Cellulitis vs Dermatitis

Question 1

Cellulitis Overview

Answer 1

• Common infection of dermis and subcutaneous tissues
• Presents with pain, erythema, edema, and warmth
• NOT transmitted by person to person contact, most commonly results from infection with streptococcus
• Resolves when treated with antibiotic treatment
• Risk factors includes skin injuries, surgical incisions, intravenous punctures, insect or animal bites, other skin infections in patient with comorbidities (DM, venous insufficiency, PAD, lymphedema)
• Occurs in middle aged and older adults
• Men = Women

Question 2

Cellulitis Clinical Presentation

Answer 2

• Spreading erythema along with pain, swelling, and warmth
• Commonly affects a lower limb but can occur on any area of skin
• Systemic features may be present such as fevers or rigors
• Warm to the touch with associated swelling and tenderness to palpation

Question 3

Cellulitis Diagnosis

Answer 3

• Cultures is most commonly diagnosed by history and physical examination
• 2/4 of the following criteria = warmth, erythema, edema, tenderness

Question 4

Cellulitis Medical Management

Answer 4

• Pts presenting with mild cellulitis and no systemic (fever) signs require antibiotics for minimum of 5 days
• Hospitalization for systemic antibiotics may be required for pt with signs of infection, failed outpatient treatment, or immunocompressed

Question 5

Cellulitis PT Management

Answer 5

• Modalities that can be used… rest, elevation, ice, and/or cool/wet/sterile bandages
• Preventative Measures… compression stockings, exercise promotion and specific exercises (calf pumps while standing), patient education on good hand hygiene and cleaning skin abrasions

Question 6

Dermatitis Overview

Answer 6

• Broad term that refers to inflammation of skin
• Characterized by itching, redness, and rashes

Question 7

Dermatitis – Atopic Dermatitis (Eczema)

Answer 7

• Chronic condition causing inflammation and irritation, often starting in childhood
• Cause is unknown but can be genetics, immune system, or environment
• Treatment focuses on managing symptoms, preventing flare ups (which can include creams, meds, or lifestyle changes)

Question 8

Dermatitis – Contact Dermatitis

Answer 8

• Skin reaction to something in the environment, causing an itchy rash
• Caused by exposure to irritants or allergens
• Treatment involves avoiding trigger, creams or meds, and good skin care

Question 9

Dermatitis – Seborrheic Dermatitis

Answer 9

• Condition that causes red, itchy, and flaky skin (often on scalp, face, or chest)
• Cause is unknown but may be related to yeast living on skin
• Treatment includes medicated shampoos, creams, or other meds

Question 10

Dermatitis Common Symptoms

Answer 10

• Dry, itchy, and red skin
• Rashes
• Crusty scales, painful cracks, or blisters that ooze fluid