fungal + infestations

Question 1

what is tinea

Answer 1

dermatophyte fungal infection - ringworm

Question 2

where is tineap capitis

Answer 2

scalp

Question 3

where is tinea cruris

Answer 3

groin

Question 4

symptoms tinea capitis

Answer 4

scarring alopecia // pustular, boggy mass (kerion) can form

Question 5

diagnosis tinea capitas

Answer 5

scalp scraping or wood light

Question 6

mx tinea capitis

Answer 6

oral antifungal eg terbinafine or griseofulvin // ketoconazole shampoo

Question 7

symptoms tinea corpis

Answer 7

well defines, red lesions with pustules and papules

Question 8

mx tinea corporis

Answer 8

oral fluclonazole

Question 9

symptoms tinea pedis

Answer 9

athletes foot - itchy, peely skin between toes

Question 10

mx tinea pedis

Answer 10

topical imadazole, terbinafine

Question 11

where does candida usually occur

Answer 11

warm fold eg armpit, breast, groin // mouth // vagina

Question 12

mx vaginal candida

Answer 12

1 = oral fluclonazole // 2 = clotrimazole pessary

Question 13

causes fungal nail

Answer 13

dermatophytes (trich rubrum) // yeast eg candida

Question 14

RF fungal nail

Answer 14

age, diabetes, psoriasis, nail trauma

Question 15

symptoms fungal nail

Answer 15

thick, rough, opaque nail, ugly

Question 16

invx fungal nail

Answer 16

clipping + scrapping –> microscopy and culture

Question 17

mx fungal nail for mild infection

Answer 17

doesnt need treated // topical amorofline (6 months hand, 9 months feet)

Question 18

mx extensive dermatophyte fungal nail

Answer 18

oral terbinafine (dermatophyte) - 6 weeks hands // 3-6 months feet

Question 19

mx extensive candida fungal nail

Answer 19

oral itraconzole pulsed therapy (candida)

Question 20

what causes pityriasis versicolour

Answer 20

malassezia furfur

Question 21

symptoms pityriasis versicolour

Answer 21

trunk // hypopogmented lesions // scale // itch // noticable with suntan

Question 22

rf pityriasis versicolour

Answer 22

healthy or immunosuppressed // malnourished // cushings

Question 23

mx pityriasis versicolour

Answer 23

ketoconazole shampoo // if resistant oral itraconazole

Question 24

what causes lymes disease

Answer 24

borrelia burgdoferi - ticks

Question 25

symptoms early lymes

Answer 25

arythema migrans: bulls eye rash 80% // 1-4 weeks after bite // headache, fever, tired // arthralgia!!!

Question 26

late features lymes disease

Answer 26

CV heart block // myocarditis // facial palsy // meningitis

Question 27

invx Lymes disease

Answer 27

clinical if erythema migrans // ELISA antibodies first line

Question 28

testing antibodies in Lymes

Answer 28

ELISA // if negative repeat 4-6 weeks // if negative again –> immunoblot // if positive –> immunoblot

Question 29

mx lyme disease

Answer 29

1 = doxy (or amox if pregnant) // 2 = ceftriaxone

Question 30

what reaction can be seen after starting abx in Lymes

Answer 30

Jarisch-Herxheime - fever, rash, raised HR

Question 31

what type of reaction is scabies

Answer 31

type IV (after 30 days)

Question 32

symptoms scabies

Answer 32

widespread itch // burrow lines // scratch marks

Question 33

medical mx scabies

Answer 33

1 = permithrin 5% (leave on 8-12 hours) // 2 = malathion 0.5 % (leave on 24 hours)

Question 34

mx close contact scabies

Answer 34

all house hold and physical contacts treated // clean all clothes, towels,, beds etc

Question 35

what is crusted scabes

Answer 35

in immunosuppresed eg HIV, cancer

Question 36

mx crusted scabes

Answer 36

isolation and ivermectin