What investigations would you perform on a female with 2 new sexual partners in the last 6 months and genital condyloma?
(Name 5)
Pap test of cervix
Cervical chlamydia and gonorrhea DNA
Hep B serology
HIV serology
Syphillis serology (EIA)
(could include Hep C)
Wound healing - Name 5 host factors that can affect wound healing
Diabetes
Arterial insufficiency
Venous insufficiency
Immunosuppression
Steroid use
Chronic renal failure
Extremes of age
Malnutrition
Obesity
Pt with a 5cm laceration from knife to forearm requiring sutures. List 2 anatomic features that must be assessed before wound repair
Tendon function
Vascular intact
Neuro intact
Name 4 discharge instructions for post-closure wound care (after repairing laceration)
Keep wound dry for 24-48 hours
Removal of sutures 5-7 days (for arms)
Clean
Return if pain, discharge, warmth, and swelling
A 1 year old Asian girl with new rash on her cheeks and chin and posterior legs. Scratching. Red papules and plaques with fine white scale. Secordary excoriations.
What will you prescribe?
Hydrocortisone 1% cream apply to rough and red areas of face and legs BID x 14 days, 20 grams R#1
1 year old Asian girl with suspected atopic dermatitis. Outline 5 recommendations for this family in the mgmt of this recurrent skin condition.
Minimize bathing (q2d)
Decrease duration and warmth of water
Don't rub dry, pat skin dry
Apply moisturizers after bath to lock moisture in
Moisturize at least once per day
Add 1 tsp oil to bath
Minimize exposure to irritants and detergents
Cover hands with mittins to reduce stratching at night
1 year old Asian girl with atopic dermatitis. Now has papular rash on face with oozing a yellow crust with some areas of erosions. What do you suspect?
Impetigo (superinfection)
1 year old Asian girl with atopic dermatitis and now yellow oozing crusts over face.
How would you treat this... name 3 options.
Topical antibiotics:
Bactroban cream
Mupirocin (MRSA effective)
Fucidin cream
26 year old male with 2 month history nonscarring bald patch on left temporal aspect of head.
Name 3 possible diagnoses.
Alopecia areata (most likely)
Trichotrillomania
Parasitic infection (tinea capitis)
26 year old male with nonscarring bald spot on L scalp. Name 3 associated medical conditions with alopecia areata.