Cutaneous infections Flashcards

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1
Q

2 big bacteria and what they cause

A
Staph. A
- impetago
- furuncles
- carbuncles
- folliculitis
- cellulitis
- peronycia
Strep
- impetigo
- erysipelas
- cellulitis
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2
Q

what is impettago

A
  • common and supeficial
  • very contagieous
  • face of children
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3
Q

Tx for impetigo

A
  • swab for C+S
  • saline compress to remove crust
  • bactroban topical
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4
Q

what is a furuncle

A
  • boil - deep follicular abscess
  • painful, red nodule that may suppurate
  • S. Aureus
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5
Q

Tx

A
  • C+S
  • bloods if febrile
  • incise and drain
  • PO ABx if systemic
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6
Q

what is superficial folliculitis

A
  • superficial yellow-white pustules with follicular openings
  • dev. in crops and heal quickly
  • Staph
  • anti-bacterial wash
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7
Q

what is cellulits

A
  • infection of subcutaneous tissue
  • often due to trauma - tinea pedis common
  • expanding erethyma, mild edema, tenderness
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8
Q

what is Tx for cellulitis

A
  • C+S

- IV pen or 1st gen ceph

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9
Q

what is paronychia

A
  • inflammatory reaction of the nail fold
  • purulent and swollen nail fold
  • incise and drain with PO ABx
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10
Q

what is erysipelas

A
  • st. anthony’s fire -PAIN
  • expanding painful swelling across face
  • infection of the superficial lymphatics
  • strep
  • ## fever and mailaise
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11
Q

Tx of eryse

A
  • mild with cloxavillin

- is severe admit for IV ABx

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12
Q

3 main types of viral infections

A
  1. herpes
    - herpes simplex
    - varicella
  2. HPV
  3. molluscum
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13
Q

presentation of herpes

A

grouped vesicles on an erythemaous base

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14
Q

what is HSV1

A
  • cold sores
  • grouped vesicles on the lips near the vermillion
  • prodrome of up to 24 hours
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15
Q

Tx of HSV1

A
  • prevent triggers

- oral anti-virals BEFORE they appear, or little effect

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16
Q

2 other presentations for HSV1

A
  1. herpetic whitlow - finger
  2. keratoconjunctivitis - may lead to blindness
    - NO STEROIDS
17
Q

what is HSV2

A
  • genital herpes
  • all persons with our without Sx are infectious
  • can have no Sx
  • can be bad blisters for 10-14 days
18
Q

Tx of HSV2

A

primary - oral antivirals at onset

recurrent - suppresvie daily oral antivrial

19
Q

what is presentation of varicella

A
  • chicken pox
  • crops of vesicles, pustules, crusted erosions on a red base
  • low grade fever, malaise
20
Q

Tx of varicella

A
  • oral acyclovir if within 24hours

- avoid ASA

21
Q

what is zoster

A
  • shingles
  • VZV travels down the nerve where it has been dormant
  • pain and blisters on the dermatome
22
Q

Tx of zoster

A

anti-virals if given within 72 hours of rash onset

23
Q

what are veruca

A

warts

24
Q

types of warts

A

vulgaris - hands - tiny black dots
plana - flat - often on face and neck
plantar - foot in horny ring
genital - most common STD

25
Q

Tx of non-genital warts

A
  • none
  • cryotherapy
  • salycilic acid
  • etc
26
Q

Tx of genital warts

A
  • cryotherapy
  • imiquimod cream
  • check of STIs
27
Q

what is molluscum

A

caused by pox virus

- smooth, dome shaped, with central umbilication

28
Q

Tx of molluscum

A
  • none - will go away

- topical tretinoin

29
Q

what is tinea capitis

A
  • breakage of the hair
  • triad of: alopecia, scaling, lymphadenopathy
  • more common in children before puberty
30
Q

Tx of tinea capitis

A

oral anti fungals

31
Q

what are dermatophytoses

A
  • fungal organisms that eat keratin
  • named for where they are
  • annular lesiona with scale at advancing border
32
Q

what is onychomycosis

A
  • fungal infection of the nail
33
Q

what is tinea versicolor

A
  • caused by species of yeast
  • normal skin inhabitant!
  • spagetti and meatballs on patho