MDT Questions Flashcards
what is the PFB instruction
BUPERSINST 1000.22B
Treatment approach 1 of PFB
topical retinoid 60 day
treatment approach 2 of PFB
at least 3 treatments 30-45 days between treatment
how is impetigo prevented to minor sites of skin trauma
mupirocin TID
what needs to be ruled out with cellulitis
DVT
what are complications of Cellulitis
local abscess/sepsis
Super infection
lymphangitis
what are risk factors for Necrotizing Fasciitis
Major Trauma
Immnosuppression
Malignancy
Obesity
Alcoholism
what are complications of Nectotizing fasciitis
Toxic shock syndrome
Amputation
Septic shock
Death
what imaging should be done with nectotizing fasciitis
MIR
Xray
CT
US
what is the treatment for Nectotizing fasciitis
Surgical debridement
Broad spectrum antibiotics
who should catbuncles be handled by
dermatology or gen surgery
what is the most common benign mesenchymal neoplasm in adults and are composed of mature white adipocytes
lipoma
what are the most common factors for paronychia
manicuring
nail biting
thumb sucking
picking hangnail
paronychia is cause by what bacterial agents
staphylococcus aureus
streptococcus pyogenes
where does pus accumulate in paronychia
behind the cutical
felon infection nearly always follow what
a minor injury such as splinter or needle prick
what kind of imaging should be done for a felon
x ray to evaluate for retained foreign body and rule out involvement of distal phalanx
yest grows best in warm, moist environments is infection is often confined to what areas
mucous membranes and intertriginous areas
what steps in addition to medications should be taken in yest infections
keep dry and expose to air
superficial fungal infections of the skin and scalp are various forms of what
dermatophytosis
does tinea cruis usually include the scrotum and penis
No
does tinea cruis migrate to the perianal are and gluteal cleft and buttocks
yes
what causes Tinea Versicolor
Pityrosporum Orbiculare
what medication is not effective in the treatment of tinea Versicolor
Terbinafine
what is required before the treatment of onychomycosis
confirmation because treatment by affect liver
what is the mite that casues Scabies
Sarcoptes Scabiei
after a pt. with scabies is treated with permethrin how long after should they bathe
12hrs
Pityriasis Rosea is what kind of etiology
viral
what is a complication o Herpes
Hepatic Whitlow
what sign will Hepes zoster opthalmicus show
how will it present
Hutchinson’s Sign
Vesicles on the tip/side of the nose preceding the development of HZO
what virus family does HPV belong to
Paillomaviridae
whats another name for wart
Verruca
how do you discriminate callus or corns and warts
warts have black dots
where will plaque psoriasis present
extensor surfaces
whats koebner phenomenon
new psoriatic lesion arising at sites of skin injury
what is the treatment for psoriasis
targeted exposure to UVR
Dermatology
how do oral ance treatments work
inhibit growth of C acnes
present follicular marking suggest what kind of alopecia
nonscarring
absent follicular markings suggest what kind of alopecia
scarring
what is the most common form of male hair loss
Androgenetic
what is the androgeneic alopicia pattern
temples
vertex
mid frontal scalp
what is temporary hair loss due to stress, shock, or traumatic event and occurs at the top of the scalp
Telofen Effluvium
what SPF should be used
30+
with urticaria what cells release multiple mediators
Mast cells
what are the common causes for ueticaria
ingestsants
inhalants
injectants
infections
internal disease
what form are pt signing before a procedure
SF522
what is the most common benign epithelial tumor of the skin
Seborrheic keratosis
Actinic Keratosis represent an early lesions on a continuum with what
Squamous Cell Carcinoma
what are the A, B, C, D, E of skin cancers
Asymmetrical
borders irregular
Color changes
Diameter >6mm
Evolving
what else should the IDC do with a skin cancer DX
palpate regional lymph nodes
what are the goals of wound repair
achieve homeostasis
prevent infection
preserve function
restore appearance
Minimize pt. discomfort
what are the stages and associated days with wound healing
initial lag phase (0-5 days)
Fibroplasia Phase (5-14 days)
Final Maturation phase (14days - healing complete)
what are the 4 principles of closing any wound
control bleeding before closure
eliminate dead space
accurately approximate
approximate with minimal tension
the edges of sutured wounds should be in what position
slightly everted
horizontal mattress sutures are especially useful where
palms of hands and soles of feet
where should you not use staples
neck and face
