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37 Cards in this Set

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Impetigo:clinical symptoms
Erosions with golden honey colored crust
small vesicles or pustules
Imetigo: cause
Staph. Aureus (most) Stept. Pyogenes (group A b-hemolytic)
imetigo treatment
Topical antibacterial cream (Mupirocin)
If widespread, oral antibiotics (dicloxacillin, cephalexin, erythromycin)
Topical antibacterial cream (Mupirocin)
If widespread, oral antibiotics (dicloxacillin, cephalexin, erythromycin)
Topical antibacterial cream (Mupirocin)
If widespread, oral antibiotics (dicloxacillin, cephalexin, erythromycin)
testing: gram stain
Bacterial Folliculitis : symptoms
Erythmatous papules around hair follicles, slighly pruritic or tender
Bacterial Folliculitis : agent
Staph Aureus
Bacterial Folliculitis treatment
Topical antibacterial cream (Mupirocin)

If widespread, oral antibiotics
Prevention: Antimicrobial washes, bleach baths
Hot Tub Folliculitis: symptoms
diffuse folliculitis
Hot Tub Folliculitis: agent
pseudomonas aertuginosa from hot water not well cholrinated
Hot Tub Folliculitis: treatment
Self limited; don't usually need to treat… can give Antibiotics - ciptroflaxin
Furuncles: description
inflammatory tender nodule or abcess around a follicle
Carbuncle: descrption
deeper infection of connected abcesses

Tender, fluctuant, red, nodular
Cause of Furuncle/Carbuncle
Staph. Aureus
Treatment of Furuncle/Carbuncle
hot compress to drain or surgical drainage.

Oral antibiotics if fever.

Prevent with antimicrobial wash
CA-MRSA: symptoms
Absess- may look like a spider bite; furunculosis
Dermatophytosis: agent and mechanism
Fungal infection by:
Microsporum

Trichophyton

Epidermophyton
-

Infect keratinized, nonviable sturctus (stratum corneum, hair, nails)
Infect keratinized, nonviable sturctus (stratum corneum, hair, nails)
Dermatophytosis: Tinea pedis symptoms
athletes foot: "moccasin" scale with hyperkeratisis and toe web maceration
Dermatophytosis: Tinea unguium symptoms
discolored nails with debris
Dermatophytosis: Tinea crurus
jock itch- erythematous well marginated scaly plaque in groin area
Dermatophytosis: Tinea corporis
ring worm- scaly, erythematous plaques with active borders on arms, legs trunk.
Note on face caled tinea faciei
Dermatophytosis: tinea capitis
hyperkeratotic alopetic patch (hair loss on head
Dermatophytosis treatment:
Anti-fungal cremes: Azoles or allylamines

Oral antifungal medicines
(for hair and nail infections and ones that do not respond to creams)
Verruca (warts): symptomns
hyperkeratotic skin-colored papules

Planatars warts - plaques with seeds (black macules)

Variants:
Condylomata acuminata (genital warts)
Filiform wart
Verruca: agent
Human Papilloma Virus (HPV) infection of epithelium
HPV causes proliferatoion of spineous layer - hyperkeratosis, papillomatosis
Verruca treatment:
Self resolves in months to years

home remedies: salycilic acid palster, duct tape, Imiquid/Adlara

Cryosurgery
Electrosurgery/laster
Podophyllin
Molluscum Contagiosum: symptoms
Umbilicated dome-shaped (1-3 mm) papules, pinkish in color
Molluscum Contagiosum: agent
Molluscum Contagiosum (poxvirus infection of epithelium)
Molluscum Contagiosum: treatment
self resolves in up to 2 years
Imiquimod
Cantharidin
Liquid nitrogen
HSV: agent
HSV1 and HSV2
HSV infection of keratinazed skin or mucous membranes
HSV symptoms:
Painful grouped vesicles or erosions on erythematous base
cold sores
stays latent in lymphoid tissue and reactivated
HSV treatment
can use Oral antivirals to prevent
Varicella Zoster (herpes zoster or shingles): symptoms
Painful dermatomal vesicles ,crusted papules, erosions
Varicella agent:
Reactivation of latent Varicell Zoster virus (chicken pox)
Varicella treatment:
ORAL ANTIVIRALS - ASAP
Scabies symptoms
Pruritic thread-like burrows concentrated near wrists, gentials, between finger webs, axilla
Diffuse pruritic eruption 4-8 weeks after exp
scabies agent
sarcoptes scabeie hominis
scabies pathogeneis:
scabies tunneling into strateum corneum and delayed (type IV) hypersensitvity response
Scabies: treatment
Topical creams (scabicides) prefered
oral anti -parasitics
clean fomites and treat clost contacts