Peds Derm

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    Erythema Toxicum (neonate)

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

    Dx: KOH test rule out fungal

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

    - young adults, spring n fall

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

    Tx: topical steroids
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    Atopic Dermatitis - anticubital - Pruritic

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

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

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

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

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

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

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

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

    Penicillin, macrolides, cephalosporin
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    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
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    • Molluscum contagiosum -- umbillicated peraly papules
    • Poxvirus

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

    Dx: KOH test reveals hyphae

    Tx: Azoles (Imidazole & terbinafine)

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

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

    threadlike burrows

    no transmission after 24hrs
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    Sebacious hyperlasia - shiny yellow papules
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    Milia - white papules on face vs acne neonatoroum...
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    • Rubella ( german measles)
    • Pink macules and papules on:
    • 1st face--- 24hr spread to body
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    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.
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    • Hand, foot and mouth disease - painful ulcers
    • (Cox-sack A virus)
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    Rocky mountain spotted fever -blanchable macules -perpherally on wrists 1st!-- spreads to trunk

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

    painful, hemorhagic

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

    Treponema Pallidum
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    2ndary syphilis

    Treponema pallidum

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    Tertiary syphilis _ brown firm plaques

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

    Borelia burgdorferi
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    Kawaski disease - Erythematous macules and plaques - last 12 days
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    • Kawasaki stocking glove desquamation
    • - Bilateral Conjuctivitis
    • -red, cracked lips
    • - strwberry tounge
    • - rash (trunk)
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    • 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.
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    • 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.
Card Set:
Peds Derm
2009-12-06 22:01:00

dermatologic disease
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