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Derm - pediatric skin conditions
PA CLin Med
61
Health Care
Graduate
12/12/2009

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Cards

Term
transmission from direct person to person contact, severe itching, webs of fingers, wrists, axillary folds, male genitalia
Definition
scabes
Term
TQ: evidence of scabies
Definition
papule-sometimes burrowing, worse at night
Term
2 tests for scabies:
Definition
ink blot and microscopic skin scaping
Term
scabies tx:
Definition
permithrin cream over whole body & tx entire family, wash bedding
Term
chronic localized benign skin condition caused by pox virus:
Definition
molluscum contagiosum
Term
TQ: papule with umbilicated center and "cheesy" material may b expressed
Definition
molluscum contagiosum
Term
location of molluscum contagiosum papules:
Definition
trunk and proximal extremities
Term
transmission of molluscum contagiosum:
Definition
1. children may spread the rash on their body by itching or picking
2. dz is limited to children and immunocomprimised so theres not significant risk of spreading this to healthy adults
Term
molluscum contagiosum tx:
Definition
1. self limited (1-3months)
2. curretage, cryo or laser
Term
creamy white, adherant plaques on the bucal mucosa with a bleeding or erythematous base with the removal of the plaque
Definition
candidiasis
Term
when may older children or adolescents develop thrush?
Definition
with inhaled coritcosteroids
Term
3 sx of thrush:
Definition
1. cotton mouth
2. dry mouth
3. pain
Term
thrush tx:
Definition
1. nystatin 1cc QID
2. sterilization of bottles/nipples
3. Gentian violet
Term
TQ: satellite pustular lesions in diaper area
Definition
diaper dermatitis
Term
etiology of diaper dermatitis:
Definition
candida
Term
diaper dermatitis may be a complication of: 2
Definition
1. oral abx
2. oral candidiasis
Term
diaper dermatitis tx:
Definition
1. nystatin creams
2. azole creams
Term
superficial bacterial skin infection most common in 2-5yo comming from poverty or crowded conditions
Definition
Impetigo
Term
TQ: "Honey Colored Crusts"
Definition
impetigo
Term
most common organism for imetigo:
Definition
staph & GAS
Term
the major risk factor of impetigo:
Definition
nasal colonization
Term
location of impetigo:
Definition
face and extremities
Term
impetigo tx:
Definition
1. topical abx
2. oral abx
3. MRSA = bactrim, doxy, clindamycin
4. Treat nasal passages c mupirocin
Term
indication when impetigo vesicles prgress to bullae:
Definition
Bullous Impetigo
Term
etiology of bullous impetigo:
Definition
S. aureus producing Toxin A
Term
difference in appearance of bullous vs regular impetigo:
Definition
bullous: bullae and BROWN crusts usually located on the TRUNK
Term
complications of STREP inmetigo:
Definition
1. poststreptococcal glomerulonephritis
2. rheumatic fever
Term
Veruuca Vulgaris =
Definition
warts
Term
verruca vulgaris is most common in:
Definition
kids and young adults
Term
transmission of verrucu vulgaris:
Definition
skin to skin contact
Term
etiology of verrucu vulgaris:
Definition
HPV
Term
verruca tx:
Definition
1. duct tape
2. snip excision/curretage
3. salicylic acid
4. liquid nitrogen
Term
what is the first line tx for verruca in children?
Definition
tissue destruction by salicylic acid
Term
when is cryo not indicated for verruca tx?
Definition
when the wart is on the plantar surface
Term
when is varicella-zoster contagious?
Definition
48hrs before rash & last until lesions have crusted
Term
how is herpes-zoster spread:
Definition
direct contact with vesicle or respiratory droplets
Term
when is the peak of incidence for varicella-zoster?
Definition
march - may
Term
2 lab findings in herpes-zoster:
Definition
1. ELISA confirmation
2. latex agglutination
Term
4 complications of varicella-zoster infection
Definition
1. secondary infection GAS
2. PNA in adults
3. encephalitis
4. Reye syndrome (w aspirin use)
Term
varicella-zoster prognosis:
Definition
1. Leading cause of vaccine-preventable deaths in children in the US
2. self limiting
Term
varicella zoster tx:5
Definition
1. calamine lotion
2. oral antihistamines
3. bathe with antimicrobial soap
4. trim nails
5. acyclovir in severe cases
Term
etiology of hand, foot, and mouth dz:
Definition
coxsackievirus A16
Term
pathogenesis of HFMdz
Definition
virus implants into the GI and extends to the lymph nodes to cause systemic sx
Term
distribution of HFMdz rash:
Definition
maculopapular rash that turn into vesicles over the palms, soles, and ulcerative lesions in the mouth
Term
prognosis of HFMdz:
Definition
self limited within 7-10d
Term
fifth dz: AKA
Definition
erythema infectiosum
Term
fifth dz etiology:
Definition
human parvovirus
Term
how is erythema infectiosum spread?
Definition
intranasal innoculation of human parvovirus B19
Term
progression of erythema infectiosum rash:
Definition
1. starts of face ("slapped cheeck")
2. body rash after face (lacy pattern)
Term
erythema infectiosum tx:
Definition
no tx necessary
Term
pregnancy and fifth dz:
Definition
erythema infectiosum (human parvovirus) crosses the placenta; pregnant women who've not had fifth dz should avoid those who may have it.
Term
generalized cutaneous eruption associated with systemic infection, erythematous macules/papules of trunk and proximal extremities few days after getting sick.
Definition
viral exanthems
Term
pertinent diff dx for viral exanthem:
Definition
drug rxn; kids that are initially sick may have just started abx
Term
prognosis for viral exanthem:
Definition
should resolve within a week
Term
EBV or CMV + ? = rash
Definition
amoxicillin
Term
most comon tumor of infancy
Definition
hemangiomas
Term
hemangioma tx:
Definition
consider removal if obstructing vital structures
Term
sixth dz: AKA
Definition
Roseola infantum
Term
etiology of roseola infantum:
Definition
Herpes virus 6&7
Term
peak age of roseola infantum:
Definition
6mo but ranges from 6mo-3yo
Term
progression of roseola infantum:
Definition
2 days following fever develop non-pruritic rash over body with CERVICLE/OCCIPITAL LYMPHADENOPATHY
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