQandANotes #MSRAAccordions #MultiSpecialtyRecruitmentAssessment #MSRAOnlineRevision #MSRARevisionWebsite #Paediatrics #HandFootAndMouthDisease