Integumentary 4 Flashcards
folliculitis - avoid what
shaving or scrubbing the area
folliculitis - tx
mupirocin (Bactroban) ointment or cream
furuncles
an infected hair follicle that fills with pus
an infected hair follicle that fills with pus
furuncle
furuncle - tx
apply abx ointment BID and cover with a dressing until healed
best imaging to detect bone infection
MRI
herpetic whitlow
viral skin infection of the fingers caused by HSV type 1 or type 2 virus infection and results from direct contact with either a cold sore or genital herpes lesion
viral skin infection of the fingers caused by HSV type 1 or type 2 virus infection and results from direct contact with either a cold sore or genital herpes lesion
herpetic whitlow
patient c/o acute onset of extremely painful red bumps and small blisters on sides of fingers, cuticle area, or on terminal phalanx of one or more fingers
herpetic whitlow
herpetic whitlow at home measures
analgesics or NSAIDs for pain prn
herpetic whitlow severe infection or immunocompromised patients, treat with
acyclovir
herpetic whitlow - do you cover them
yes until they heal
hidradenitis suppurativa
chronic and recurrent inflammatory disorder of the apocrine glands that results in painful nodules, abscesses, and pustules in locations such as axillary, mammary area, perianal are and groin
hidradenitis suppurativa - stage I disease treatment
- initial - topical clindamycin
- if failure with initial tx - oral tetracycline 500 mg BID or minocycline BID for 7-10 days
impetigo
acute contagious superficial bacterial infection often caused by gram positive bacteria
impetigo limited lesions tx
2
topical mupirocin
topical retapamulin
impetigo numerous lesions tx
cephalexin 4 x day
dicloxacillin 4 x day
erythromycin 4 x day
impetigo - cleanse with
antibacterial soap, betadine, or chlorhexidine wash
antimicrobial prophylaxis for meningitis include
3
rifampin
ciprofloxacin
ceftriaxone
meningitis vaccine children
all children 11-12 years old with booster at 16
meningitis tx
ceftriaxone 2 G IV q12H
molluscum contagiosum
dome shaped papules with central umbilication/white plug, caused by skin infection with poxvirus
dome shaped papules with central umbilication/white plug
molluscum contagiosum
molluscum contagiosum - spread by
skin to skin direct contact
nec fasc s/sx
reddish to purple colored lesions that increases rapidly with size; infected area appears indurated; severe pain
paronychia
acute local bacterial skin infection of the proximal or lateral nail folds that resolves after the abscess drains
acute local bacterial skin infection of the proximal or lateral nail folds that resolves after the abscess drains
paronychia
painful and red swollen area around the nail on a finger
paronychia
paronychia - tx plan w/o abscess
soak affected finger in warm water for 20 minutes TID, apply topical abx such as triple antibiotic or mupirocin
inherited skin disorder in which squamous epithelial cells undergo rapid mitotic division and abnormal maturation
psoriasis
koebner pnehomenon is to
psoriasis
auspitz sign is to
psoriasis
patient c/o pruritis erythematous plaques covered with fine silvery white scales with pitted fingernails
psoriasis
psoriasis limited disease tx
3
topical steroids
emollients
retinoids
psoriasis severe disease treatment
phototherapy
systemic agents such as methotrexate, cyclosporine
