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6 Cards in this Set
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- Back
With this rash be aware of ...
What is etiology? |
Hives leading to anaphylaxis
Allergic reaction |
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Etiology?
Treatment? |
Menigococcemia by Neisseria meningitides
Vanco + ceftriaxone Take home point: document abscence of rash with fever presentation |
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Etiology?
Treatment? |
Necrotizing fascitis/cellulitis/myositis
-Polymicrobial, clostridium, group A, etc. exotoxin may cause system effects as in Group A (STSS) Complication Fournier's gangrene -Emergent surgical consultation + empiric antibiotics |
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Etiology?
Diagnosis? Treatment? |
Steven's Johnson syndrome
-Usually from drug reaction, NSAIDs, Sulfonamides, anitconvulsants (lamictal) -Target-like mucocutaneous lesions. TWO or more mucosal sites involved -Admission to ICU/burn unit |
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Etiology?
Epidemiology? Signs? Treatment? |
Staphylococcal Scalded Skin Syndrome
-Staph infection with epidermolysis from exotoxin -Usually in children under 6 yo -3 Phases.1.Sandpaper rash. 2. Exfoliative, +Nikolsky's sign, BULLA 3. Skin desquamation -penicillinase-resistant penicillins +/- vancomycin |
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Etiology?
Signs? Diagnosis? Treatment? |
Toxic shock syndrome
-Toxin mediated shock state from immune rxn to super antigens - Fever, hypotension, diffuse, erythematous, petechial/maculopapular, patchy rash * Present on palms/soles * Desquamation s/p 1-2wks * May also have bullae, cellulitis (ominous signs) -CDC Toxic Shock Syndrome criteria * Staph: F, hypotension, rash, involvement of > 3 organ systems o Negative for: RMSF, VDRL, ANA, HepB, Leptospirosis, Measles, monospot * Strep.: isolation of Group. A Strep., Hypotension, > 2 organ systems involved -Resus + ceftriaxone, vanco, clinda, |
