Dermatology Flashcards
Effects the upper dermis and superficial lymphatics
Erysipelas
deeper dermis and subcutaneous fat
cellulitis
upper and deeper dermis
abscess
cellulitis is most frequently observed in what age group?
middle-aged and older adults
Erysipelas is seen in this age group
children and older adults
risk factors for cellulitis, erysipelas and abscesses
skin barrier disruption, preexisting skin condition, skin inflammation, edema due to lymphatic drainage, edema due to venous insufficiency, obesity, immunosuppression
most common pathogen in erysipelas
beta-hemolytic streptococci
most common pathogen in cellulitis
beta-hemolytic streptococci and staph aureus including MRSA
most common pathogen in abscesses
staph aureus
clinical manifestations of cellulitis and erysipelas
erythema, warmth, edema; unilateral; lower extremities
which disease, cellulitis or erysipelas, can be purulent?
cellulitis
acute onset of symptoms, clear demarcation, systemic manifestations such as fever and chills
erysipelas
indolent course, more localized symptoms over days, less distinct borders, may have drainage
cellulitis
painful, fluctuant, erythematous nodule with surrounding induration
skin abscess
infection of one hair follicle
furuncle
infection of multiple hair follicles
carbuncle
common areas of skin abscess development
neck, face, axillae, buttocks
when should you use the LRINEC score?
concerning hx and exam, pain out of proportion to exam, rapidly progressive cellulitis
complications of cellulitis/ erysipelas/ abscess
necrotizing fasciitis, Bacteremia and sepsis, osteomyelitis, septic joint