Peds Derm

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Author:
shamaine24
ID:
2314
Filename:
Peds Derm
Updated:
2009-12-06 17:01:00
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Description:
dermatologic disease
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  1. Erythema Toxicum (neonate)

    gone in days
    • Erythema Multiforme -- Different sized lesions
    • - Drugs (penicillin, NSAIDS..)
    • - recurrent = HERPES simples
    • Stevens johnson syndrome
    • - herpes
  2. Psoriasis Salmon pink w/ silvery scale

    Dx: KOH test rule out fungal

    Tx: topical tar, corticosterods
  3. Pityriasis Rosea - Herald patch "christmas tree"

    - young adults, spring n fall

    Dx: RPR to rule out syphilis, KOH rule out fungal

    Tx: topical steroids
  4. Atopic Dermatitis - anticubital - Pruritic

    IgE sensitivity - atopic triad (ezcema, allergic rhinitis and asthma)

    Tx: steroids
  5. Pemphigus Vulgaris -- IgG autoimmune - intraepidermal blisters
    • Impetigo - Honey Crusted
    • Staph auureus, strep pyogenes

    - macrolides (erythromycin) or penicillins (beta lactam--Gram+ bacteria)
  6. Cellulitis -

    • Stap Aureus
    • GAS (Group A Strep pyogenes)
    • Hib (children)

    Penicillin - MRSA -- Vancomycin
  7. Erysipelas -- handling infected food

    • GAS (pyogenes)
    • - vs cellulitis -- well demarcated

    penicillin, cephalosporin, macrolide, vancomycin
  8. Scalet Fever - Stawberry tounge - Sandpaper rash

    • - GAS - pyogenes (gram+ cocci)
    • - rash on trunk 12-48 hrs AFTER fever starts

    Penicillin, macrolides, cephalosporin
  9. Staph Scalded skin syndrome - culture from skin will NOT have pathogen

    S. Aureus - release of toxin!!!

    Nikolsky sign - lateral spread of bullae

    Penicillinase resistant beta lactams - oxicillin or dicloxacillin
    • Molluscum contagiosum -- umbillicated peraly papules
    • Poxvirus

    tx - curettage - cryosurgery
  10. Herpetic whitlow -- DO NOT excise will spread virus
  11. Tinea ( ringworm)

    Dx: KOH test reveals hyphae

    Tx: Azoles (Imidazole & terbinafine)

    Griseofluvin - inhibits mitosis - mitrotuble blocker - ELEVATES LTFS
  12. Candida - Thrush

    -- Topical Azole (fungal) -- metronidazole
  13. Scabies - female mites

    threadlike burrows

    no transmission after 24hrs
  14. Sebacious hyperlasia - shiny yellow papules
  15. Milia - white papules on face vs acne neonatoroum...
    • Rubella ( german measles)
    • Pink macules and papules on:
    • 1st face--- 24hr spread to body
  16. Measles - Paramyxovirus Kopliks spots

    Erythematous macules and pappules along hairline; subsequent desquamation

    • After a prodrome of fever (over 101 F), cough, coryza, and conjunctivitis, this maculopapular rash starts on the neck, behind the ears, and along the hairline. It spreads downward,
    • and reaches the feet in 2-3 days. Immunization is very effective in preventing this infection.
    • Hand, foot and mouth disease - painful ulcers
    • (Cox-sack A virus)
  17. Rocky mountain spotted fever -blanchable macules -perpherally on wrists 1st!-- spreads to trunk

    -- Rickettsia
    • Erythema Infectiousum - Slapped cheeks
    • 5th disease
    • parvovirus B19
  18. b
    • Meningococcemia - Discreae pink macules, papules and petechiae
    • Nisseria meningitidis
  19. Gonococcemia - Erythematous maculoes Arms and Legs

    painful, hemorhagic

    Nisseria gonorrhea (gram negative) - ampicillin and amoxicillin have better gram - coverage for beta lactams
  20. Primary syphilis - Button like

    Treponema Pallidum
  21. 2ndary syphilis

    Treponema pallidum

    penecillin
  22. Tertiary syphilis _ brown firm plaques

    treponema pallidum - penicillin (beta lactam)
  23. Lyme disease - anular plaque

    Borelia burgdorferi
  24. Kawaski disease - Erythematous macules and plaques - last 12 days
    • Kawasaki stocking glove desquamation
    • - Bilateral Conjuctivitis
    • -red, cracked lips
    • - strwberry tounge
    • - rash (trunk)
    • Roseola
    • This macular or maculopapular rash
    • starts on the trunk and spreads to the arms and neck. There is
    • usually less involvement of the face and legs. The rash is preceded
    • by 3-4 days of high fevers, which end as the rash appears. It is
    • usually seen in children less than 2 years old.
    • Varicella
    • The rash starts on the trunk and spreads to the extremities and head. Each lesion progresses from an
    • erythematous macule to papule to vesicle to pustule, and then crusts over. Lesions at various stages of development are seen in the same area of the body. There is usually a mild fever. The disease is self-limited, lasting about 1 week.

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