Complete Updates
High specificity ANS high percentage of healthy individuals will show a normal result
Low specificity ANS -getting a positive result when it i not present
-a high number of false-positives- meaning that a healthy person has a disease when they actually do not
Sensitivity ANS the proportion of true positives out of all patients with a designated condition
If a diagnostic study has a high specificity: ANS then a high % of health individuals will show a normal
result
If a diagnostic study has a high sensitivity: ANS then a high percentage of persons with the given condition
will have an abnormal result
Part A medicare covers: ANS inpatient hospital stay; skilled nursing care; hospice; and home care
Part B medicare covers: ANS outpatient services; provider visits; surgery; lab tests; medical equipment;
and preventive exams
Part C medicare covers: ANS vision exams, hearing exams, eye glasses, and hearing aids
Part D medicare covers: ANS prescription drugs
Tinea vesicolor ANS flat to slightly elevated brown papules and plaques that scale when they are rubbed
along with areas of hypopigmentation;prurtis; most commonly found on trunk and shoulders
Balantitis ANS candidiasis in the glans of the penis
,Tinea corporis ANS Annual lesions with scaly borders and central clearing on the trunk; has ring-shaped
lesions (ring worm) with scaly borders and central clearing or scaly patches with distinct borders on exposed
skin surfaces or on the trunk.
Tinea pedis ANS athletes foot-feet and between toes
Tinea cruis ANS jock-itch in groin area
Tinea unguium ANS white or yellow nail discoloration, thickening of the nail and separation of the nail
from the nail bed (most common in toe nails)
Cellulitis ANS spreading infection of the epidermis and subcutaneous tissues that usually begins after a
break in the skin
Folliculitis ANS bacterial infection of the hair follicle (think papules)
Impetigo ANS -highly contagious
-symptoms may be burning and itching with lymphadenopathy
Epidermal inclusion cyst ANS history of cyst on the same site for months to years, may have cheesy white
discharge with strong odor when expressed
Cholinergic urticaria ANS hives or wheels that are pruritic and occur on the trunk and arms following
exercise, anxiety, elevated body temperature, or hot baths/showers
*treat with antihistamine
Atopic dermatitis ANS extremely low threshold for pruritus and the "itch" often appears before the rash
-cardinal sign is severe pruritus
Herpes simplex ANS Symptoms include:
-blistering sores
, -itching
-pain during urination (during genital outbreak)
-fever
-headache
-tiredness
-lack of appetite
Goal of treatment for herpes simplex ANS suppress virus
Herpes zoster ANS -caused by varicella-zoster and is characterized by a painful rash with blisters
-rash is unilateral along dermatome
-begins as erythema then changes to papular lesions that rapidly form into vesicles
First line of treatment for acne ANS Benzoyl peroxide
Who would be good candidates for oral abx treatment for acne? ANS -those at risks for pigmentation
changes or scarring
-nodulocystic acne
-those who need quick relief from inflammatory acne
Acne teaching ANS -always use sunscreen with acne treatment
-wash face gently atleast twice daily with antibacterial soap
Rosacea ANS common skin condition that causes blushing or flushing and visible blood vessels in the face
Treatment for rosacea ANS metronidazole cream but may take 6-8 weeks for response
Seborrhea Keratosis, who is at risks? ANS -older white women
Seborrhea Keratosis lesions ANS -often itching and irritation with friction or clothing