Derm Flashcards
Hot tub folliculitis is important to recognize as a specific infection because:
It is caused by pseudomonas aeruginosa requiring specific antibiotics for treatment
The best first-line treatment option when there is concern for MRSA while waiting for culture results is:
Sometimes incision and drainage is the only treatment required. This certainly is the first line of treatment if methicillin-resistant staph aureus is considered.
Corns are?
Specially shaped callus w/ center appearance like a cone
How long should hands be washed?
15 seconds
What are 2 fungal infections in sport?
Tinea capitis
Tinea corporis
What is the presentation of tinea capitis?
Presentation:
- single or multiple patches of hair loss
- sometimes w/ a black dot pattern
- predominately seen in pre-pubertal children
Treatment of tinea capitis?
Systemic antifungal agents
ex: Terbinafine
Return to competition:
Tinea capitis
Minimum of 2 weeks of systemic antifungal therapy
Tinea corposis:
Treatment:
Topical treatment w/ a cidal antifungal
Ex: Terbinafine
2x/day
Return to competition:
Tinea corposis
Must use topical fungicide for at least 72 hours
Lesions must be covered with a gas permeable membrane
Viral infections can presents w/ ______like symptoms
Viral
List the 3 viral derm infections seen in sport:
- Herpes Simplex
- Herpes Zoster
- Molluscum Contagiosum
Herpes Simplex:
Treatment
Anti-viral medication
Ex: Valacycclovir
Valacyclovir can be used for prophylatic treatment for?
Herpes Simplex:
Used in wrestlers:
History of HSV:
- more than 2 years: 500 mg/d
- less than 2 years: 1g/day
Herpes Simplex:
Return to Play
- Free of systemic symptoms: fever, malaise
- No new blisters for 72 hours
- All lesions must be surmounted by a firm adheret crust
- MINIMIUM of 120 hours (5 days) of systemic antiviral therapy
- active lesions can’t be covered to allow participation
Herpes Zoster
Where are they often found?
A rash of raised dots, develops into painful blisters
- Often on trunk & buttock
Molluscum Contagiosum:
More commonly seen in?
Viral infection
Young children
Molluscum Contagiosum:
Treatment
Physical destruction of the lesions with a sharp curette
Molluscum Contagiosum:
Return to Play
Lesions should be curetted & covered with a gas permeable membrane
Bacterial infections are most commonly caused by?
gram + strains of
- streptococus
- staphylococus
List the 3 bacterial infections seen in sport?
- Impetigo
- Folliculits/furucles/carbuncles
- MRSA
Yellowish-brown or honey colored serous crusting
Impetigo
Impetigo:
Treatment
Culture
Rx: topical mupirocin, fusidic acid & retapamulin
Impetigo:
Return to Play
- Cultured
- No new lesions for at least 48 hours
- Completion of 72 hours of antibiotic therapy
- No further drainage from the wound
- Active infections may not be covered for competition
Folliculitis/furuncles/carbuncles
Treatment
Referred for incision, drainage & culture
Rx: antibiotic therapy
Folliculitis/furuncles/carbuncles
Return to sport
- Cultured
- No new lesions for at least 48 hours
- Completion of 72 hours of antibiotic therapy
- No further drainage from the wound
- Active infections may not be covered for competition
Reports of spider bite should be considered a possible sign of?
MRSA
MRSA
Treatment:
- Isolated from team members
- antibiotic treatment
MRSA
Return to play
- Cultured
- No new lesions for at least 48 hours
- Completion of 72 hours of antibiotic therapy
- No further drainage from the wound
- Active infections may not be covered for competition
Calcaneal petechiae
Treatment
black heel
Rx: Monitor
Psoriasis
Treatment
Thick, red skin with flaky, silver, white patches called scales
Treatment:
- Over the counter salicylic acid
- 10-15 mins of direct sunlight
- moisturizers
Scabies
Skin disease spread by mites
Itchy rash
Squamous cell carcinoma
Reddish, slow growing
Tends to bleed
Treatment of tinea pedis
OTC Lamisil
