Flashcards in Integumentary Deck (43)
Upper dermis, raised, fever and chills, common sites: ears, face, lower extremities, organism is strept
Deeper dermis, poor demarcation, usually no fever, common sites: periorbital or lower extremities, organisms staph and strept
How do you treat Erysipelas?
Perenteral antibiotics, ceftiraxone or cefazolin
When should you FU on skin infections such as cellulitis?
How do you manage bites?
Clean and flush thoroughly, antibiotic prophylaxis in high risk cases, tetanus
When do you give shingles vaccine?
age 60 for the immunocompetent
Sx of lupus
fatigue, joint aches, butterfly rash, PAINLESS oral ulcers, renal involvement 50%, peptic ulcers
Test for lupus
ANA. Needs to be 1:160 or higher
Actinic keratosis (AK)
sun exposure major risk, few progress to squamous cell carcinoma
Basal cell carcinoma
Most common age 50-60, head and neck, pearly domed nodule leading to central ulceration and crusting, 40X more common than squamous cell
squamous cell carcinoma
head and neck common, papules, plaques, nodules, smooth, may bleed easily, need to biopsy to be sure
Malignant melanoma age
Usual age is 40s, think ABCDE
pruritis is main sx, chronic and recurrent, family hx allergic disease
Pruritic (intense) circumscribed, raised, red with central pallor.
honey colored crusts
christmas tree pattern rash
well circumscribed lesion found on the trunk
Sandpaper textured rash
strep, trunk first
Basal Cell carcinoma
pearly domed nodule
bright, beefy, red rash
Flat discoloration, usually < 1cm in diameter, Ex freckle
Flat area of skin discoloration, larger than a macule Ex vitiligo
Raised lesion < 1 cm May be the same or different color from the surrounding skin Ex raised nevus
Fluid filled, < 1cm Ex varicella
Raised lesion > 1cm May be the same or different color from the surrounding skin Ex psoriasis