Sarah Michelle Crash Course - Questions And Answers Treatment for Rocky Mountain Spotted Fever ✔️Ans - Doxycycline for any age and regardless of pregnancy Presentation of Rocky Mountain Spotted Fever ✔️Ans - Rash on palms of hands and soles of feet pops up after 3-5 days of initial treatment Presentation of Lyme Disease ✔️Ans - Bulls eye rash Lyme disease is also known as... ✔️Ans - Erythema migrans Treatment for Lyme disease over 8 years old ✔️Ans - Doxycycline Treatment for Lyme disease less than 8 years old ✔️Ans - Amoxicillin Aphthous Stomatitis vs herpes ✔️Ans - Aphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes ✔️Ans - Antivirals with 48-72 hours Valtrex or Acyclovir Impetigo - 2 causes of bacteria ✔️Ans - Staph aureus & strep pyogenies Impetigo presentation ✔️Ans - Honey crusted lesions
2 types of Impetigo treatment ✔️Ans - Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation ✔️Ans - Christmas tree like pattern rash Herald Patch pityoriasis rosea treatment ✔️Ans - Self limiting Rubeola presentation ✔️Ans - Cough, congestion, conjunctivitis (3 C's). 1 / 4
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots) Rubeola prevention ✔️Ans - MMR vaccine after 12 months old
- live vaccine)
Mumps presentation ✔️Ans - Parotid gland swelling
Sialolithiasis: what is it! ✔️Ans - Salivary gland stone
Mass under chin when eating actinic keratosis presentation ✔️Ans - Dry pink lesions on a sun exposed area actinic keratosis treatment ✔️Ans - 5FU cream (topical chemo) and use liquid nitrogen (cryotherapy) If actinic keratosis is left untreated, what can it develop into? ✔️Ans - squamous cell carcinoma sqamous cell carcinoma presentation ✔️Ans - Slow growing scaly ulcerated, bleeds easily if squamous cell CA is suspected and a visible lesion is present, the next step should be ✔️Ans - Refer to dermatology ABCDEs of melanoma ✔️Ans - asymmetry, border, color, diameter >6 mm, evolving seborrheic keratosis: do lesions need to be removed ✔️Ans - No- they are benign most common type of skin cancer ✔️Ans - basal cell carcinoma basal cell carcinoma presentation ✔️Ans - Shiny, waxy, pearly May see telangiectasia with this basal cell carcinoma : what should we do if we see this ✔️Ans - Refer to derm 2 / 4
Another name for atopic dermatitis ✔️Ans - Eczema eczema (atopic dermatitis) presentation ✔️Ans - Pruitic, itch scratch cycle.Located on flexor surfaces (like back of knees, axilla, elbows) .Eczema, atopic dermatitis - treatment ✔️Ans - Topical corticosteroids 3A's ✔️Ans - Asthma, allergies, atopic dermatitis Plaque Psoriasis presentation ✔️Ans - Silvery scales, itches auspitz sign, psoriasis ✔️Ans - pinpoint bleeding after a scale is removed or after Koebner phenomenon ✔️Ans - new psoriatic plaques form over areas of skin trauma. Trauma to skin leads to having plaque in that spot Plaque psoriasis treatment ✔️Ans - Topical steroids Contact dermatitis treatment ✔️Ans - avoid offending agents, corticosteroids Shingles presentation ✔️Ans - Severe, piercing, burning, stabbing nerve pain along a dermatome Vesicular rash in same area appears a few days after pain Typically unilateral Lesions last 3-5 days Can spread to visceral organs or ocular region shingles (herpes zoster) treatment ✔️Ans - Antivirals with 48 hours of onset of symptoms Acyclovir ( cheapest) or Valcyclovir Shingles prevention ✔️Ans - Shingrix (50 years and older). Most effective and preferred because it's inactivated. We can give out no matter when the last outbreak was.Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak 3 / 4
Which type of shingles must be referred out? ✔️Ans - Shingles close to the eyes. Refer to ophthalmology. It may lead to vision loss Scabies presentation ✔️Ans - - itching because it burrows into skin and lays eggs.Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--
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for scabies.
the burrow; but infants often do not have burrows on presentation.Scabies treatment ✔️Ans - Permethrin 5% cream (Remember you have 5 fingers) Starve mites by sealing them in a bag for about 10 days.Wash everything in house with hot water. Usually have to repeat treatment chicken pox prevention ✔️Ans - Live attenuated vaccine Only to be given after 12 months old When can children return to school after chickenpox ✔️Ans - When all the lesions are crushed over Molluscum contagiosum presentation ✔️Ans - Flesh-colored papules w/ central umbilication. Contagious anthrax presentation ✔️Ans - Ulcerated, black, and painless Who would you typically see anthrax in? ✔️Ans - Cattle farmers Anthrax treatment ✔️Ans - Ciprofloxacin for another 2 months alternative treatment doxycycline Hidradenitis suppurativa presentation ✔️Ans - Painful and reoccurring in axillae Hidradenitis Suppurativa Treatment ✔️Ans - Warm compress and antibiotics