What are the clinical patterns of tinea pedis and common infecting organisms CORRECT ANSWER Acute -Interdigital or vesicular
-Trichophyton mentagrophytes
Chronic
-Moccasin or papulosquamous
-Trichophyton rubrum
Ulcerative
-Trichophyton mentagrophytes with pseudomonas or proteus
What are the clinical patterns of onychomycosis and common infecting organisms CORRECT ANSWER Distal subungual (90%)
-Trichophyton rubrum
Superficial white (10%)
-Trichophyton mentagrophytes Proximal subungual (1%)
-Seen in immunocompromised -Trichophyton rubrum
Candida
-Candida albicans
What test confirms tinea pedis or onychomycosis CORRECT ANSWER
KOH showing septa the hyphae
How does lamisil work? CORRECT ANSWER Inhibits ergosterol synthesis
What is phenol CORRECT ANSWER Carbolic acid
During a P&A, why is alcohol used after phenol? CORRECT ANSWER
Alcohol irrigates excess phenol from the nail groove (phenol is soluble in alcohol, so alcohol is able to neutralize it)
For a nail avulsion, what can be done for anesthesia if the patient is allergic to all local anesthetics CORRECT ANSWER -Saline block (pressure induced block)
-Pressure cuff
-Benadryl block (blocks histamine release)
When evaluating a bunion, what does the position of the tibial sesamoid indicate? Why isn't the fibular sesamoid evaluated CORRECT