cover that epidermis yah slut

Question 1

Macule

Answer 1

flat, non-palpable, <1cm ie, freckles, tattoo

Question 2

Patch

Answer 2

flat, non palpable, >1cm ie, birth mark

Question 3

Palpule

Answer 3

elevated lesion <1cm

-can be palpated or have a different texture from the surrounding skin

Question 4

Plaque

Answer 4

elevated lesions >1cm that can be felt or palpated or have different texture from surrounding skin. ie, psoriasis.

Question 5

Nodule

Answer 5

Palpable, splid or cystic discrete lesions 1-2cm

Question 6

Tumour

Answer 6

> 2cm, isolated or group may or may not have surface changes

Question 7

vesicle

Answer 7

small, clear fluid filled blistered <1cm in diameter

Question 8

Pustule

Answer 8

vesicles containing pus

Question 9

bullae

Answer 9

clear, fluid blisters >1cm

Question 10

petechiae

Answer 10

very small, non-blanchable punctate foci or hemorrhage

Question 11

purpura

Answer 11

larger area of non-blanching hemorrhage. may be palpable, may signify coagulopathy

Question 12

Necrotizing soft tissue infection is

Answer 12

essentially rapid progressive soft tissue infection which often spreads through fascial plane, highly fatal

Question 13

type 1 nec fasc

Answer 13

polymicrobial

Question 14

type 2 nec fas

Answer 14

group a strep

Question 15

nec fas tx

Answer 15

surgical debridement
\+/- amputation
ABx
IVIG
hyperbaric

Question 16

Streptococcal toxic shock syndrome

Answer 16

any group A Strep infection associated with shock and organ failure (at least 2 system)

• can have very sand papery rash, stuffing of palms and soles
• causes ards, coagulopathy, hepatic damage

Question 17

SJS/TEN ethology

Answer 17

usually abx or nsaids

Question 18

SJS/TEN catagory

Answer 18

its essentially severe vascular interface dermatitis which causes epidermal necrosis with sloughing of skin and mucosa. ++ mouth mucosa.

SJS = <10% BSA
SJS/TENS 10-20% BSA
TENS >10% BSA