Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Cellulitis
|
S. aureus, GAS, MRSA
Swelling, erythema, chills, myalgia |
IV Bactrim/Clinda/Doxy
I&D if abscess |
|
|
Hydradenitis suppurativa
|
Apocrine gland recurrent abscess
|
I&D
DOXY/AZITHRO topical steroids Spironolactone/accutane |
|
|
Necrotizing fasciitis
|
GAS/multipathogen
|
Operative culture
IV antibiotics |
|
|
Dry gangrene
|
poor vascular supply
cold, blue/black, hard |
Angiography +/- bypass
Autoamputation over time (do not debride) |
|
|
Wet gangrene
|
Swollen, puss-filled
|
Guillotine amputation +
Revision amputation |
|
|
Gas gangrene
|
Wet gangrene + crepitus
Systemic toxicity |
Guillotine amputation +
Revision amputation |
|
|
Impetigo
|
S. aureus, GAS.
Contagious. Children. Pruritic yellow-crusted lesions near mucocutaneous surface |
Dicloxacillin (S. aureus)
Ceflexin Clindamycin Do not share towels/clothing |
|
|
Acne vulgaris
|
Follicle/sebaceous Propionibacterium acnes
Adolescents. Pustules (face, neck, back) |
Topical retinoids
Topical clinda/dapsone PO doxy, bactrim, azithro Benzoyl peroxide Spironolactone PO isotretinoin (last resort) |
|
|
HSV
|
Small painful vesicles lasting days
|
Dx: Tzanck smear, viral cx
Acyclovir (shorten duration) Contagious when vesicles present |
|
|
HPV (warts)
|
Thick epithelium
|
Self-limited
Chemical/laser/cryotherapy |
|
|
Molluscum contagiosum
|
Viral infection of kids and HIV+
Painless shiny umbilicated papules Perineal area in adults. Kids anywhere |
Dx: Large INCLUSION BODIES
Self-limited (years) Imiquimod removal can cause scarring |
|
|
Tinea versicolor
(Pitoriasis) |
Scaly macules on chest/back
|
Ketoconazole 1-5days
|
|
|
Tinea corporis (body)
tinea cruris (groin) Tinea pedis (feet) Tinea unguium (onycomychosis) Tinea capitis (scalp) |
Pruritic erythematous scaly plaques with central clearing
|
Grisiovulvin (capitus)
Topical antifungal PO antifungal if refractory |
|
|
Candida intertrigo
|
Pruritic erythematous plaques
(skin creases) Satellite lesions differentiate from irritation |
Topical nystatin
Topical steroids |
|
|
Scabies
|
Pruritus worse after hot bath
Finger/toe webs Linear papules |
Dx: skin scrapings
Permethrin cream (head to toe) PO ivermectin Treat whole family |
|
|
Rosacea
|
Papular telangiectasia in malar distribution
Worse w/ spicy foods, emotion, EtOH Occular inflammation Nose gland hyperplasia |
Sulfacetamide gel
Metronidazole gel Doxy/accutane if severe (like acne) |
|
|
Kaposi's sarcoma
|
Purple subcutaneous nodules
HIV infection + HHV 8 |
Topical retinoic acid
|
