Sarah Michelle Crash course study guide solution
Lichen Planus - Ans -An inflammatory condition of the skin and mucous membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
Where does lichen planus occur? - Ans -flexor surfaces of the limbs
-mouth, genitals, skin
what does lichen planus look like? - Ans -red/purple puritic
-on mucous membrane can be white lacy appearance
lichen planus duration and treatment - Ans -6 months; self limiting
-topical steroids (pink and inflamed)
Lichen Simplex Chronicus - Ans -leathery skin from scratching
what can lead to lichen simplex chronicus - Ans atopic dermatitis
Lichen Simplex Chronicus TX - Ans -topical steroid
-antihistamine
-lotion for prevention
Lichen sclerosis - Ans *think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
Lichen sclerosis tx - Ans -strong topical steroids
-clobetasol
-they are miserable
lichen sclerosis adverse effect - Ans **all S
at high risk for squamous cell carcinoma
all lichens are...... - Ans puritic!
First-degree burn - Ans -superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
second degree burn - Ans -A partial-thickness burn involving the epidermis and the
dermis
-red and blistered ( do not pop)
,-TX: silver sulfadiazine cream or abx cream
third degree burn - Ans -full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
-emergency care
-airway assessment to rule out smoke inhalation
fourth degree burn - Ans -full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
Rule of 9's - Ans -anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
chest= 9%
stomach/abd =9%
upper back= 9%
lower back= 9%
((((Front trunk = 18%
Back trunk = 18%)))
genitals= 1%
leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
Pediatric Rule of 9s - Ans Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%)
Chest 18% front 18% back
Arms 9% per arm
Burns key point - Ans referrrrrrrrr
Any burns involving more than 10% of the total body surface area, or burns that involve
the face, hands, genitals, or feet should be referred to a burn center.
rubeola - Ans -aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 C's: cough, congestion/coryza, conjunctivitis
-very contagious: airborne
-can lead to serious complications
, -tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded
by erythematous halo
measles timeline - Ans exposure
1 week later contagious
day 10 sx start (3 C's and fever)
day 12-13 koplik spots
day 15 fever subsided and rash appears
day 22-24 rash resolves
Mumps virus - Ans Swollen parotid glands
-spread with close contact
-fever, headache, malaise, and swelling of parotid glands
Rubella - Ans -more mild version of measles compared to rubeola
-referred to as 3 day measles
-SX: pink rash, lymphadenopathy, mild sx
-TX: symptomatic----rest, hydration,motrin.tylenol
-HIGHLY contagious
which population not to get rubella ? - Ans PREGNANT women!!!
MMR vaccine - Ans -live
-not given until 12 months
-2 doses
-not given in pregnancy or immunocompromised
-no pregnancy within 4 weeks of receiving vaccine
Roseola - Ans -6th disease (think S and S)
*rose and blanche 60 and rash
*Rash appears, Six, bLANche
-distinguishing factors: rose colored, blanchable papules AND high fever then rash
-ONLY ONE THAT BLANCHES
-contagious until rash appears
-tx: symptomatic
Fifth disease (erythema infectiosum) - Ans - parvovirus B19
-Mild flulike symptoms; "slapped-cheek" facial rash (slap with 5 fingers)
Lichen Planus - Ans -An inflammatory condition of the skin and mucous membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
Where does lichen planus occur? - Ans -flexor surfaces of the limbs
-mouth, genitals, skin
what does lichen planus look like? - Ans -red/purple puritic
-on mucous membrane can be white lacy appearance
lichen planus duration and treatment - Ans -6 months; self limiting
-topical steroids (pink and inflamed)
Lichen Simplex Chronicus - Ans -leathery skin from scratching
what can lead to lichen simplex chronicus - Ans atopic dermatitis
Lichen Simplex Chronicus TX - Ans -topical steroid
-antihistamine
-lotion for prevention
Lichen sclerosis - Ans *think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
Lichen sclerosis tx - Ans -strong topical steroids
-clobetasol
-they are miserable
lichen sclerosis adverse effect - Ans **all S
at high risk for squamous cell carcinoma
all lichens are...... - Ans puritic!
First-degree burn - Ans -superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
second degree burn - Ans -A partial-thickness burn involving the epidermis and the
dermis
-red and blistered ( do not pop)
,-TX: silver sulfadiazine cream or abx cream
third degree burn - Ans -full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
-emergency care
-airway assessment to rule out smoke inhalation
fourth degree burn - Ans -full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
Rule of 9's - Ans -anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
chest= 9%
stomach/abd =9%
upper back= 9%
lower back= 9%
((((Front trunk = 18%
Back trunk = 18%)))
genitals= 1%
leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
Pediatric Rule of 9s - Ans Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%)
Chest 18% front 18% back
Arms 9% per arm
Burns key point - Ans referrrrrrrrr
Any burns involving more than 10% of the total body surface area, or burns that involve
the face, hands, genitals, or feet should be referred to a burn center.
rubeola - Ans -aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 C's: cough, congestion/coryza, conjunctivitis
-very contagious: airborne
-can lead to serious complications
, -tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded
by erythematous halo
measles timeline - Ans exposure
1 week later contagious
day 10 sx start (3 C's and fever)
day 12-13 koplik spots
day 15 fever subsided and rash appears
day 22-24 rash resolves
Mumps virus - Ans Swollen parotid glands
-spread with close contact
-fever, headache, malaise, and swelling of parotid glands
Rubella - Ans -more mild version of measles compared to rubeola
-referred to as 3 day measles
-SX: pink rash, lymphadenopathy, mild sx
-TX: symptomatic----rest, hydration,motrin.tylenol
-HIGHLY contagious
which population not to get rubella ? - Ans PREGNANT women!!!
MMR vaccine - Ans -live
-not given until 12 months
-2 doses
-not given in pregnancy or immunocompromised
-no pregnancy within 4 weeks of receiving vaccine
Roseola - Ans -6th disease (think S and S)
*rose and blanche 60 and rash
*Rash appears, Six, bLANche
-distinguishing factors: rose colored, blanchable papules AND high fever then rash
-ONLY ONE THAT BLANCHES
-contagious until rash appears
-tx: symptomatic
Fifth disease (erythema infectiosum) - Ans - parvovirus B19
-Mild flulike symptoms; "slapped-cheek" facial rash (slap with 5 fingers)
