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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
Etiology?
Treatment?
Menigococcemia by Neisseria meningitides
Vanco + ceftriaxone
Take home point: document abscence of rash with fever presentation
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
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
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
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,