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,
, What antibiotics do you use to treat Bullous Impetigo or severe case of impetigo IF pt
has
allergy to penicillin? -Ans✅ Macrolides- Clindamycin and Azithromycin
Tetracycline- Doxycycline
How do you treat a non-bullous impetigo? -Ans✅ Topical mupirocin
What diagnostic test would you order for Impetigo? -Ans✅ culture and sensitivity of the
wound
How would a pt with Herpetic whitlow present? What causes it? -Ans✅ painful blistering on
side of the finger or cuticles or terminal phalanx. Often d/t direct contact with cold sore
or
genital herpes. HSV1 or
2.
What education would you provide to pt with Herpetic Whitlow? -Ans✅ AVOID sharing
personal items, gloves, towels. Cover skin lesion until
healed.
What distinguishing marks occurs in a pt with Pityriasis Rosea? -Ans✅ starts with a
"Herald
Patch", usually located on the
Trunk.
Then, erupts the oval lesions with fine scales that follow the skin lines (Cleavage Lines) of
the
Trunk in a "Christmas Tree"
pattern.
, What education do you provide to a pt with Pityriasis Rosea? How do you treat it? -Ans✅ This
is self-limiting conditions. Will resolves on its own in 6-
8wks.
IF Itchy: antihistamine or topical steroids.
How do you differentiate Pityriasis Rosea from Syphilis? What diagnostic test would you
order
to rule out Syphilis? -Ans✅ The lesion would be located on palms and soles.
Order serologic testing - Rapid Plasma Reagent (RPR).
How do you differentiate HSV 1 vs HSV 2 infection? -Ans✅ HSV 1: typically is responsible for
oral-labial (around mouth) skin
lesions.
HSV 2: typically causes genital lesions.
how does aphthous stomatitis present? -Ans✅ painful shallow ulcers on soft tissue inside
the
mouth.
Aphthous stomatitis is commonly known as _______ -Ans✅ Canker sores
Treatment for Aphthous Stomatitis -Ans✅ magic mouthwash- combination of liquid
diphenhydramine, lidocaine and glucocorticosteroid.
Swish, hold and spit.
How does herpes simplex present? -Ans✅ prodromal itching, burning and tingling at site.
Sudden onset of group of painful clustered vesicles on erythematous base.