Pediatrics Test 2: Integumentary Dysfunction Flashcards

Question

What is the Herpes Simplex Type 1?

Answer 1

Group vesicles (cold sores)

Answer 2

Stress Sun Acids

Answer 3

Sunblock | Avoid secondary infection

Answer 4

``` Lips Nose Genitalia Itch Burn ```

Answer 5

Zofrax Cold compress Oral or IV acylovera

Answer 6

Shingles | Lays dormant

Answer 7

Chicken pox Along posterior root ganglia Unilaterally

Answer 8

Pain Narcotics Local moist compressor Acyclover

Answer 9

Neurological pain Hypersensitive Pain Itch

Answer 10

Raised flesh colored papulle with umbilicated with caseous plugs Seen in toddlers Resolves in 18 months, spread

Answer 11

Cover it | Cryotherapy

Answer 12

Tinea capitis Tinea corporis Tinea pedis Tinea cruris

Answer 13

``` Scalp fungus Silver scales Difficult to treat Use oral Ketocon, Azol and shampoo Superficial fungal infections ```

Answer 14

``` Ringworm Raised papulles Eryothemitis Scaling Superficial Treatment is anti fungal 2x day for 30 day Don't cover with anything ```

Answer 15

Athletes foot Start as papulles, gets scaley, starts between toes Treat OTC antifungals, sandals, change socks, clean shower

Answer 16

Jock itch Treat with topical antifungal Get dry

Answer 17

Spread by scabies mite to lay egg burrows in epidermis | Occurs 30-60 days after original contact

Answer 18

Intense itching

Answer 19

Eliminate Apply all surfaces Leave on 8-14 hours then bathe Treat all household members may have itching 2-4 weeks after

Answer 20

Head lice common in pre-school age children

Answer 21

Severe itching Hair matting Look for live lice, pustules or nits (egg sac) that are adherent to hair strand

Answer 22

Permithisn or other shampoo/cream rinse Fine tooth comb along entire head and pull out Done every 7-10 days Examine all close contacts

Answer 23

Ticks carry borelli burgdorferi carried in saliva and tick feces

Answer 24

3-30 day: erythema migrans at bite site. Bulls eye 3-10 wks: early disseminated disease. New lesions, fever, fatigue and headache 2-12 mo: systemic of neurological, cardiac symptoms

Answer 25

Oral amoxicillin or doxycycline (over 8years) for 14-21 days in the fist stage Systemic treated with IM or IV penicillin G

Answer 26

``` Avoid tick infected area Wear long sleeves and pants Check for ticks Remove - grasp with fine tweezers to skin - pull upward with steady, even pressure - clean the bite area and hands ```

Answer 27

Most common presentation at 16-17 for girls and 18 to boys | Familial tendency

Answer 28

Most common presentation at 16-17 for girls and 18 to boys | Familial tendency

Answer 29

``` Adequate rest Moderate exercise Well balanced diet Reduction of emotional stress Gentle cleansing with mild cleanser 1-2x days ```

Answer 30

Benzoyl peroxide Topical retinoids: Tretinoin Topical antibiotics: Clindamycin, erythromycin-metronidazole Systemic antibiotics: tetracycline, erythromycin, minocycline, doxycycline Oral retinoids: accutane Oral contraceptive

Answer 31

Thermal, chemical, electrical or radioactive agent Hot water burns common in children Flame related burns in older children 10-20% associated in child abuse 1 in 10 from children playing with matches

Answer 32

Water heaters set to high Access to hot liquids Room heaters with pans of water for humidity Access to stovetops or electrical appliances Unguarded bathroom faucets Young children left unattended in bathroom Cooking without supervision Plying with matches or fire Child abuse

Answer 33

Superficial Involves epidermis: outer layer Tender, swollen, red Like a sunburn

Answer 34

Partial thickness Involves epidermis and dermis Blister formation or reddened discolored region with moist weeping surface

Answer 35

Full thickness Involves entire dermis and potions of subcutaneous tissue Leathery brown with little surface moisture

Answer 36

Full thickness | Involves subcutaneous, fascia, muscle and bone

Answer 37

Superficial and partial thickness First and second degree <15% body surface but not face, hands, feet or genitalia

Answer 38

Partial thickness | Second degree covering <30%

Answer 39

Partial thickness | Second degree

Answer 40

Edema Fluid loss Circulatory changes Renal impact: decrease blood flow to kidneys creates Oliguria GI response Hyper metabolism: rapid protein breakdown and muscle wasting Increased capillary permeability and increased osmotic pressure that causes fluid leakage into skin.

Answer 41

``` Airway compromise and severe shock Infection local or systemic Pulmonary edema Respiratory injury secondary to smoke inhalation or carbon monoxide Wound sepsis Contracture deformities Scarring Body image changes ```

Answer 42

Immerse in cold water to Duce pain and edema Cleane with mild soap Cover with fine mesh gauze lubricated with water soluble anti microbial ointment Update tetanus is need Provide analgesics D not disturb blister

Answer 43

``` Stop the burning process Assess the victims condition: ABC Call for EMS transport Cover burns with clean dressing. Decrease pain by decreasing air movement across burn Reassure and comfort child ```

Answer 44

``` Airway: oxygen, intubation, ventilation as needed Large bore IV, fluid resuscitation. Remove burned clothing a d jewelry Evaluate would extent and depth Nasogastric tube Foley catheter and hourly output Pain and anxiety management Scrape off all dead skin by bit and put in sterile tube ```

Answer 45

``` Primary excision of Escher Hydrotherapy and debridment Dressing Topical anti microbial agent Temporary skin substitute Permanent skin covering Compression of garment, splint, physical therapy Maintain joint mobility by not allowing skin to heal tight. ```