Infections

Question 1

Difference between cellulitis and erysipelas

Answer 1

Erysipelas is acute superficial cellulitis with a well defined red raised border
Cellulitis is inflammation of deep subcutaneous tissue

Question 2

Management of cellulitis

Answer 2

Oral antibiotics
Raised legs
Analgesia
Sterile dressings

Question 3

What is staphylococcal scalded skin syndrome

Answer 3

Seen in infancy
Coagulase positive staphylococcus releases a circulating toxin that is toxic to epidermidis
Results in scald-like appearance, bulla and perioral crusting

Question 4

Management of staphylococcal scalded skin syndrome

Answer 4

Analgesia

IV antibiotics

Question 5

Examples of fungal infections (different sites)

Answer 5

Tinea corporis - trunk and limbs 
Tinea cruris - groin and natal cleft
Tinea pedis - athletes foot 
Tinea capitas - scalp (patches of hair loss)
Tinea unguium - nails
Tinea manuum - palms

Question 6

Management of tinea infections

Answer 6

Diagnose by taking skin scrapings, nail clippings, hair
Treat underlying cause e.g immunosuppression
Antifungals (topical or oral if severe/resistant nail infection)
Avoid topical steroids!

Question 7

Contraindications for antifungals

Answer 7

Pregnant

Breastfeeding