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25 Cards in this Set
- Front
- Back
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Verrucae
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Warts - Hyperkeratotic, exophytic and dome-shaped papules or nodules
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Verrucae common locations
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Fingers, dorsal hand. May occur anywhere on body. Autoinoculation from scratching may cause linear pattern.
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Verrucae Palmares et Plantares
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Thick, endophytic papules - palms, soles, and lateral hands and feet.
Painful and resistant to therapy |
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Verrucae Planae
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Exophilic skin colored or reddish, slightly elevated, flat-topped papules.
Most commonly on dorsal hands, arms, or face. |
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Verrucae Treatment
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Liquid Nitrogen, topical retinoids and other topicals
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Molluscum Contagiosum - what is it and what are the lesions?
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Pox virus, largest virus to infect the body.
White, pink, or flesh-colored, dome shaped papules or nodules with central umbilication (not initially present) |
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Molluscum Contagiosum - How's it transmitted and what's the incubation period?
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Direct bodily contact, fomites, and self inoculation.
14-50 days |
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Molluscum Contagiosum - treatment, classic sign when biopsied
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No one good one.
Physical destruction, chemical destruction or topical therapy. When biopsied, you see the classic molluscum bodies |
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Herpes Simplex Virus - Primary Gingivostomatitis
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seen in children and young adults following primary infection of HSV-1
fever, sore throat, painful vesicles/erosions on the tongue, palate, buccal and gingival mucosa. Erosions covered with characteristic gray membrane |
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Herpes Simplex Virus - Primary Genital Herpes
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most cases from primary infection of HSV-2
multiple painful erosions, often bilateral, on the anogenital mucosa painful inguinal lymphadenopathy severity of symptoms peaks 8-10 days |
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Herpes Simplex Virus - Recurrent Genital Herpes
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tender grouped erosions, shorter duration of symptoms, greater recurrence rate with HSV-2 than HSV-1
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Herpes Simplex Virus - Recurrent Herpes Labialis
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Typically affects skin-mucosa junction of mouth, clustered lesions
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Herpes Simplex Virus - Herpes Gladiatorum
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affects wrestlers and rugby players, commonly on face, lateral neck, medial arms
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Herpes Simplex Virus - Herpes Whitlow
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Intense painful infection of the hand involving 1 or more fingers. Typically affects terminal phalanx.
HSV-1 60% HSV-2 40% |
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Herpes Simplex Virus - Neonatal Herpes Simplex
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Usually acquired through delivery of infected vaginal canal (HSV-2).
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Varicella
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"Dew drop on a rose petal"
Primary infection in non-immune host. More severe with age |
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Varicella - incubation and contagious
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Incubation period of 10-23 days
communicable 1 day prior and 6 days after. Crusts non-infectious |
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Varicella in adults and teens
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Usually constitutional symptoms, pulmonary involvement
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Varicella viral course
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Abrupt onset of descrete erythematous macules and papules over thorax, scalp, and mucous membranes
macule-> papule-> vesicle w/erythematous areola-> umbilicated vesicle-> pustule-> crusts over in 2-4 days -> crusts fall off in 1-3 wks |
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Varicella treatment
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Antihistamines
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Herpes Zoster
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lesions may be preceded by itch, tenderness, pain
neurological changes - hyperesthesia, dysthesia, hypoesthesia From pain to eruption in 3-5 days (may be as long as 10) |
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Herpes Zoster - Viral course
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Lesions first posterior, progress anterior
Grouped erythematous based papules, vesicles, pustules, crusts Spontaneously gone in 1-2wks |
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Herpes Zoster - Nerves involved
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50% thoracic
15-20% cervical or lumbar tip of nose is nasociliary branch of opthalmic division of V |
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Post-Herpatic Neuralgia - Why??
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Inflammation!
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Herpes Zoster - Why treat?
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reduces duration of post-herpatic neuralgia
accelerates rate of lesion resolution reduces duration of viral shedding |
