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2025|2026
3A's
Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation
Silvery scales, itches
auspitz sign, psoriasis
pinpoint bleeding after a scale is removed or after
Koebner phenomenon
new psoriatic plaques form over areas of skin trauma. Trauma to
skin leads to having plaque in that spot
Plaque psoriasis treatment
Topical steroids
,shingles (herpes zoster) treatment
Antivirals with 48 hours of onset of
symptoms Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention
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
Which type of shingles must be referred out?
Shingles close to the eyes. Refer to ophthalmology. It may lead to
vision loss
Scabies presentation
- 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 for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like
lesion-- the burrow; but infants often do not have burrows on
presentation.
,Scabies treatment
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
Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox
When all the lesions are crushed over
Contact dermatitis treatment
avoid offending agents, corticosteroids
Shingles presentation
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
, Molluscum contagiosum presentation
Flesh-colored papules w/ central umbilication. Contagious
anthrax presentation
Ulcerated, black, and painless
Who would you typically see anthrax in?
Cattle farmers
Anthrax treatment
Ciprofloxacin for another 2 months
alternative treatment doxycycline
Hidradenitis suppurativa presentation
Painful and reoccurring in axillae
Hidradenitis Suppurativa Treatment
Warm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures