Dermatology Sarah Michelle crash course Leik FNP

Dermatology Sarah Michelle crash course Leik FNP how does aphthous stomatitis present? - ANSWER->painful shallow ulcers on soft tissue inside the mouth. Aphthous stomatitis is commonly known as _______ - ANSWER->Canker sores Treatment for Aphthous Stomatitis - ANSWER->magic mouthwash- combination of liquid diphenhydramine, lidocaine and glucocorticosteroid. Swish, hold and spit. How does herpes simplex present? - ANSWER->prodromal itching, burning and tingling at site. Sudden onset of group of painful clustered vesicles on erythematous base. What is the treatment for herpes simplex? Treat within _____ hours. - ANSWER->Acyclovir (CHEAPER) or Valacyclovir within 48-72hrs of sx onset. Keratosis Pilaris is commonly referred to as _____ - ANSWER->"chicken skin" Treatment for keratosis pilaris - ANSWER->emollient and moisturizer. What anticipatory guidance will you provide to a parents whose child has the Keratosis pilaris? - ANSWER->Most children will outgrow this condition How dose an Impetigo present? - ANSWER->honey colored crusted lesions. What are the two bacterial causes of Impetigo? - ANSWER->Streptococcus pyogenes and Staphylococcus aureus How does bullous impetigo present? And, how do you treat it? - ANSWER->large bullae or blister is present. Severe case: Keflex (Cephalosporin) or Dicloxacillin (Penicillin) Penicillin Allergy: Azithromycin (Macrolides), Clindamycin (Macrolides) and Doxycycline (Tetracycline) What antibiotics do you use to treat Bullous Impetigo or severe case of impetigo IF pt has allergy to penicillin? - ANSWER->Macrolides- Clindamycin and Azithromycin Tetracycline- Doxycycline How do you treat a non-bullous impetigo? - ANSWER->Topical mupirocin What diagnostic test would you order for Impetigo? - ANSWER->culture and sensitivity of the wound How would a pt with Herpetic whitlow present? What causes it? - ANSWER->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? - ANSWER->AVOID sharing personal items, gloves, towels. Cover skin lesion until healed. What distinguishing marks occurs in a pt with Pityriasis Rosea? - ANSWER->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? - ANSWER->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? - ANSWER->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? - ANSWER->HSV 1: typically is responsible for orallabial (around mouth) skin lesions. HSV 2: typically causes genital lesions. A patient presents with rough papules on skin and hard plugs. It appears like a "chicken skin". What does this patient have? - CONTINUES...