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SCS > Derm > Flashcards

Derm Flashcards

1
Q

Hot tub folliculitis is important to recognize as a specific infection because:

A

It is caused by pseudomonas aeruginosa requiring specific antibiotics for treatment

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2
Q

The best first-line treatment option when there is concern for MRSA while waiting for culture results is:

A

Sometimes incision and drainage is the only treatment required. This certainly is the first line of treatment if methicillin-resistant staph aureus is considered.

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3
Q

Corns are?

A

Specially shaped callus w/ center appearance like a cone

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4
Q

How long should hands be washed?

A

15 seconds

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5
Q

What are 2 fungal infections in sport?

A

Tinea capitis

Tinea corporis

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6
Q

What is the presentation of tinea capitis?

A

Presentation:

  • single or multiple patches of hair loss
  • sometimes w/ a black dot pattern
  • predominately seen in pre-pubertal children
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7
Q

Treatment of tinea capitis?

A

Systemic antifungal agents

ex: Terbinafine

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8
Q

Return to competition:

Tinea capitis

A

Minimum of 2 weeks of systemic antifungal therapy

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9
Q

Tinea corposis:

Treatment:

A

Topical treatment w/ a cidal antifungal

Ex: Terbinafine
2x/day

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10
Q

Return to competition:

Tinea corposis

A

Must use topical fungicide for at least 72 hours

Lesions must be covered with a gas permeable membrane

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11
Q

Viral infections can presents w/ ______like symptoms

A

Viral

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12
Q

List the 3 viral derm infections seen in sport:

A
  1. Herpes Simplex
  2. Herpes Zoster
  3. Molluscum Contagiosum
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13
Q

Herpes Simplex:

Treatment

A

Anti-viral medication

Ex: Valacycclovir

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14
Q

Valacyclovir can be used for prophylatic treatment for?

A

Herpes Simplex:

Used in wrestlers:

History of HSV:

  • more than 2 years: 500 mg/d
  • less than 2 years: 1g/day
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15
Q

Herpes Simplex:

Return to Play

A
  1. Free of systemic symptoms: fever, malaise
  2. No new blisters for 72 hours
  3. All lesions must be surmounted by a firm adheret crust
  4. MINIMIUM of 120 hours (5 days) of systemic antiviral therapy
  5. active lesions can’t be covered to allow participation
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16
Q

Herpes Zoster

Where are they often found?

A

A rash of raised dots, develops into painful blisters

  • Often on trunk & buttock
17
Q

Molluscum Contagiosum:

More commonly seen in?

A

Viral infection

Young children

18
Q

Molluscum Contagiosum:

Treatment

A

Physical destruction of the lesions with a sharp curette

19
Q

Molluscum Contagiosum:

Return to Play

A

Lesions should be curetted & covered with a gas permeable membrane

20
Q

Bacterial infections are most commonly caused by?

A

gram + strains of

  • streptococus
  • staphylococus
21
Q

List the 3 bacterial infections seen in sport?

A
  1. Impetigo
  2. Folliculits/furucles/carbuncles
  3. MRSA
22
Q

Yellowish-brown or honey colored serous crusting

A

Impetigo

23
Q

Impetigo:

Treatment

A

Culture

Rx: topical mupirocin, fusidic acid & retapamulin

24
Q

Impetigo:

Return to Play

A
  1. Cultured
  2. No new lesions for at least 48 hours
  3. Completion of 72 hours of antibiotic therapy
  4. No further drainage from the wound
  5. Active infections may not be covered for competition
25
Q

Folliculitis/furuncles/carbuncles

Treatment

A

Referred for incision, drainage & culture

Rx: antibiotic therapy

26
Q

Folliculitis/furuncles/carbuncles

Return to sport

A
  1. Cultured
  2. No new lesions for at least 48 hours
  3. Completion of 72 hours of antibiotic therapy
  4. No further drainage from the wound
  5. Active infections may not be covered for competition
27
Q

Reports of spider bite should be considered a possible sign of?

A

MRSA

28
Q

MRSA

Treatment:

A
  • Isolated from team members

- antibiotic treatment

29
Q

MRSA

Return to play

A
  1. Cultured
  2. No new lesions for at least 48 hours
  3. Completion of 72 hours of antibiotic therapy
  4. No further drainage from the wound
  5. Active infections may not be covered for competition
30
Q

Calcaneal petechiae

Treatment

A

black heel

Rx: Monitor

31
Q

Psoriasis

Treatment

A

Thick, red skin with flaky, silver, white patches called scales

Treatment:

  • Over the counter salicylic acid
  • 10-15 mins of direct sunlight
  • moisturizers
32
Q

Scabies

A

Skin disease spread by mites

Itchy rash

33
Q

Squamous cell carcinoma

A

Reddish, slow growing

Tends to bleed

34
Q

Treatment of tinea pedis

A

OTC Lamisil

SCS (36 decks)

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