Week 5 - Dermatological

Question 1

What does Impetigo look like?

Answer 1

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

Question 2

Where are the Impetigo lesions usually found?

Answer 2

Face and extremities

Question 3

Impetigo treatment (2)

Answer 3

Topical - Mupirocin

Oral - Cephalosporins, abx

Question 4

What is folliculitis?

Answer 4

Infection of the hair follicle

Question 5

Folliculities patho

Answer 5

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

Question 6

What is another term for small abscess

Answer 6

Furuncle

Question 7

Single inflammatory mass in Folliculitis

Answer 7

Carbuncles

Question 8

Where can you get Folliculitis?

Answer 8

Hot tub

Question 9

Folliculitis treatment

Answer 9

Incision and Drainage (I&D)

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

Question 10

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

Answer 10

No

Question 11

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

Answer 11

Cellulitis

Question 12

Why should you monitor cellulitis closely?

Answer 12

Because it can rapidly progress into a systemic infection

Question 13

Cellulitis treatment

Answer 13

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

Question 14

Nursing management of bacterial skin infections (4)

Answer 14

HAND HYGIENE

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

Question 15

what are the two viral skin infections to know?

Answer 15

Warts and herpes simplex

Question 16

Cause of warts (2)

Answer 16

• HPV

- Verruca plantaris (plantar warts)

Question 17

Wart signs (5)

• circumscribed?
• color
• height
• touch/shape
• texture

Answer 17

• well-circumscribed
• gray or brown
• elevated
• firm papules
• rough texture

Question 18

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

Answer 18

Destructive therapy

• Surgical removal
• Cryotherapy with liquid nitrogen
• Laser

Question 19

HSV 1 vs HSV 2

Answer 19

Type I - cold sores, fever blisters

Type II - genital

Question 20

HSV signs

• how many?
• feeling
• touch/shape

Answer 20

• clustered/grouped
• burning, itching
• dry vesicles with a crust

Question 21

How does herpes simplex heal?

Answer 21

Spontaneous healing in 8-10 days

Question 22

HSV treatment (3)

Answer 22

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

Question 23

Ringworm on the scalp

Answer 23

Tinea capitis

Question 24

Ringworm on the body

Answer 24

Tinea corporis

Question 25

Ringworm on the feet

Answer 25

Tinea pedis

Question 26

Risks for Tinea Capitis (3)

Answer 26

- prepubertal children (2-10yrs) - boys - coarse hair

Question 27

How is tinea capitis spread? (3)

Answer 27

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

Question 28

Tinea capitis manifestations

Answer 28

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