M14 Medical Surgical Flashcards
MRSA
Bacterial
“spider bite”
Highly contagious
Isolate from other teammates
Prevention with good hygiene
Impetigo
Bacterial
Superficial blisters
Honey crusted appearance
Antibacterial soap
Antibiotics
Avoid contact with lesion
Furnuncles and Carbuncles (grouping of furuncles)
Bacterial
Tender boils
Areas of friction and perspiration
Warm compress
Lanced and drained
Antibiotics
Folliculitisb
Bacterial
Younger athletes who are shaving
Return to Play Bacterial Infections
72 hour course of antibiotics
No further wound drainage
No new lesions for 48 hours
Active lesions cannot be covered
Herpes Simplex
Viral
Incubation 3-10 days
Vesicle or tiny vesicles on head, face, neck, upper extremities
Antivirals
Contagious
Labium = on the lip
Gladitorum = body
Molluscum Contagiousum
Viral
Vesicles or cluster
Usually benign and self resolving
Scarring
Physical destruction of lesion
Return to Play herpes simplex
Free of systemic symptoms
No new lesions for 72 hours, no moist lesions
5 days of antiviral therapy
Return to Play MC
Lesion removed
Can cover with gas permeable dressing and elastic tape
Tinea capitus
Fungal
Scaly patches
Topical anti fungal
Tinea corporals
Fungal
Red round scaly patches
“ring worm”
Tinea cruris
Fungal
“jock itch”
Tinea pedis
Fungal
Toe webs
athlete’s foot
Skin lesions (abrasions, calluses)
Cleansing = saline, soap/water no scrubbing
Debridement =wound dependent
Dressing = Occlusive/Non-occlusive
Monitor for infection
Open Wounds
Article Hoogenboom
Contact Dermatitis
Reaction to offending agent
Red and itchy
Not contagious
Find offender, cream/topical steroid
Acne Mechanica
Caused by friction of equipment
Head, neck, shoulders
Non-contagious
Moisture wicking, personal hygiene
Talon Noir (black heel)
Footwear friction
Adolescents in sports
From socks and shoes
Psoraisis
Autoimmune/systemic
Thick red skin with white covering
Non-contagious
Topical meds
Eczema (Atopic Dermatitis)
Itchy and scaly
Elbows and popliteal fossa
Non-contagious, can be associated with infection/environmental or genetic
Topical corticosteroid
Cholinergic Urticaria
Sweat and heat caused hives
Rapid cooling….extreme heat
Antihistamines if needed
Keloid scarring
Scarring beyond wound border
Itchy
Steroid injections
Pressure to the area
Pediculosis
Ectoparasite
tracks of red
Louse or nit (egg)
Hair = lice/scabies
Itching
Thorough washing of clothes and bedding
Shampoos and lotions
Bone stress injuries extrinsic factors
Exercise volume, intensity, type
Surface/footwear
Bone stress injuries intrinsic factors
Biomechanics, balance, muscle strength, limb alignment