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3. Clinical manifestation

               White plaque patches at oral and pharyngeal mucosa around mouth and tongue.
               The lesions are usually painless but if the lesion is occur around the corner of

               mouth it will associate with pain.

                Management

                   1.  As long as the lesion is present

                       Keep the mouth clean by using salt solution (always in between, before
                       and after taking of meal)

                   2.  Use gentian violet to paint on the lesion part

                   3.  Encourage the patient to take fluid

                   4.  Reassure the patient by telling the fact about the diseases

                   5.  Refer the patient to the nearest health institution for further treatment


               7.10. Viral Skin infections

               7.10.1. Chicken Pox (Varicella)

               It is infectious disease caused by human herpes virus called varcella zoster

               1. Transmission
               Chicken pox is spread by inhalation of infective droplets nuclei or contract with lesions

               of an infected person.


               2. Incubation period 10-20 days


               3. Clinical manifestation

               ¾  Mild headache, fevers and tiredness

               ¾  There is skin rash which are macula to papules and then vesicles
               ¾  Vesicles and some pustules remain for3 to 4 days and then form crust over it and fall

                   of with out leaving scar
               ¾  The lesion commonly seen on the trunk of the body

               ¾  In some case the lesion has itching and develop scar when the patient is scratched.




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