Week 5 - Dermatological Flashcards

1
Q

What does Impetigo look like?

A

Papules progress to vesicles surrounded by erythema. They then become pustules and break down to form THICK GOLDEN CRUSTS

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2
Q

Where are the Impetigo lesions usually found?

A

Face and extremities

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3
Q

Impetigo treatment (2)

A

Topical - Mupirocin

Oral - Cephalosporins, abx

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4
Q

What is folliculitis?

A

Infection of the hair follicle

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5
Q

Folliculities patho

A

Purulent material extends into the dermis and subcutaneous tissue to form a furuncle. The Furuncle becomes inflammaed and extends into a single inflammatory mass, also known as a carbuncle

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6
Q

What is another term for small abscess

A

Furuncle

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7
Q

Single inflammatory mass in Folliculitis

A

Carbuncles

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8
Q

Where can you get Folliculitis?

A

Hot tub

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9
Q

Folliculitis treatment

A

Incision and Drainage (I&D)

  • obtain culture to rule out MRSA
  • warm compresses to promote drainage
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10
Q

Should you squeeze a lesion if you’re doing I&D?

A

No

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11
Q

What condition: skin erythema, edema, warmth, inflammation of regional lymph, “streaking”, fever

A

Cellulitis

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12
Q

Why should you monitor cellulitis closely?

A

Because it can rapidly progress into a systemic infection

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13
Q

Cellulitis treatment

A
  • Elevation
  • Rest and immobilize affected area
  • Oral antibiotics
  • IV antibiotics IF near the joint, eyes, or face
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14
Q

Nursing management of bacterial skin infections (4)

A

HAND HYGIENE

  • clean clothing with HOT water, change daily
  • discard razors
  • caution child against touching the involved area
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15
Q

what are the two viral skin infections to know?

A

Warts and herpes simplex

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16
Q

Cause of warts (2)

A
  • HPV

- Verruca plantaris (plantar warts)

17
Q

Wart signs (5)

  • circumscribed?
  • color
  • height
  • touch/shape
  • texture
A
  • well-circumscribed
  • gray or brown
  • elevated
  • firm papules
  • rough texture
18
Q

What kind of therapy do you use to treat warts? What are some examples?

A

Destructive therapy

  • Surgical removal
  • Cryotherapy with liquid nitrogen
  • Laser
19
Q

HSV 1 vs HSV 2

A

Type I - cold sores, fever blisters

Type II - genital

20
Q

HSV signs

  • how many?
  • feeling
  • touch/shape
A
  • clustered/grouped
  • burning, itching
  • dry vesicles with a crust
21
Q

How does herpes simplex heal?

A

Spontaneous healing in 8-10 days

22
Q

HSV treatment (3)

A

Penciclovir - topical to shorten duration of cold sores
Acyclovir - oral antiviral
Valacyclovir (Valtrex) - recurrent genital herpes

23
Q

Ringworm on the scalp

A

Tinea capitis

24
Q

Ringworm on the body

A

Tinea corporis

25
Q

Ringworm on the feet

A

Tinea pedis

26
Q

Risks for Tinea Capitis (3)

A
  • prepubertal children (2-10yrs)
  • boys
  • coarse hair
27
Q

How is tinea capitis spread? (3)

A
  • Directly from child to child OR via shared hats, combs, brushes, barrettes, rollers
  • Household pets - CATS!
28
Q

Tinea capitis manifestations

A
  • scaly
  • circumscribed patches with areas of alopecia (balding)
  • maybe pruritic