Childhood Skin Diseases Flashcards
(46 cards)
Describe Fifth disease.
starts with a cold (parvovirus)
appears as a slapped cheek (but it can be on the body)
common in 5-7 year olds
no treatment
contagious
rash lasts 2 weeks to a month
How does Fifth disease typically present itself at the start?
begins with a low fever, headache, and cold-like symptoms
Describe Roseola.
aka Sixth disease
viral
common in 2-3 year olds (younger than 5th disease)
no treatment
contagious
maculopapular rash
How does Sixth disease typically present itself at the start?
high fever and cold
True or false: fever and rash is worse in 5th disease than it is in 6th disease
false
6th disease has a worse fever and rash
What kind of skin condition does Roseola look like?
maculopapular
What kind of skin condition does 5th disease look like?
erythema
Is the rash of 6th disease an itchy rash?
nope
Describe Hand/Foot/Mouth disease and how it appears.
viral (GI)
starts with a cold
no treatment
kids less than 5yrs
how it appears:
-2 days fever
-2 days mouth sores
-2 days rash
Why is HFM so hard to diagnose?
the initial symptoms are typical of a cold (fever, sore throat, feeling ill)
rashes are common after a cold
What might help you differentiate HFM from the cold?
sores in the mouth
rash in HFM is more so on feet and hands
Describe Molluscum and how it appears.
viral (similar to warts and often seen with warts)
spread via skin-to-skin contact
treatment is freezing or surgical curettage
can self eradicate at 12 months or longer
how it appears:
-10 to 20 lesions
Describe Erythema toxicum.
flat red splotches, white pimple-like bump in middle
half of all babies get this
seen in first few days of life, gone in 7-14d
generally benign (gentle)
Describe Milia.
looks like baby acne because they are white little bumps
dead skin becomes trapped near surface of skin
show up a day or two after birth
not painful
no treatment
Describe Milia.
looks like baby acne because they are white little bumps
dead skin becomes trapped near surface of skin
show up a day or two after birth
not painful
no treatment
Describe Impetigo.
most common bacterial skin infection in 2-5 year olds, although it can affect any age group
staph aureus or strep pyogenes
involves red sores on the face, especially around mouth and nose
sores can burst and develop honey-coloured crusts
regional lymphadenopathy (swollen glands)
2-3 weeks
What is bullous impetigo?
less common form of impetigo where large blisters appear on the trunk
THINK REFERRAL
What is ecthyma?
a more serious form of impetigo that penetrates deeper into the skin which causes painful fluid/pus-filled sores that turn into ulcers
rare
Where would you find Tinea? How does it appear?
on the face
ring-like structure
What are good ways to differentiate cold sores from impetigo?
cold sores generally appear on the lips, impetigo is around the mouth or nose
cold sores have a tingly feeling, impetigo is painless
cold sores form red blisters, impetigo can be red but generally breaks and becomes yellow crust
What are the gram positive and gram negatives in Polysporin?
gram +: bacitracin or gramicidin
gram -: polymyxin
Are Polysporin products with 3 agents better than Polysporin products with 2 agents?
no
What are the agents we can prescribe for Impetigo? What are the directions we will tell the patient?
mupirocin 2% (cream or oint) or fusidic acid 2% (cream or oint)
mupirocin=bactroban
fusidic acid=fucidin
directions: TID for 7D
If the crust of impetigo is very thick, how can we improve antibiotic contact?
warm water compress to soften the crust and then remove
