Shingles/Pityriasis/Lupus Flashcards
T/F We can prescribe shingles within 7 days of symptoms
False - it is within 72 hours of rash initial
Sx for shingels
~50 yrs after chicken pox
pain before the rash
small blister
oozing (crusting)
3-4 wks from start to finish
What is a red flag for shingles?
it is on the face
When can you use NSAIDs in shingles?
only in the acute phase
What can be used on the chronic pain of chronic shingles?
postherpetic neuralgia
TCA
gabapentin
carbamazepine
Capsaicin (topical)
What does neuropathic pain feel like
buzzing after hitting the funny bone
Is shingles contagious?
kind of, if you have not had chicken pox it can give you chicken pox
How can you try to prevent shingles?
if you are older than 50 yrs
get the shingrix
2 doses
gives you immunity for more than 4 years
Explain the basics of lupus
butterfly rash on the face
with broad systemic
it is a rheumatology condition
What are some key features of pityriasis?
slightly silvery skin
folliculitis
it will be crusted over
What will pityriasis look like?
one large pink red scaly blotch (which is called the mother patch)
then get other smaller ones around
What is the nickname of pityriasis?
christmas tree rash
What age group is pityriasis most common? What is it caused by?
Young adults
viral caused
How long does pityriasis last? Is it contagious?
~6-8 wks
it is not contagious
Tx for pityriasis
generally nothing
maybe anti itch products
