MDT Flashcards
If you see a lession us that is benign, well-demarcated, and elevated lesions that have a “stuck-on appearance.” is
Seborrhoeic keratosis
Initially presents with a one to two centimeter, scaly, pruritic, erythematous rash with subsequent central clearing and the development of similar smaller lesions in a “Christmas tree”
What skin condition is this?
Pityriasis Rosea
Necrotizing Fasciitis S/s
Erythema, edema, celluliti, and high fever
*Unrelenting pain out of proportion to the physical findings even if there is only mild or no fever or erythema, often intense pain with palpation
Necrotizing Fasciitis Tx
- Surgical debridement of necrotic tissue
- Broad spectrum antibiotics - Carbapenem
- MEDEVAC ASAP
What condition is this?
Foliculitis
S/s are the following;
* Itching, burning pain,
* SUPERFICIAL PUSTULES OR INFLAMMATORY PAPULES
SURROUNDING THE HAIR FOLLICLES
* MAY OCCUR SINGULARLY OR IN GROUPS ON ANY BODY
SURFACE.
* STAPHYLOCOCCAL THE MOST COMMON TYPE.
* GRAM STAIN- GRAM POSITIVE COCCI
Cellulitis S/s
- Edematous, expanding, erythematous, warm plaque with or without vesiles or bullae
- Lower leg is frequently involved
- Pain, chills, and fever are commonly present
- Occur when there is a break in the skin and bacteria enters the tissue/barrier
What is the difference between furuncles and carbuncles?
- Furuncles only involve one nodule
- Carbuncles is the greater than than 1
You have a patient reporting Tender pain near there tailbone, you look at it and see this. What do you suspect the condition is?
Pilonidal Abscess
How do you treat Pilonidal abscess?
- I&D of the abscess
- Pack with gauze
- Antibiotics if needed.
- Surgical referral for definitive treatment
Actinic Keratosis (AK) can lead to what condition?
Squamous Cell Carcinoma (SCC)
Which is a type of cancerous skin condition
Squamous Cell Carcinoma (SCC)
You have patient who is complaining of
Onychomcosis
You have a patient that that reports a lesion that looks like this, they state it is TTP and feel likes sandpaper, What do you suspected it is?
Actinic Keratosis (AK)
You have a patient who reports of headache, malaise from the past few days. Has states it has a itchy burning sensation. and show you this, what do you suspected it is?
Herpes Zoster
What tx while you prescribe to a patient with suspected Herpes Zoster?
- Apply cool tap water dressings daily
- Prescribe Oral Antivirals such as Acyclovir (Zovirax) 800mg, Valacyclovir (Valtrex), Famciclovir (Famvir)
What are some treatment options for Herpes Simplex?
- Topical agents such as
Tertrcaine Cream 1.8%
Abreva
Penciclovir Cream - Oral medications such as Valacyclovir (Valtrex) 1g PO Famcyclovir (Famvir)
Acyclovir (Zovirax)
Impetigo S/S
“*Bullous Impetigo - inner tube shaped rim with a central thin, flat, honey colored crust that is common on the face
*Non-Bullous Impetigo - tinea like scaling border with a honey-yellow to white-brown crust with a red, moist base
What instruction will you refer to for PFB?
BUPERSINST 1000.22
What treatment would you provide for carbuncle/furuncles?
- Warm Compress
- I&D
- Systemic Antibiotics
What condition deals with the inflammation of the perifungal tissue (Cuticle)?
Paronychia
Infection between the fascial planes at the terminal phalanx of the finger refers to what?
Felon
What condition is characterized by a “Spaghetti & Meatballs” appearance under KOH Prep?
Tinea Versicolor
What condition appears as a golden yellow under a woods lamp?
Tinea Versicolor
