Skin Dx Flashcards
Varicella zoster v, Adult starts with fever 1-2 days, kids rashes appear first, spread Head->trunk->arms and Legs. 1-4mm blister and redden around. With clear fluid in the B. Itching fever 102. No scarring. Contagious
Chicken Pox(varicella )
Lesion outbreak is unilateral and usually involving only one dermatome level, most common area of outbreak are on face or trunk. 2-4 incubation, start rash, pain and paresthesia in the area. The pain can continue while the rash is present. The rash has blistering lesions, with a reddened inflamed area underneath. The blisters usually scab over in 7-10 days and completely heal within a few weeks wo/ any scarring.
Shingles(Herpes Zoster)
Rubeola Virus, fever is 10-12 days, 1st sxm are a fever,last 2-4 days on AVR. Up to 103-105/ after that, cough, and runny nose may develop. Koplik Spots(bluish white spots) will form in the mucosa of the mouth. Sop like spots from 1-2 days before the body rash. Begin on the forehead ->face->neck->trunk in to arms->legs feet.
Itchy rash, leave splotchy patches of red or reddish brown tiny bumps. No blister, rash 506 days and will fade . Contagious.
Measles (Rubeola)
1st sxm are fever 101-104, HA, Ftg, Bodyache last 2-4 days, the the rash begins. The 1st starts Mouth and on the tongue , blister ->spread to throat->face->extremities->trunk and wide spread in 24hrs, rashes become blister over the nest 3-4 days. Thick cloudy pus like fluid. And make skin scarring dimples. After 5 days blister crust and scab. Fall off 3 weeks. Scabs fallen off no longer contagious.
Small pox
variola major 90% case
Variola Minor 10% case
2-7 incubation/ a blister or many small blisters appear near the lips(vermillion border) or genital region. The blisters break and the remaining sores are often painful and tender. A person is infectious for 7-12 days and can spread the infections to others. These lesions recur in about 60-80% of infected patients. Recurrent episodes are usually milder and shorter.
Herpes Simplex type 1(oral) type 2(Genital)
Rash begins as a reddened area at the base the tick bite. The rash expands outward from the initial area giving a “Bulls eye” appearance. This expanding rash is called erythema migraines(EM). The rash may be inflamed and warm to the touch but not itchy. Infection can linger, weeks, months or years after the rash fades. Prolonged sxm can be Bell’s palsy, HD, pain and swelling in joints Ht palpitations or shooting pain. Not usually spread via human -human. Tick bite.
Lyme Dx
7-10 days after exposure to streptococcus
4-10 days after exposure to staphylococcus
Can occur anywhere in the body, Sulla area of outbreaks are around the nose mouth hand or arms. Red bumps appear on the skin, which release a yellowish pus like secretion. This secretion will often dry and create a scouts that stick to the skin the rash lasts 2-3 weeks . Highly contagious.
Impetigo
3-6 incubation/ sxm begins with fatigue sore throat and a fever 101-103. A 1-2 days later a rash with blisters may appear in the mouth and on the ahdnsm feet,m and sometimes the gluteal region. Last one week. Most common children under 5. Spread thru fecal amterial.
Hand foot and mouth DX(HMFD)
Can occur in many areas of the body . Vagina, mouth, rash on the skin. The rash may be present in warm, moist areas of the body, armpits, groin, under breast tissue and in the folds of skin of the obese. The skin appears red and can be tender
Candidiasis
This rash is localized to the feet and is commonly located btw the toes,m but can also be seen on the bottom and or sides of the foot. The skin can be reddened flaky itchy or/and painful.
Athlete’s foot
Redness on the face usually over the nose and cheeks. The are may fell warm and inflamed . In the area of reddened skin there may also be pus filled acne like pimples. Most common in women(30-60) with lighter colored complexions. The rash may come and go. Triggers can include spicy foods, alcohol, temp extremes, sunlight, stress r some types of medications.
Rosacea
Rash like red patches of skin, covered with dry silvery scales. The sin may become cracked and bleed. The area may itch and be tender/painful/ often seen on extensor surfaces of the body. The rash may come and go . Triggers can include cold weather, stress trauma to the skin, other infections, smoking alcohol intake a some medications.
Psoriasis.
Rash appears on sun exposed area of the face,m ears, neck arms and legs, the rash can be scaly, red and cuase the skin to thicken. The rash is not painful or itchy,. A marlar rash is a butterfly shaped rash that appears over the cheeks and the Brugge of the nose. The rash is very photosensitive and will worsen with sun exposure. Lupus can also affect joints, brain, lungs, blood vessels and the pericardium
Systemic Lupus Erythematous(SLE or LUPUS)
A patchy looking rash found on hands feet on the anterior surface of the elbow in the popliteal region ankles wrist face Becky and upper chest . Rash to red to a brownish grey color and can be itchy. Small raised bumps maybe present. May leak exudate. Skin also can be scaly…..sxm comes and goes. Worsen by stress, dry skin, temp, soaps and detergents, food,s wool or certain types of fabrics or cigarettes.
Eczema
Atopic dermatitis
