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joy's deck for FNP > skin > Flashcards

Flashcards in skin Deck (43):
1

rocky mountain spotted fever

small red spots on hands/feet that progress toward the trunk
fever, n/v
rash day #3
south central common

2

actinic keratosis

dry, red round lesions with rough texture
sun exposed areas

3

meningococcemia

meningitis rash
"sudden" stiff neck, fever, changes in LOC
hemorrhagic rash in the axillae, flanks, wrist, and ankles
rifampin prophylaxis

4

erythema migraines

early lyme disease
bulls eye rash 7-14 days after deer tick bite
flu like s/s
most common northeast region
use DEET

5

herpes zoster opthalmicus

herpes soter on the trigemnal ( V) nerve. sudden vesicular lesions on the ONE side of the scalp, forehead, and tip of the nose. blurry vision. ED

6

melanoma

>6mm, irregular borders. can appear in the nail pads or retina

7

basal cell carcinoma

pearly or waxy lesion with ulcerated center.

8

acral lentiginous melanoma

most common type of melanoma in AA and asians. located on the nailbes, palmar, and plantar surface. longitudinal brown to black bands on the nail beds

9

subungual hematoma

draining
use heated paperclip or 18 g neede press down to create 3-4mm hold. blood may drain for 24-36 hrs

10

steven johnson syndrome (erythema multiform major)

bulls eye lesions
bulla
painful
involves eyes nose, mouth, esophagus
fever before rashes appear
hypersensitivity caused by medicines, infections,a nd malignancies
PNS, sulfas, barbiturates, and phenytoid ( dilantin)
HIV have 40 fold risk of SJS dt to trimethoprim/sulfa

11

lyme disease s/s

erythema migraines ( rash that can span 12 inches bulls eye), facial palsy, swollen knee

12

what skin lesions show bulla (superficial blister >1cm)

impetigo, 2nd degree burn, SJS lesion

13

vesicle

herpatic lesions

14

seborrheic keratoses

soft wart like growths, esp on the back

15

xanthelasma

yellow colored plaques under the brow or upper.lower lids of the eyes. hyperlipidemia if

16

lipoma

soft fatty cystic tumors, painless, located on trunk, legs/arms, neck

17

xerosis

extremely dry skin and may involve mucosal or eyes (xerostomia, xeropthalmia)

18

acanthosis nigrans

thickening of the skin behind the neck/axilla. DM, metabolic syndrome, obesity, cancer of the GI tract

19

psoriasis

skin cells undergo rapid mitotic division=plaques
koebner phenomenon= new plaques over area of skin trauma
auspitz sign- pinpoint areas of bleeding when plaque is removed

black box warning for topical tacrolimus: skin malignancy. use spf . biologics/anti TNF agents
tx: steroids, retinoids, tar prep (psoralen)
humira, enbrel, ad remicade are associated with malignancy, TB, sepsis. Take baseline PPD

20

actinic keratosis

precurser to squamous sell.
cryotherapy of 5fu

21

tinea versicolor

yeast. hypo pigmented maculates that "appear" after skin becomes tan.
labs- koh (potassium hydorxide) slide shoes hphae and spores.
topical selenium sulfide or ketoconazaole

22

atopic dermatitis (eczema)

pruritic rash on the hands, neck, folds. worse with stress, winter, related to allergies

topical steroids hydrocortisone
traimcinolone

23

oral thrush

nystatin (mycostatin) oral suspension
severe- lidocaine, diphenhydramine, and maalox mouth wash.

24

hidradenitis supprativa

bacterial infection of the sebaceous glands of the axilla
augmentin
mupirocin ointment to nares/fingernails

25

impetigo

skin infection by gram +, s. progenies or s. auras. contagious and pruritic. honey colored

tx: keflex qid x 10 days
if pcn allergy, azithroymycin

26

meningococcemia

life threatening infection by N. meningitides spread by droplets

The skin rash may advance from a few ill-defined lesions to a widespread petechial eruption within a few hours. Meningococcemia’s potential rapidity of progression cannot be stressed enough.
ie: college students
labs: lumbar CSF, blood culture, throat culture, mdi brain
tx: cefriaxone (rocephin) 2g IV q 12 hours plus vancomycin IV q 8-12 hours

27

lyme disease tx

erythema migraines by tick B. burgdorferi.

labs: antiboy igM and igG.
tx doxy

28

rocky mountain tx

dog tick or wood reck infected with rickettsia rickets.
small papules on hands/feet and spread to trunk
fever

doxy or tetracycline x 21 days. refer STAT
biospy lesion 3mm punch

29

varicella tx

chickenpox- contagious 1-2 days before onset and unit chicken pox crusts over (1-2 wks)
shingles: contagious with onset of rash until crusts over

medications: acyclovir (zovirax) or valtrex

30

herpatic whitlow

viral infection of the fingers (herpes)
painful red bumps on fingers.
self limited, or tx with acyclovir.

31

paronychia

vacterial infection of the cuticle . painful smollen area of the nail that becomes abscessed.

soak in warm water for 20 minutes tie, topical antibiotic, incision and drainage prn

32

pityriasis rosea

christmas tree rash on trunk
self limiting, 4-8 wks
"herald patch"
if high risk std, check PRP to r/o syphilis

33

scabies

tx: permetherin for 8-14 hrs
rash on webs of hands , breats, buttocks, scrotum. rash appears snakelike (serpinginous) or linear burrows
labs- scarpe burrow or scales with glass slide

treat everyone in the house

34

tinea capitus

most common in AA children
block dot tines capitis- ring worm
hairs break off and leave block dots on the scalp

medications: antifungal tx Griseofulvin daiy (microsize/ultramicdrosize), 6-12 weeks
avoid hepatotoxic substances (alcohol, statins, acetaminophen)
baseline LFT and repeat 2 weks after initiating

35

Total body surface area (TBSA) burns

each arm: 9%
head: 9%
each leg 18%, anterior trunk 18%, posterior trunk 18%

36

anthrax

3 types: cutaneous, GI, and pulmonary

pulmonary- (animals, wool, hides, hair)

post exposure (bioterrorism) cipro

37

ricin toxin (castor beans)

oral ricin causes vomit, diarrhea, multi organ failure in 6 hours. no antidote

38

small pox

eliminated in 1977. vaccine 3-4 days post exposure. incubation 2 weeks

39

pruritic rashes located in the webs of fingers, penis are scabies until proven otherwise. treat entire family.

true

40

preferred antibiotic for human or animal bites

augmentin

41

post herpatic neuralgia prophylaxis

TCA (antidepressents), amitriptyline (elavil)

42

cellulitis clue

walking barefoot

43

if Beta B infection cellulitis treat for 10 days dt risk of developing postglomerular nephritis

true