Across Lifespan (Dermatology in FNP Office)
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Terms in this set (48)
Impetigo reddened macules progressing to water-filled vesicles. Strep
infx usually the cause. Staph Aureus may cause small vesicle
impetigo as well
Impetigo treatment good hygiene, system therapy to cover for MRSA
Folliculitis Lesions appear as yellowish pustules, the encircling thin
band of erythema around hair follicles
Folliculitis Treatment Improved hygiene, mupirocin or bacitracin, systemic
therapy to include anti-psuedomonal medication such as
cipro
Foruncle a tender fluctuant lesion, with surrounding erythema
Foruncle Treatment Drainage. Abx not generally needed (with exception of
immunocompromised pts)
Carbuncle a collection of furuncles, generally on the back of the neck in
men older than 40yrs old.
carbuncle treatment drainage or debridement, systemic abx with MRSA coverage
is often required
, Cellulitis Spreading infection of the epidermis and subcutaneous
tissues that generally begins following a break in the skin.
Strep and Staph Aureaus
Cellulitis Treatment Pts with uncomplicated disease - systemic tx with
coverage for MRSA. Bactrim, doxycycline Very ill will
be hospital for IV abx.
Tinea Capitis fungal infection of the scalp
tinea corporis fungal infection of the body
Tinea cruris fungal infection of the groin; jock itch
tinea pedis athlete's foot
Tinea Mannuum Fungal infection of hands
Tinea faciei fungal infection of the face
Tinea unguium fungal infection of the nails
(onychomycosis)
Treatment for Fungal Characteristic: annular erythema with scaling. Prevention:
infections wearing loose undergarments, cotton socks, tight control of
BS in DM pts, drying well between folds of skin.
Management: oral antifungal, topical agents
Candida Infection Often associated with abnormalities of the epithelium or
host immunologic system. Common sites Oral mucosa
(thrush), Vaginal / Perineal (vulvovaginitis)
Candida Treatment Topical antifungal, thrush - nystatin oral suspension X10-14
days.
Pediculosis and Mite head lice, scabies, crab lice, body lice
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