Dermatology Sarah Michelle crash course
Leik
FNP
how does aphthous stomatitis present? - ANSWER->painful shallow ulcers on soft tissue inside the
mouth.
Aphthous stomatitis is commonly known as _______ - ANSWER->Ca
...
Dermatology Sarah Michelle crash course
Leik
FNP
how does aphthous stomatitis present? - ANSWER->painful shallow ulcers on soft tissue inside the
mouth.
Aphthous stomatitis is commonly known as _______ - ANSWER->Canker sores
Treatment for Aphthous Stomatitis - ANSWER->magic mouthwash- combination of liquid
diphenhydramine, lidocaine and glucocorticosteroid.
Swish, hold and spit.
How does herpes simplex present? - ANSWER->prodromal itching, burning and tingling at site.
Sudden onset of group of painful clustered vesicles on erythematous base.
What is the treatment for herpes simplex? Treat within _____ hours. - ANSWER->Acyclovir (CHEAPER) or
Valacyclovir within 48-72hrs of sx onset.
Keratosis Pilaris is commonly referred to as _____ - ANSWER->"chicken skin"
Treatment for keratosis pilaris - ANSWER->emollient and moisturizer.
What anticipatory guidance will you provide to a parents whose child has the Keratosis pilaris? -
ANSWER->Most children will outgrow this condition
How dose an Impetigo present? - ANSWER->honey colored crusted lesions.
What are the two bacterial causes of Impetigo? - ANSWER->Streptococcus pyogenes and Staphylococcus
aureus
How does bullous impetigo present? And, how do you treat it? - ANSWER->large bullae or blister is
present.
Severe case: Keflex (Cephalosporin) or Dicloxacillin (Penicillin)
Penicillin Allergy: Azithromycin (Macrolides), Clindamycin (Macrolides) and Doxycycline (Tetracycline)
What antibiotics do you use to treat Bullous Impetigo or severe case of impetigo IF pt has allergy to
penicillin? - ANSWER->Macrolides- Clindamycin and Azithromycin
Tetracycline- Doxycycline
How do you treat a non-bullous impetigo? - ANSWER->Topical mupirocin
What diagnostic test would you order for Impetigo? - ANSWER->culture and sensitivity of the wound
How would a pt with Herpetic whitlow present? What causes it? - ANSWER->painful blistering on side of
the finger or cuticles or terminal phalanx. Often d/t direct contact with cold sore or genital herpes. HSV1
or 2.
What education would you provide to pt with Herpetic Whitlow? - ANSWER->AVOID sharing personal
items, gloves, towels. Cover skin lesion until healed.
What distinguishing marks occurs in a pt with Pityriasis Rosea? - ANSWER->starts with a "Herald Patch",
usually located on the Trunk.
Then, erupts the oval lesions with fine scales that follow the skin lines (Cleavage Lines) of the Trunk in a
"Christmas Tree" pattern.
What education do you provide to a pt with Pityriasis Rosea? How do you treat it? - ANSWER->This is
self-limiting conditions. Will resolves on its own in 6-8wks.
IF Itchy: antihistamine or topical steroids.
How do you differentiate Pityriasis Rosea from Syphilis? What diagnostic test would you order to rule
out Syphilis? - ANSWER->The lesion would be located on palms and soles.
Order serologic testing - Rapid Plasma Reagent (RPR).
How do you differentiate HSV 1 vs HSV 2 infection? - ANSWER->HSV 1: typically is responsible for orallabial (around mouth) skin lesions.
HSV 2: typically causes genital lesions.
A patient presents with rough papules on skin and hard plugs. It appears like a "chicken skin". What does
this patient have? -
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