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Flashcards in Derm infections Deck (27):
1

TTP tx?

Plasmapheresis
Steroids

2

Dx of cellulitis and erysipelas?

Clinical

3

Nonpurulent cellulitis tx?

It is probably strep

Oral Dicloxacillin, cephalexin, clinda

If severe, IV cefazolin, nafcillin, clindamycin

4

Purulent cellulitis tx?

Likely STAPH

Clinda
TMPSMX
Linezolid

If severe:
IV Vanco

5

Patient at risk for endocarditis and has faruncle for needing drainage?

Give Vanco first

6

Hidradenitis suppurative is what? Tx?

Chronic occlusion of apocrine glands (usually axilla)

Tx is avoid skin trauma, gentle cleansing

Mild: topical clindamycin
Severe disease? Oral doxy or minocycline, debrident

7

Two types of fasciitis are what

Group A
Polymycrobial

often they have systemic disease or diabetes or something

8

Tx nec fasciitis?

AGGRESSIVE SURGERY

Antibiotics:
Carbapenem, Clinda and vanc

9

What is dry gangrene from?

Arteriosclerosis and ischemia at tip of toe

10

What is wet gangrene from?

Bacterial infection in moist tissue. Several bacteria

11

Gas gangrene is from what?

clostridium perfringens

Hyperbaric O2 helps. You have crepitis

12

Mild impetigo tx?

Mupirocin

13

Moderate or severe impetigo tx?

What if staph?

Dicloxacillin or cephalexin

Clinda, Bactrim, doxy

14

Skin abscess antibiotics?

Controversial, but since probably staph do clinda, bactrim, doxy or vanc

Above are MRSA drugs

15

What does rosacia look like?

Telangiectasias and papules, but no comedones!

16

Tx of rosacea?

Topical metronidazole or azelaic acid

Systemic same as acne: tetra, doxy, or minocycline. Isotretinoine

17

Herpes is flu like illness first time you get it

oh ok

18

Varicella problem of infection happens with what?

superinfection: strep pyo

19

Who is treated for chickenpox?

Acyclovir if inhaled steroids. Cardiopulmonary history, or chronic salicylates (b/c don't want Rye syndrome)

OVER 12 years old

20

Tx for zoster?

___ciclovir if in first 72 hours and pain management

21

skin warts are what number?

Genital warts are what?

1-4

Genital warts are sex, i mean, 6 and higher

22

Spaghetti and meatball?

Tinea versicolor microscopically

23

Oral meds for tinea?

Griseofulvin, terbinafine, itraconazole, fluconazole

24

Onychomycosis tx?

Terbinafine, itraconazole, fluconazole (careful for liver)

25

Tx of diaper rash?

clotrimazole or terbinafine

26

Scabies tx?

Permethrin cream for entire family

27

Permethrin is for crabs and lice

OH OK