Exam 3 PEDS

Impetigo - starts with fluid filled lesions that become pustular, rupture, and crust Impetigo - reduce transmission, hand washing, do not share towels Nonbullous impetigo - papules to vesicles to painless pustules with red border, honey colored exudate which forms crust Nonbullous impetigo - mupirocin ointment, cephalosporin, remove crust BID Bullous impetigo - red macules and bullous eruptions on red base Bullous impetigo - cephalosporin, hygiene CA MRSA - Moderate to severe infection that doesn't respond to therapy, culture for MRSA Cellulitis - Localized infection and inflammation of subcutaneous tissue and dermis preceded by skin trauma where bacteria enters a break in the skin and poduces an endotoxin that initiates inflammatory response Cellulitis - red, hot, tender, indurated (hard), edematous Folliculitis - infection of hair follicle due to occlusion of follicle (poor hygiene, emollient products, moist environment) Folliculitis - Red, raised hair follicles Folliculitis - Aggressive hygiene, warm compress, topical mupirocin, oral antibiotics Staph scalded skin syndrome - staph infection that produces toxin, causing exfoliation Staph scalded skin syndrome - Bullae that rupture and leave diffuse redness and tenderness Staph scalded skin syndrome - oral antibiotics, IVF, and IV antibiotics if severe Tinea Corporis - (ringworm) Annular lesion with raised peripheral scaling and central clearing Tinea Corporis - Topical antifungal (clotrimazole, miconazole) for 4 weeks Tinea capitis - Patches of scaling with hair loss Tinea capitis - Oral griseofulvin for 4-6 weeks, Selenium sulfide shampoo