Derm infections

Question 1

TTP tx?

Answer 1

Plasmapheresis

Steroids

Question 2

Dx of cellulitis and erysipelas?

Answer 2

Clinical

Question 3

Nonpurulent cellulitis tx?

Answer 3

It is probably strep

Oral Dicloxacillin, cephalexin, clinda

If severe, IV cefazolin, nafcillin, clindamycin

Question 4

Purulent cellulitis tx?

Answer 4

Likely STAPH

Clinda
TMPSMX
Linezolid

If severe:
IV Vanco

Question 5

Patient at risk for endocarditis and has faruncle for needing drainage?

Answer 5

Give Vanco first

Question 6

Hidradenitis suppurative is what? Tx?

Answer 6

Chronic occlusion of apocrine glands (usually axilla)

Tx is avoid skin trauma, gentle cleansing

Mild: topical clindamycin
Severe disease? Oral doxy or minocycline, debrident

Question 7

Two types of fasciitis are what

Answer 7

Group A
Polymycrobial

often they have systemic disease or diabetes or something

Question 8

Tx nec fasciitis?

Answer 8

AGGRESSIVE SURGERY

Antibiotics:
Carbapenem, Clinda and vanc

Question 9

What is dry gangrene from?

Answer 9

Arteriosclerosis and ischemia at tip of toe

Question 10

What is wet gangrene from?

Answer 10

Bacterial infection in moist tissue. Several bacteria

Question 11

Gas gangrene is from what?

Answer 11

clostridium perfringens

Hyperbaric O2 helps. You have crepitis

Question 12

Mild impetigo tx?

Answer 12

Mupirocin

Question 13

Moderate or severe impetigo tx?

What if staph?

Answer 13

Dicloxacillin or cephalexin

Clinda, Bactrim, doxy

Question 14

Skin abscess antibiotics?

Answer 14

Controversial, but since probably staph do clinda, bactrim, doxy or vanc

Above are MRSA drugs

Question 15

What does rosacia look like?

Answer 15

Telangiectasias and papules, but no comedones!

Question 16

Tx of rosacea?

Answer 16

Topical metronidazole or azelaic acid

Systemic same as acne: tetra, doxy, or minocycline. Isotretinoine

Question 17

Herpes is flu like illness first time you get it

Answer 17

oh ok

Question 18

Varicella problem of infection happens with what?

Answer 18

superinfection: strep pyo

Question 19

Who is treated for chickenpox?

Answer 19

Acyclovir if inhaled steroids. Cardiopulmonary history, or chronic salicylates (b/c don’t want Rye syndrome)

OVER 12 years old

Question 20

Tx for zoster?

Answer 20

___ciclovir if in first 72 hours and pain management

Question 21

skin warts are what number?

Genital warts are what?

Answer 21

1-4

Genital warts are sex, i mean, 6 and higher

Question 22

Spaghetti and meatball?

Answer 22

Tinea versicolor microscopically

Question 23

Oral meds for tinea?

Answer 23

Griseofulvin, terbinafine, itraconazole, fluconazole

Question 24

Onychomycosis tx?

Answer 24

Terbinafine, itraconazole, fluconazole (careful for liver)

Question 25

Tx of diaper rash?

Answer 25

clotrimazole or terbinafine

Question 26

Scabies tx?

Answer 26

Permethrin cream for entire family

Question 27

Permethrin is for crabs and lice

Answer 27

OH OK