Skin infections and infestations

Question 1

How is HSV spread?

Answer 1

direct contact

Question 2

How can latent HSV be reactivated?

Answer 2

sunlight, menstruation, stress, fever, trauma

Question 3

Clue to HSV diagnosis

Answer 3

come back to same place again and again

Question 4

Can you have shingles without first having chicken pox?

Answer 4

no

Question 5

What is herpes zoster virus?

Answer 5

chicken pox/shingles

Question 6

Why can shingles be difficult to diagnose?

Answer 6

first present as pain and fever

rash comes 4 days later

Question 7

How is HZV arranged?

Answer 7

dermatological regions - not cross midline

Question 8

Long lasting potential effects of shingles

Answer 8

neuralgia and scarring

Question 9

Important thing to remember with herpes ophthalmicus

Answer 9

refer to ophthalmology

Question 10

Treatment of HSV and HZV?

Answer 10

acyclovir

Question 11

2 main causative agents of bacterial skin infection?

Answer 11

staph aureus

streptococcus

Question 12

Impetigo - how does it look?

Answer 12

crusty, golden, sore, honeycomb

HIGHLY CONTAGIOUS

Question 13

Clue to impetigo in sweatier region

Answer 13

gold colour

Question 14

What is a furuncle?

Answer 14

boil

Question 15

Important thing to remember with furuncle (possible related disease)

Answer 15

diabetes - glycosuria

Question 16

Treatment of furuncle

Answer 16

drain pus

antibiotics

Question 17

What is ecthyma?

Answer 17

crusted sores beneath which an ulcer lies

Question 18

How does ecthyma look?

Answer 18

crust in middle and ring of erythema

Question 19

Cellulitis presentation

Answer 19

red, hot, swollen, painful leg
may be ulcerated/necrosis
lower limb
if extensive can have fever and rigors

Question 20

What should we check between the toes for in cellulitis?

Answer 20

athletes foot

Question 21

Where is candida albicans mostly found?

Answer 21

moist areas eg breast

hands eg hairdresser

Question 22

Appearance of candida albicans

Answer 22

brick red erythema with satellite yellow pustules

Question 23

Tinea pedis

Answer 23

athletes foot

common, 4th and 5th toes, white macerated skin

Question 24

Tinea corporis other name

Answer 24

ringworm

Question 25

appearance and investigation of tinea corporis

Answer 25

flaky red rings and scaly around edge

scraping to microbiology

Question 26

Tinea cruris

Answer 26

fungal infection of groin in inguinal creases

Question 27

Tinea barbae - where is it found?

Answer 27

moustache and beard

Question 28

How is scabies caught?

Answer 28

direct contact for a long time with mite transfer

Question 29

Signs of scabies

Answer 29

burrows - hands, palms, scrotum

papules and vesicles, pustules

Question 30

What animals is scabies caught from?

Answer 30

humans ONLY

Question 31

Treatment of scabies

Answer 31

treat patient and family/contacts
permethrin
topical steroids

Question 32

symptos of scabies

Answer 32

itching and nasty rash