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17 Cards in this Set

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  • Back
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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