CLINICAL CARE OF THE SKIN, HAIR AND NAILS Flashcards
INFLAMMATION OF THE HAIR FOLLICLE THAT CAN OCCUR ANYWHERE ON THE BODY WHERE HAIR IS FOUND
FOLLICULITIS
THE ETIOLOGY FOR FOLLICULITIS FROM BACTERIA IS NORMALLY FROM
S. AUREUS
FOLLICULITIS CAUSED FROM WATER CONTAMINATION IS NORMALLY FROM WHAT BACTERIA?
PSEUDOMONAS
FOLLICULITIS ETIOLOGY
DERMATOPHYTIC
PITYROSPORUM
CANDIDA ALBICANS
WHAT VARIETY OF FOLLICULITIS WOULD THIS FALL UNDER?
FUNGAL
FOLLICULITIS CAUSED BY
HERPES SIMPLEX VIRUS
MOLLOSCUM CONTAGIOSUM
WOULD BE UNDER WHAT ETIOLOGY?
VIRAL
FOLLICULITIS ETIOLOGY
DEMODEX SPP MITES
SCHISTOSOMES (SWIMMERS ITCH)
WHAT ETIOLOGY OF FOLLICULITIS?
PARASITIC
PSEUDO FOLLICULITIS BARBAE
MECHANICAL FOLLICULITIS (SKINNY JEANS SYNDROME)
THIS IS UNDER WHAT ETIOLOGY OF FOLLICULITIS?
NON-INFECTIOUS
THINGS SUCH AS
HAIR REMOVAL CONDITIONS LIKE ECZEMA AND SCABIES OCCLUSIVE CLOTHING OR DRESSINGS DIABETES USE OF HOT TUBS OR SAUNA CHRONIC ANTIBIOTIC USE TATTOO RECIPIENT POOR HYGEINE
FOLLICULITIS
ABRUPT ONSET OF SWOLLEN PAPULES/PUSTULES WITH ITCHING AND PAIN IN THE HAIRY AREA OF THE BODY LIKE THE FACE AND PROXIMAL LIMBS, SCALP, AND PUBIC AREA
FOLLICULITIS
HAIR EMINATING FROM THE CENTER OF THE PUSTULE IS THE HALLMARK FOR WHAT?
FOLLICULITIS
TREATMENT FOR FOLLICULITIS
- GOOD HYGIENE PRACTICES
- WASH HANDS , LINENS, TOWELS AND CLOTHES FREQUENTLY WITH HOT WATER TO AVOID REINFECTION.
- USE WITCH HAZEL, ALCOHOL, OR TEND SKIN AFTERWARDS.
THERAPEUTIC INTERVENTION FOR SYAPHYLOCOCCAL FOLLICULITIS
MUPIROCIN OINTMENT
CEPHALEXIN
DICLOXACILLIN
THERAPEUTIC TREATMENT FOR MRSA
BACTRIM
CLINDAMYCIN
DOXYCYCLINE
THERAPEUTIC TREATMENT FOR SOMEONE WHO HAS FOLLICULITIS FROM PSEUDOMONAS?
CIPROFLOXACIN
THERAPEUTIC TREATMENT FOR FUNGAL FOLLICULITIS
KETOCONAZOLE
SELENIUM SULFIDE SHAMPOO
FLUCONAZOLE
WHAT IS THE THERAPEUTIC TREATMENT FOR SOMEONE WITH PARASITIC FOLLICULITIS
5% PERMETHRIN
tHERAPEUTIC TREATMENT FOR SOMEONE WITH VIRAL/HERPATIC FOLLICULITIS
ANTI VIRALS
FOLLICULITIS IS RETAIN OR MEDEVAC?
RETAIN
SUB CONDITION OF FOLLICULITIS THAT PRESENTS SIMIALARLY WITH NO INFECTIOUS ETIOLOGIES. STATISTICALLY OCCURS MORE IN BLACK PEOPLE THAN WHITE PEOPLE AND CAN CAUSE KELOIDS TO FORM.
PSEUDO FOLLICULITIS BARBAE
MOST RELIABLE APPROACH IN TREATMENT OF PSEUDO FOLLICULITIS
LASER HAIR REMOVAL
HOW MANY LASER TREATMENTS ARE NEEDED FOR SUCCESS?
3 SESSIONS SPREAD 30-45 DAYS APART
A CONTAGIOUS, SUPERFICIAL, INTRA-EPIDERMAL INFECTION OCURRING ON EXPOSED AREAS OF THE FACE AND EXTREMITIES
IMPETIGO
WHAT ARE THE TWO MAIN TYPES OF IMPETIGO
PRIMARY AND SECONDARY
MOST COMMON FORM OF IMPETIGO. FORMATIONS OF VESICULO PUSTULES THAT RUPURE LEADING TO CRUSTING THAT IS GOLDEN IN APPEARANCE.
NON-BULLOUS IMPETIGO
IMPETIGO THAT PROGRESSES FROM SMALL TO LARGE FLACCID BULLAE AND IS NORMAL IN CHILDREN AND NEWBORNS. CRUST IS USUALLY BROWN . HAS LITTLE TO NO LYMPHADENOPATHY AND AFFECTS MOSTLY THE TRUNK
BULLOUS IMPETIGO
WARM, AND HUMID ENVIRONMENTS TROPICAL CLIMATE SUMMER OR FALL SEASON MINOR TRAUMA FROM INSECT BITES TRANSMISSION FROM PERSON TO PERSON
THESE ARE ALL RISK FACTORS OF WHAT
IMPETIGO
THICKLY CRUSTED EROSIONS OF ULCERATIONS . THIS IS USUALLY THE CONSEQUENCE OF NEGLECTED IMPETIGO AND CLASSICALLY EVOLVES IN IMPETIGO OCCLUDED IN FOOTWEAR ND CLOTHING.
ECTHYMA
WHAT IS THE KEY THING IN TREATING A PATIENT WITH IMPETIGO?
STOP THE SPREAD
NON BULLOUS AND BULLOUS IMPETIGO WOULD RECIEVE WHAT MEDICATIONS FOR TREATMENT??
MUPIROCIN
DICLOXICILLIN
IMPETIGO ASSOCIATED TO MRSA WOULD GET WHAT MEDICATIONS?
BACTRIM
CLINDAMYCIN
DOXY
- ACUTE BACTERIAL INFECTION
- TYPICALLY CAUSED BY BACTERIAL PENETRATION
- SHOWS CLASSIC 4 INFLAMMATIONS SIGNS.
- UNILATERAL IN NATURE
- MOSTLY INVOLVED IN THE LOWER EXTREMITIES, NEAR WOUNDS, SURGICAL REPAIR SITES.
CELLULITIS
DIAGNOSTIC TESTS FOR CELLULITIS
CLINICAL IN NATURE
CONSIDER LABS IF SYSTEMICALLY ABNORMAL
SOMEONE WITH CELLULITIS IN THE LOWER EXTREMITY SHOULD HAVE WHAT MAIN INJURY/ ISSUE RULED OUT VIA ULTRASOUND.
DVT
CELLULITIS PATIENTS SHOULD HAVE WHAT TREATMENT DONE.
MARK THE BORDERS FOR SPREAD
IMMOBILIZE AND ELEVATE INVOLVED LIMB TO REDUCE SWELLING.
STERILE SALINE DRESSINGS OR COOL ALUMINUM ACETATE COMPRESSES FOR PAIN RELIEF
COMPRESSION
NSAIDS AND ACETAMINOPHEN
CHECK TETANUS IF OPEN WOUND.
WHAT ANTIBIOTICS WILL YOU GIVE FOR A PATIENT WITH CELLULITIS IF IT IS NON PURULENT?
CEPHALEXIN
DICLOXICILLIN
PURULENT CELLULITIS WOULD GET WHAT ANTIBIOTICS WHEN CONSIDERING PROBABLE MRSA INVOLVEMENT.
BACTRIM
CLINDAMYCIN
DOXY
CELLULITIS CAUSED BY AN ANIMAL BITE SHOULD GET WHAT ANTIBIOTIC
AMOXICILLIN CALCLUVANATE ACID
WHEN SHOULD YOU CONSIDER NOTIFYING AN M.O. ABOUT A PATIENT WITH CELLULITIS?
ELEVATED WBC
FAILURE TO RESPOND TO ORAL ANTIBIOTICS
SEVERE INFECTION, SUSPICION OF DEEPER OR RAPIDLY SPREADING INFECTION, TISSUE NECROSIS, OR SEVERE PAIN.
THIS INFECTION IS RARE AND CAN AFFECT ANY LAYER OF TISSUE FROM SKIN DOWN TO THE MUSCLE. IS ASSOCIATED WITH SYSTEMIC TOXICITY AND MAY REQUIRE AMPUTATION OF THE AFFECTED LIMB.
NECROTIZING FASCIITIS
MAJOR PENETRATING TRAUMA
MINOR LACERATIONS OR BLUNT TRAUMA
SKIN BREACH
RECENT SURGERY
IMMUNOSUPRESSION
OBESITY
ALCOHOLISM
THESE ARE ALL RISK FACTORS ASSOCIATED WITH …….
NECROTIZING FASCIITIS
A PATIENT COMES IN WITH THE FOLLOWING SYMPTOMS
PAIN AT 9/10 IN THE LOWER LEFT LEG. YOU NOTE ERYTHEMA, MILD EDEMA AND LOOKS LIKE THERE IS MILD CELLULITIS. PATIEN’TS VITALS SHOW FEVER OF 101.1, TACHY RATE, ALL OTHER VITALS NORMAL.
HISTORY SHOWS PATIENT HAD A RECENT SURGERY TO REPAIR A PENETRATING WOUND TO HIS AFFECTED LEG LAST WEEK.
WHAT IS YOUR CONCERN
NECROTIZING FASCIITIS
WHAT IS THE CORNERSTONE TREATMENT FOR SOMEONE WITH NECROTIZING FASCIITIS?
SURGICAL DEBRIDEMENT
IV ANTIBIOTICS
MEDEVAC
IF NOT TREATED PROMPTLY. A PATIENT COULD HAVE WHAT COMPLICATIONS IN REGARDS TO NECROTIZING FASCIITIS?
TOXIC SHOCK SYNDROME
AMPUTATION
A WELL CIRCUMSCRIBED , PAINFUL, INFLAMMATORY NODULE AT ANY SITE THAT CONTAINS HAIR FOLLICLES. CAN EXTEND INTO THE DERMIS AND SUBCUTANEOUS TISSUES.
FURUNCLE (BOIL)
A COLLECTION OF PUS WITHIN THE DERMIS AND DEEPER SKIN TISSUES. MANIFESTS AS A PAINFUL, TENDER, FLUCTUANT AND ERYTHEMATOUS NODULE.
WILL NOT HAVE ANY SYSTEMIC SYMPTOMS
SKIN ABSCESS
A COALESCESCE OF SEVERAL HAIR FOLLICLES INTO A SINGLE INFLAMMATORY MASS WITH PURULENT DRAINAGE FROM MULTIPLE FOLLICLES.
THIS WILL SHOW SYSTEMIC SYMPTOMS.
CARBUNCLE