Derm emergencies Flashcards
1
Q
Erythema multiforme- Sx
A
- Sudden onset of symmetric
- Target or iris lesions
- SJS and TEN- due to meds
- Bullous eruptions
2
Q
Erythema multiforme- Tx
A
- Burn unit- hydration
- Discontinue offending meds
- High dose corticosteroids
3
Q
Staph scalded skin syndrome- Sx
A
- Fragile fluid filled bulla
- Fever, erythema
- Spared mucous membranes
4
Q
Staph scalded skin syndrome- Tx
A
- Parenteral abx
- Nafacillin
5
Q
Toxic shock syndrome- Sx
A
- Prodrome of fever, myalgia, vomiting
- Shock SBP 39
- Diffuse, blanching macular erythema
- Mucous membrane inflammation
- Strawberry tounge
- Desquamation of hands and feet
6
Q
Toxic shock syndrome- Tx
A
- Volume replacement
- Cephalosporin
7
Q
Toxic epidermal necrolysis- Sx
A
- Sulfa abx drug exposure
- > 30% BSA cutaneous dissemination
- Mucous membrane involvement
- Target like lesions, truncal
- Burning ulcerations
8
Q
Toxic epidermal necrolysis- Tx
A
- Fluid replacement
- Stop meds
- Pain control
9
Q
Erysipelas- Sx
A
- Superficial dermal infection
- Well demarcated erythematous infection
- Indurated plaques
- Face and extremities
10
Q
Cellulitis- Sx
A
- Painful swelling and erythema
- Poorly defined borders
- Warm to touch
- Deep infection skin and subq tissue
11
Q
Erysipelas/ cellulitis- Tx
A
Pen G and nafcillin
12
Q
Angioedema- Sx
A
- Swelling of face, lips and tongue
- Airway compromise
- ACE inhibitors
13
Q
Angioedema- Tx
A
- Airway protection and O2
- Epi
- Stop meds
- H1
14
Q
Urticaria- Sx
A
- Localized area of dermal edema
- Intense itching
- Due to exposure to allergen
- Sharply demarcated, transient annular areas
15
Q
Urticaria- Tx
A
- Diphenhydramine
- Epi
- Airway protection and O2
