paediatric dermatology Flashcards

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1
Q

how might you avoid nappy rash?

A
frequent nappy changes
disposable nappies
nappy-free time for the baby
zinc cream
use bath oil for gentle cleansing
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2
Q

what is the natural history of congenital haemangioma?

A

may or may not be present at birth

usually proliferates for the first 9 months then stabilises and finally involutes

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3
Q

What are the typical causation pathogens for impetigo

A

Staph aureus and strep pyogenes

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4
Q

What are some forms of red blanching rashes

A

Roseola infection
Kawasaki disease
erythema infectiosum
fever and exanthem

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5
Q

What are some differential diagnoses for papular raised rashes

A

Scabies, urticaria, molluscum, warts

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6
Q

What is eczema herpeticum?

A

HSV infection in with eczema

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7
Q

how might we manage itchiness at night in children with eczema?

A

wet dressings nocte

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8
Q

how do we treat impetigo?

A

uncomplicated impetigo- wash crusts off and use topical mupirocin

spreading impetigo- flucloxacillin/cephalexin

keep away from school as it is contagious

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9
Q

in which age group do we see staphylococcal scalded skin syndrome?

A

neonates/infants

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10
Q

describe the skin findings of a child with scarlet fever?

A

diffuse erythematous exanthem- confluent

often described to have the texture of ‘sandpaper’

later associated with desquamation and exfoliation

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11
Q

describe the skin manifestations of toxic shock syndrome

A

diffuse erythematous rash associated with oedema +/- maculopapular rash

skin is extremely tender/painful

1-2 weeks post acute presentation get desquamation

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12
Q

describe the skin findings of a child with SSSS?

A

erythema on neck and face gradually spreads to become a diffuse erythematous rash which is painful/tender.

generally found in flexure distribution i.e. axilla, neck, groin, elbows

the rash becomes fluid bullae and begins to desquamate/exfoliate leaving a ‘scalded’ skin appearance

usually flexures desquamate first

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