Patient Assessment Skin 6

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Patient Assessment Skin 6
2013-11-27 20:25:20
Patient Assessment Skin
Patient Assessment Skin 6
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  1. What are the symptoms of a bedbug bite?
    Redness, swelling and itching
  2. How are bedbug bites usually grouped?
    Several in a row
  3. Where are chiggers located?
    Shrubs, trees and grass
  4. A person comes in with a bunch of bug bites, they are red, they itch intensely and the erson says their skin feels like it is hardening. What bug do you suspect?
  5. A person comes in with a bug bite. They say they didn’t notice at first but a lesion began develoing shorty after they did notice it. What bug do you suspect?
  6. What determines the severity of a spider bite?
    The species
  7. What age group should not use self-care for insect bites?
  8. When bug bites are located on what part of the body should they be excluded from self-care?
    Eyelid or eyebrow
  9. Should pregnant or breastfeeding women use a self-care treatment for lice?
  10. What are the ABCDE’s of melanoma?
    Asymmetry, Border irregularity, Color change, Diameter >6mm, Enlargement over time
  11. A mole over 6mm is about the size of what?
    The end of a pancil
  12. What are the common drug induced skin conditions?
    Uticaria, Angioedema and Anaphylaxis
  13. How do allergic skin reactions due to a drug usually present?
    Uticaria, angioedema, wheals and pruritus
  14. How do non-allergic/anaphylactoid skin reactions due to a drug usually present?
    Laryngeal edema, difficulty breathing, flushing, hypotension, burning sensation of palms and soles
  15. A patient comes having taken a new drug, they have laryngeal edema, are having trouble breathing and have a burning sensation on their palms, what type of reaction are they having?
  16. A patient comes in with Wheals and Uticaria after recently changing their medication regimen. What type of drug induced reaction might they be having?
  17. What are the common drugs that cause skin reactions?
    Antibiotics, ACEIs, Aspirin, CCBs, Oral contraceptive, Cytostatic agents, NSAIDs and drugs that release histamine
  18. What drugs release histamine?
    Amphetamine, atropine, opiates and hydralazine
  19. Describe the characteristics of an Exanthematous drug eruption:
    Measles-like (coalesceing or diffuse), symmetric rash with macules and papules found on the trunk and extremities, may have fever lasting 2 days to several weeks
  20. What routes of administration are most commonly associated with Exanthematous drug eruption?
    Oral and IV
  21. What drugs are major causative agents for Exanthematous drug eruption?
    Allopurinol, Barbiturates, Benzodiazepines, Carbamazepine, Cephalosporins, Erythromycin, NSAIDs, Penicillins, Sulfonamides, Tetracycline
  22. What type of reaction is a Fixed drug eruption?
  23. Describe the characteristics of a Fixed drug eruption:
    erythema progressing from macules to bullae that may be painful and may have pruritus happening within hours of taking the drug
  24. A drug reaction happens within a few hours of taking a new drug, erythema forms as macules, but soon bullae form. What type of drug reaction would you suspect?
    Fixed drug eruption
  25. A patient comes in with a symmetric drug reaction. The patient is covered in macules and papules and has a fever. What type pf drug reaction would you suspect?
    Exanthematous drug eruption
  26. What are the major causative drugs of Fixed drug eruptions?
    Acetaminophen, Amphetamines, Aspirin and other salicylates, Barbiturates, Metronidazole, NSAIDs, Oral Contraceptives, Penicillins, Sulfonamides, Tetracyclines
  27. What are the characteristics of the prodromal phase of Stevens-Johnson Syndrome/Toxic Epidermal Necrosis?
    Flue like symptoms, rash that begins to slough
  28. Dsecribe the lesion associated with Stevens-Johnson Syndrome/Toxic Epidermal Necrosis?
    Widespread Erythema, macules, papules and vesicles. Even found on mucus membranes
  29. What can occur if widespread is not treated?
    Systemic damage and death
  30. What percent of widespread patients die and why?
    5-18% due to systemic damage
  31. What medications are associated with Stevens-Johnson Syndrome/Toxic Epidermal Necrosis?
    NSAIDs, Sulfa antibiotics, Allopurinol, Phenytoin, Carbamazepine, Barbiturates, Anticonvulsants
  32. A patient has a burn like reaction that includes the mucus membranes. What is likely their issue?
    Stevens-Johnson Syndrome/Toxic Epidermal Necrosis?
  33. How does Drug induced photosensitivity work?
    UV radiation converts drugs in the skin to either toxic or allergic substances
  34. A patient has eczema like dry crusted skin with pruritus that has spread to areas not exposed to the sun. This occurred after a topical application of a new drug. Is this patient photoallergic or photosensitive?
  35. A patient has erythema, edema, vesicles and pruritis only where sun exposure occurred. Is this patient photoallergic or photosensitive?
  36. What drugs are associated with Photosensitivity?
    Fluoroquinolones, NSAIDs, Tetracycline, Sulfonylureas, TCAs, Sulfonamides, Thiazide diuretics
  37. What is Folliculitis?
    Staph aureus infection hair follicle or area under the skin.
  38. What is hot tub folliculitis?
    Pseudomonas aeruginosa folliculitis