Pediatric Skin Conditions Flashcards
irritant diaper dermatitis:
friction from diaper. skin fold are typically spared. treatment is topical barriers: ointments, zinc oxide, vaseline.
corticosteroids: low potency.
abx only given if a secondary infection is present.
What is a candida diaper rash?
secondary infection. beefy red plaques, satellite papules, involvement of skin folds. if it has been present for >3 days, it is most likely a candidal infection. management= anti fungal
impetigo:
a contagious, superficial, bacterial infection observed most frequently in children (2-5 years is most common) CAUSED BY STAPH OR STREP.
non-bullous impetigo= most common, lesions that turn to adherent HONEY CRUST lesions
bullous impetigo = form bullae with clear yellow fluid, rupture and leave brown crust.
treatment: mupirocin, and oral antibiotic
Sebhorrheic Dermatitis:
cradle cap.
UNKNOWN PATHOGENESIS!!
-Asymptomatic and non inflammatory
-accumultation of yellow greasy scales
scalp is the most common, but can occur in the forehead, eyebrows, eyelids, etc.
tx: self limited, use emollients to help get rid of it.
ONLY IF SEVERE: corticosteroids.
if you leave warts alone, will they go away?
eventually..takes about 2 years
tx otherwise:
common plantar: salicylic acid or liquid nitrogen
flat warts: cyrotherapy
molluscum contangiosum:
member of the poxvirus family
common in children (adults only get it from sexual encounters or from contact sports).
-They are dome shaped shiny papules with a central umbilication.
-Tx: they can resolve on their own in 2-4 months, but can be removed with cyrotherapy, curettage…will leave a scar.
Lice
a visual of a brown nit = less than 4 cm from scalp is a live infection
a white nit = greater than 4cm from scalp is a previous infestation.
symptoms = itching, crawling feeling.
Tx: permething, or malatonin.
scabies
give permethin. entire household must be treated.
