NUR 631 Exam 41
- Majocchi's Granuloma
rare condition in which the dermatophyte invades the dermis or subcutaneous tissues (from shaving)
- tinea capitis & tinus unguium
- tinea infections that MUST be treated orally
- Trichophyton rubrum
most common etiology of dermatophytosis
- tinea capitis
hallmark of this dermatophytosis is annular with central clearing
- tinea corporis
lesions appear erythematous, scaley plaque that may rapidly enlarge
- tines cruris (jock itch)
arciform or polycyclic & duller red in color; macerated with scaliness, sharp borders
- tinea pedis
which tinea? diffuse desquamation w/ superficial white scales & possible bulla formation
- hyphae and spores 1 / 3
KOH Prep for tinea will reveal ...
- green
Woods Lamp for tinea will light up
- Fungal Culture
Primary tool to diagnose fungal infections; differentiates the species (results take weeks)
- Lotrimin (clotrimazole)
Nizoral (ketoconazole)- treat most
Lamisil (terbinafine) - 1 week only
Name 3 topical antifungals
- Griseofulvin (hepatotoxic) - PO
1st line for tinea capitis? What is an adverse affect?
- Terbinafine (Lamisil)
PO for onychomycosis
- CBC, LFT, testosterone
Labs to get prior to starting PO antifungals
- -Griseofluvin (Grifulvin V)
-Terbinafine (Lamisil)
-Intraconazole (Sopranox)
- / 3
- PO antifungals
- visual inspection (skin lines absent, black dots in center will bleed)
diag- nosis of verruca vulgaris
- silver duct tape
1st line treatment for verruca vulgaris
- -BCA or TCA
-Tretinoin cream (Retin A)
-5-fluorouracil (Efudex 5%)
chemical treatments for verruca vulgaris
- Bleomycin sulfate
last result, surgical tx for wart
- IgG
elevation of shows evidence of previous infection with HSV
- Herpetic whitlow
vesicles with a red halo on the finger
- Tzanck smear
rapid test for HSV, does not differential HSV1 vs 2
- Viral Culture (from vesicle fluid or scraping from base)
- / 3