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END OF Dermatophytoses (what type of ifx?) - ANSWERS-Fungal Infections Tinea capitus - ANSWERS-Scalp ringworm Tinea corporis - ANSWERS-Body ringworm Tinea cruris - ANSWERS-Jock itch Tinea pedis - ANSWERS-Athlete's foot Tinea manuum - ANSWERS-Ringworm of the hands Tinea versicolor - ANSWERS-pityriasis versicolor: Pityriasis versicolor is a rash caused by a yeast-like germ called malassezia (also called pityrosporum). Most common in teens and 20s. Tinea unguium - ANSWERS-Onychomycosis
CARE: SKIN
END OF Dermatophytoses Management - ANSWERS-Topical treatment with azole class drugs. Other topical antifungals. Oral systemic antifungals. Topical corticosteroids. Antibiotics for complicating cellulitis. Impetigo - ANSWERS-Bacterial infections Impetigo signs and symptoms - ANSWERS-Pruritis Shallow erosions with moist honey-colored crusts Impetigo Management - ANSWERS-Nonpharm: Drying compresses; solutions to debride impetiginized lesions Pharm: Wash with chlorhexidine Abx creams/ointments Systemic abx Cellulitis (what type of infx?) - ANSWERS-Bacterial
CARE: SKIN
END OF Before onset of lesions: tenderness, pain, mild paresthesias, or burning at site Headaches, fever, muscle aches, localized pain, tender lymphadenopathy Several days later: grouped vesicles on an erythematous base, followed by ulcers that crust over Herpes Simplex: Management - ANSWERS-No Cure Initial therapy is palliative: Oral- ice/lip ointments, oral anesthetics Genital-oral antiviral drugs Subsequent management for genital: oral antiviral, possible suppressive Rx Rosacea: Signs and Symptoms - ANSWERS-Persistent burning, itching, or stinging sensation Ocular rosacea: watery, irritated, or bloodshot eyes Rosy hue on forehead, cheek, nose, chin: typically symmetrical in the "flush/blush" area Rosacea: How is it diagnosed? - ANSWERS-Diagnosis is based on physical exam
CARE: SKIN
END OF Rosacea: Management - ANSWERS-Topical Therapy: Metronidazole cream Systemic Therapy: Abx (use caution) Other therapies: Electrocautery; IPL Atopic Dermatitis (Eczema): Signs and Symptoms - ANSWERS-Severe pruritus Sometimes history of asthma or allergic rhinitis Excoriated, erythematous, maculopapular lesions Later rash is crusty, scaly, thickened Atopic Dermatitis (Eczema): Management - ANSWERS-Nonpharm: Use only mild emollients; Caution against using lotions and gels; Phototherapy Pharm: Burrow's solution; Topical steroids; Immunomodulating agents Psoriasis: Signs and Symptoms - ANSWERS-Itchy, red, inflamed, dry, scaly plaques Commonly on elbows, knees, buttocks, scalp
CARE: SKIN
E: elevation or evolving lesion Typically a large mole on a sun-exposed area that has changed in appearance Asymmetrical, irregular border, variegated color, >6 mm, raised lesion Must biopsy all suspicious lesions Nonmelanoma Skin Cancer: General Facts - ANSWERS-Chronic accumulated sun exposure More common in men than women Basal-cell carcinoma accounts for 75% of all skin cancers Squamous cell carcinoma: more dangerous, faster rate of growth, tends to metastasize and is 20% of all skin cancers Nonmelanoma Skin Cancer: Management - ANSWERS-Simple excision under local anesthesia Electrodesiccation and curettage Cryosurgery and laser surgery Mohs microsurgery
CARE: SKIN
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END OF Lymph node dissection Systemic chemotherapy Topical therapies
CARE: SKIN
