NUR 3045 EXAM REVIEW LATEST TEST

* Fever with rash of the palm and soles of the feet after camping or hiking in the mountain? Rocky mountain spotted fever treat with Doxycycline, lab test to diagnose PCR (Polymerase chain reaction), the organism that cause is by R. rickettsii * Skin is red but it is itchy fine white silver scales “psoriasis”. Treated with topical steroids What if she fell and she was injured. This injured area developed a scab with silver plaque this is called Koebner phenomenon. Let’s say this scaly area was removed and the patient developed pinpoint bleeding this is called Auspitz’s sign * atopic dermatitis- another name Eczema, allergy and asthma. Treated with topical steroids, you instructed to avoid the hot water, emollient cream base and moisturized your body!! * Lyme disease- rash and tick, the other name is erythema migraine, treated with doxycycline, the organism that causes the disease is Borrelia burgdorferi, Elisa is the confirmatory test and confirm with western test same as HIV * Tinea Corporis- Child with ring like itchy rash that slowly enlarge and has central clearance. Treated with antifungal cream. mom took son to barber and he developed an Itchy rash that is in the shape of a circle and is getting bigger. It has central clearing * Actinic Keratosis- dry round pink to red lesion, they do not heals!! You usually see it in face and sun exposed areas, forehead, ears, nose, face, neck. We treated for small areas with Cryotherapy, big area use 5- fluorouracil. Punch Biopsy gold standard!! * Seborrheic Keratosis- Black or tan spots (pasted on someone) benign * 5 years old complaining of itching at night assessment fingers and toes with burrowing “scabies”, you used permethrin cream and wash everything in hot water * If you have a patient who is diabetes and has cellulitis, what will be your most concern? Osteomyelitis. Let’s supposed you Treated one leg over and over the patient for cellulitis and it is not clearing up and when the Doppler you don’t hear anything.. you have to rule out DVT. Absent pulses of one leg rule out DVT!! * If skin infection Keflex or penicillin * MRSA you give Bactrim, clindamycin or doxycycline. * You have a patient with mastitis you give penicillin or Keflex for any skin infection. What are the instructions you will give is to continue breastfeed. * If some is allergy to penicillin you will give a macrolide (azithromycin) * Asymetrical, has irregular border, with different color, dark brown, light brown “Melanoma”, Punch Biopsy is the gold standa