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Basal Cell Carcinoma
Most comnmon skin cancer
Telangiectasias= visible blood vessels across the
lesion Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema
Extremely PRURITIC
commonly found on flexor
surfaces TXT: emollients &
Topical steroids Atopic dermatitis,
Asthma & Allergies
Plaque Psoriasis
Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding
occurs Koebner's phenomenon- Trauma to skin leads to plaque
forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
,Contact Dermatitis
Linear distribution
TXT: topical steroids & avoid irritant
Shingles
Across the dermatome
Vascular & burning & tingling at the site prior to
rash TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent
corneal scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated
also give at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury
red does not
blanch no breaks
in the skin TXT:
foam dressings
Unstageable pressure injury
can not see the depth of the wound bed because of the presents of a sloth
Eschar on the heel
typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked
by the patient
,Scabies
between fingers & ties intently pruritic & everyone in the house has same
symptoms TXT: permethrin cream & wash everything in hot water usually have
to treat twice to get rid of it effectively
Chicken Pox
Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Molluscum Contagiosum
If located in the groin area- possible sexual abuse Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
, Head Lice
Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed
out. may need 2 treatments. wash bedding & other items in hot water
Anthrax
Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia
Recurrent issue- not due to hygiene more linked to
genetics risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
Folliculitis
infection of the hair
follicles TXT: topical
mupirocin
Severe- oral ABX penicillin or Keflex
Rosacea
Erythematous facial rash that does NOT spare the
nose TXT: topical flatly gel