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KCSU17 Derm > Cellulitis/Viral Disorders > Flashcards

Cellulitis/Viral Disorders Flashcards

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Dermatology Board Prep flashcards
1
Q

Cellulitis description

A

Confluent erythema

Significant edema

Warm, affected area

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2
Q

Cellulitis treatment

A
  1. Rest and elevate
  2. Augmentin or Keflex (antibiotics)
  3. X-Ray and culture
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3
Q

Erysipelas

A

Sudden onset cellulitis

Lymphatic involvement (red streaking)

High fever, chills, myalgia, vomiting

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4
Q

Pathognomonic symptoms

Erysipelas

A

Group A strep

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5
Q

Erysipelas

Treatment

A
  1. Antibiotics (Penicillin VK, Zithromax, Biaxin)
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6
Q

HSV description

A

Painful, red blisters on genitals

Small, erythematous vesicles

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7
Q

HSV detection methods

A

Tzanck smear

Can be spread with no outbreak (viral shedding)

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8
Q

HSV treatment

A
  1. Valcyvlovir and Famciclovir (antiviral) PRN
  2. Patient education
  3. Chronic suppressive therapy for 1 year (small amount of antiviral ea. Day then switch to PRN)
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9
Q

Herpes Zoster/Shingles

A

Red blistering rash

Erythematous macular rash

Dermatomal pattern

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10
Q

herpes zoster/shingles

Pathognomonic

A

Lesions don’t pass the midline

Pain out of proportion before the flare

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11
Q

Herpes zoster/shingles treatment

A
  1. Valcyclovir and Famciclovir (antiviral)
  2. Amitryptiline (nerve pain)
  3. Pain icontrol
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12
Q

Hutchinson’s sign

A

Vesicles con on side or tip of nose

Can go blind

Found in herpes zoster/shingles

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13
Q

Herpes varicella/chicken pox

A

Small, itchy bolsters

Multiple clear vesicles, crust and pustules

Erythematous base

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14
Q

Herpes varicella

A

Spread by respiratory droplets or direct contact with vesicles

Dew drop on rose petal

Inject 2 days before presentation until all crusted

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15
Q

Herpes varicella treatment

A
  1. Antihistamine
  2. Antivirals (if not normally healthy)
  3. Calamine lotion
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16
Q

Condylomata acuminata

A

Aka genital warts

Caused by HPV

Multiple filiform lesions to anus

17
Q

Condylomata acuminata

Pathognomonic

A

HPCC

Lesions get agitated before better

Linked to cervical CA

18
Q

Treatment Condyloma Acuminata

A
  1. Iiquimoid cream or Condylox gel (irritant)
  2. Cryosurgery

Refer to GI for internal lesions (could be CA)

19
Q

Rosella

A

Caused by herpes virus

High fever

Small pink macules

Diffusely spread

20
Q

Roseola

Pathognomonic

A

HSV 6 and 7

Fever breaks and they blood like a rose

21
Q

Roseola treatment

A

Acetaminophen/Ibuprofen

Recovers nicely

Virus has to run its course

22
Q

hand, foot and mouth disease

A

painful sores to the hands, feet, and mouth

Buccal mucosa sores

caused by Coxsackie A16 virus

treated with Tylenol and supportive care

KCSU17 Derm (12 decks)

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