Skin conditions Flashcards
1
Q
Impetigo
A
- Highly infectious
- Bacteria- a beta haemolytic streptococci and staphylococci
- Honey colour exudate round motuth
- Treatment is topical ointment (muciprin)
- More severe require ABs
2
Q
Cellulitis
A
- Infection of deep subcutaneous layer of skin
- Got and sometimes tender spreading redness
- Likely in people with sedimentary lifestyle
- Common in lower limb and at site of trauma
- Penicillin
- Refer if suspected
3
Q
MRSA
A
- Methicillin-resistant staphylococcus aureus
- Super bug- Caused by staph and AB use
- Vancomycin
- Enters through cuts and wounds
- Community and hospital acquired
- Small red bumps, quicky turn to painful abscesses, swelling, redness, pus
- Risks- recent hospitalisation, recent AB use, young age, contact sports, sharing towels, weak immune system
- Dx- tissue sample
- Tx- trial and error with strong ABs
- Prevention- wash hands, surfaces, cover wounds
4
Q
Boils
A
- Deep seated infection of skin
- P, red, swelling
- Recurrent boils common in diabetics and teenagers
- Oral ABs
- Drainage for severe cases, warm compress for milder cases
5
Q
Folliculitis
A
- Painful inflammation of hair follicle
- Tender papules and pustules
- More common in humid enviros
- sycosis barbae occurs as beard area variant, more common in black African populations
- Extensive in upper trunk and limns- refer due to possibility of HIV
6
Q
Hidradenitis suppurativa
A
- Rare, more common in females, family Hx
- Painful discharging inflammation of skin at sites of apocrine gland
- Presents post puberty with abscesses which progresses to scarring and sinus formation
- Treatment- weight loss, ABs, oral retinoids
7
Q
Fungal disease
A
- Aka mycosis
- Common in humans
- Prevalence inc with immunosuppression
- Dermatophytes cause a characteristic ring worm lesion, which varies with site, congestion and host response
8
Q
Tinea corporis
A
Ring worm
- Asymmetrical scaly patches
- Usually raised edge
- May itch after UV exposure
9
Q
Tinea cruris
A
- Fungal infection- Jock itch
- Red/scaly rash on inner thigh
- Common in obese Px + athletes in tight fitting clothes
- Common in humid weather
- Antifungal cream
10
Q
Tinea pedis
A
- Athletes foot
- Rash presents on sole of foot as well as between toes
- Examine scraping under microscope
- Antifungal cream, keep foot dry
11
Q
Tinea capitis
A
- Fungus spreads by close contact
- More common in children
- More common in black Africans, skin and hair susceptibility
12
Q
Toenail fungus
A
- Yellow, thick nails, P, brittle
- Lamsil, vicks, takes 6-12 months
- Oregano oil for 2-3 months
13
Q
Pediculosis
A
- Lice, six-legged wingless insect
- Nits are gelatinous white colour
- Can be found in head, body and pubic hair
- Pierce skin and secrete saliva which causes itching, lay eggs close to scalp
- Shampoo, fine tooth comb
14
Q
Scabies
A
- Ver contagious
- Intense itchy rash with linear burrows
- Kwell or elimite
- Wash bedding/clothing in hot water, store for 2-3 days
15
Q
Herpes simplex
A
- Viral infection either type 1 or 2
- May cause fever, lymph node enlargement, burning P
- Lesions will crust over in 5-14 days
- Analgesics for P, oral antiviral, naturopathic- diluted tea tree oil in olive oil topically applied
