NR511 MIDTERM REVIEW Differential diagnosis and Primary Care
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Actinic keratosis: pre-cancerous lesion. The main assessment technique is INSPECTION, which will show as flesh colored, hard and sand paper like. ▪ TX: cryotherapy o Risk factor: sun exposure, ca ... n progress to squamous cell carcinoma o Referrer pt to dermatology to prevent progression • Fungal skin infection: assess rash and satellite lesions. o DX: based on clinical presentation, most common is candida albicans o Tx: antifungal cream, pills, keep area as dry as possible. The fungus likes moisture and poor air circulation o At risk: opportunistic, pts who are immunocompromised, older and younger pts, diabetics, and antibiotic therapy. o Refer patient if there's no improvement • Common types of fungal infections: o Tinea vesicolor: flat to slightly elevated brown papules and plaques that scale when they are rubbed along with areas of hypopigmentation, pruritic, most commonly found on trunk and shoulders. o Balanitis: candidiasis in the glands of the penis o Tinea corporis: annual lesions with scaly borders and central clearing on the trunk o Tinea pedis: athlete's foot, and between toes o Tinea cruis: jock-itch groin • Bacterial skin infections: warm, red, painful w/o sharply demarcated border o Cellulitis: is a spreading infection of the epidermis and sub-cut tissue that usually begins after a break in the skin. o Folliculitis: bacterial infection of the hair follicle, papules are characteristics of folliculitis [Show More]
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