Derm- Bacterial, Viral, Fungal, Insects/Parasites Flashcards
golden honey crusted lesions around nose
dx
organism
tx
impetigo
staph or strep -MC staph
topical bacitracin
rarely PO cephalexin or doxy
tx erysipelas
IV PCN G
tx mild cellulitis
tx MRSA cellulitis
mild- cephalexin or dicloxacillin
MRSA- Bactrim
koplik spots
brick red rash starts on face then down and out
affects palms and soleslast
Measles
aka rubeola
4yo unvaccinated male presents with 4 days of fever, malaise, and HA
now with irregular pink papules on face that is starting to spread down neck and trunk, suboccipital LAN
Rubella
aka Third Disease, German measles
slapped check
pink lacy macular rash on torso
dx
organism
Erythema Infectiosum
aka Fifth disease
parvovirus B19
few days of fever. fever stops and then rose pink morbilifom rash develops
dx
organism
tx
roseola infantum
aka Sixth Disease
HHV6
acetaminophen for fever control
(prevention of febrile szs)
dome shaped waxy umbilicated papules
dx
organism
Molluscum Contagiosum
poxvirus
Chicken Pox medical name
Shingle medical name
pox- Varicella
shingles- Herpes Zoster
In herpes zoster opthalmicus branches of the __________ are involved and pts will have lesions on ______
trigeminal nerve
on face, in mouth, on tongue, & the eye
In Ramsay Hung syndrome _______ virus affects the _____ ganglion of the sensory branch of the _____ nerve. Pts will have _______ symptoms
geniculate ganglion of facial nerve (7)
pain and vesicles in external auditory cancal
loss of tast ant 2/3 of tounge
ipsilateral facial palsy
genital warts are MC what type of HPV?
6 or 11
prodromal GI or URI herald patch salmon colored plaques Christmas tree distribution dx tx
Pityriasis Rosea
no tx
yellow discoloration and thickening of distal nail plate
dx
tx
onychommycosis
PO!!!! griseofulvin or terbintine
red scale soles of feet with blister on instep and fissuring between toes
Tinea Pedis (Athelets Foot) topical antifungal (terbinatine)