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1. Impetigo reddened macules progressing to water-filled vesicles. Strep infx usually the cause.
Staph Aureus may cause small vesicle impetigo as well
2. Impetigo treat- good hygiene, system therapy to cover for MRSA
ment
3. Folliculitis Lesions appear as yellowish pustules, the encircling thin band of erythema around
hair follicles
4. Folliculitis Treat- Improved hygiene, mupirocin or bacitracin, systemic therapy to include anti-psue-
ment domonal medication such as cipro
5. Foruncle a tender fluctuant lesion, with surrounding erythema
6. Foruncle Treat- Drainage. Abx not generally needed (with exception of immunocompromised pts)
ment
7. Carbuncle a collection of furuncles, generally on the back of the neck in men older than 40yrs
old.
8. carbuncle treat- drainage or debridement, systemic abx with MRSA coverage is often required
ment
9. Cellulitis Spreading infection of the epidermis and subcutaneous tissues that generally
begins following a break in the skin. Strep and Staph Aureaus
10. Cellulitis Treat- Pts with uncomplicated disease - systemic tx with coverage for MRSA. Bactrim,
ment doxycycline
Very ill will be hospital for IV abx.
11. Tinea Capitis fungal infection of the scalp
12. tinea corporis fungal infection of the body
13. Tinea cruris fungal infection of the groin; jock itch
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, Walden 6531 Care of Adults Across Lifespan
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14. tinea pedis athlete's foot
15. Tinea Mannuum Fungal infection of hands
16. Tinea faciei fungal infection of the face
17. Tinea unguium fungal infection of the nails
(onychomycosis)
18. Treatment for Characteristic: annular erythema with scaling.
Fungal infections Prevention: wearing loose undergarments, cotton socks, tight control of BS in DM
pts, drying well between folds of skin.
Management: oral antifungal, topical agents
19. Candida Infec- Often associated with abnormalities of the epithelium or host immunologic system.
tion Common sites Oral mucosa (thrush), Vaginal / Perineal (vulvovaginitis)
20. Candida Treat- Topical antifungal, thrush - nystatin oral suspension X10-14 days.
ment
21. Pediculosis and head lice, scabies, crab lice, body lice
Mite Infestations Prevention: All close contacts of ind'l infected. All clothing, bed linens and towels
should be washed and dried on a hot cycle or dry cleaned. Education on hygiene
is important
22. Acne Vulgaris Very common follicular d/o.
Mild: non-inflammatory, comedones
Moderate: inflammatory, papules and pustules
Severe: nodular cysts
23. Acne vulgaris Avoid excessive scrubbing. No picking or popping. Avoid makeup or moisturizers
treatment with oil. Smoking cessation if applicable.
Mild/ Moderate: Benzoyl peroxide 1X a day. Tretinoin, adapalene, tazarotene
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