steven-johnsons Flashcards
1
Q
what causes steven-johnsons or TEN
A
medication
antibiotics - penicillins, cephalosporins
NSAIDS
paracetamol
2
Q
presentation of SJs or TEN
A
fever
sore throat
difficulty swallowing
runny nose
cough
sore red eyes
aches and pains
then abrupt onset tender/painful
red skin rash on trunk + extending
macules, diffuse erythema
flaccid blisters
3
Q
complications of SJs or TEN
A
dehydration
malnutrition
infection
ARDS
GI ulcer/ perforation
shock
VTE
DIC
4
Q
Investigations for SJS TEN
A
skin biopsy
Blood tests for complications
FBC U+E Clotting
5
Q
treatment for SJS and TEN
A
stop the causative drug
ICU or burns unit
fluidised air bed
fluid and nutrition
warm room
pain relief
sterile
skin care
ventilation
