What should you suggest to a patient if they come in presenting with Measles?
See a PCP
What should you suggest to a patient if they come in presenting with Varicella?
See a PCP
What is the primary risk factor form Chicken pox?
Exposure to infected individual
What is the contagious period for Chicken pox?
2 days before rash onset to when all the vesicles have crusted (~4-6 days after rash onset)
What is shingles?
Reactivation of varicella zoster virus causing painful blistering rash associated with numbness and tingling, commonly found on one side of the body
A patient comes in saying that they have had headache, malaise and aches/pains followed by an erythematous rash/pruritus on their face and trunk. What might you suspect?
Chicken pox
What is impetigo?
Cutaneous bacterial infection
Is Impetigo primary or secondary?
Both
What species usually cause Impetigo?
Staphylococcus aureus or group A beta hemolytic streptococcus pyogenes
Where are Impetigo lesions usually found?
Around the mouth and nose
Describe the lesions of impetigo:
Erythematous, pruritic, honey or brown and crusting, vesicles that rupture and leave a crust
If a patient comes in with suspected Impetigo, what should you suggest?
A patient comes in with an erythematous rash near their nose, it is brown and crusting. You observe a number of vesicles on the rash and that the person hasn’t has poor hygeine. What do you suspect?
Impetigo
(True/False) Fungal infections of the skin are often transmitted by inanimate objects.
True
What is Tinea cruris also called?
Jock itch
What is Tinea corporis also called?
Ringworm
What are the risk factors for Candidiasis skin infection?
Steroid use, occlusive clothing, warm/moist climate and obesity
What are the signs and symptoms of Tinea Pedis?
Erythema, scaling, erosion, vesicles, pustules and Pruritus of the foot
What are the signs and symptoms of Tinea Corporis?
Erythemia, scaling, plaques, vescicles, pustules and pruritus
What are the signs and symptoms of Tinea Cruris?
Bilateral, scaling, plaques (hyper-pigmented red to brown), papules, pustules, pruritus
Where are most candidiasis infections found at?
Intertriginous areas: Between toes, Groin, Armpit and under breasts
What are the signs and symptoms of a candidiasis infection?
Erythemia, Papules, Pustules, Erosions, Fissures, Dry skin/scaling, itching and burning
If the causative factor unclear is it still OK to use self-care for a fungal infection?
No
If the patient has experienced one unsuccessful initial treatment, or worsening of condition is it still OK to use self-care for a fungal infection?
No
If a patient has a fungal infection on the foot, is it still OK to use self-care for a fungal infection?
Yes
If a patient has involvement of nails, scalp, face, mucous membranes or genitalia, is it still OK to use self-care for a fungal infection?
No
If a patient is experiencing constipation, is it still OK to use self-care for a fungal infection?
Yes
If a patient has signs of possible secondary bacterial infection, is it still OK to use self-care for a fungal infection?
No
If a patient has oozing purulent material, is it still OK to use self-care for a fungal infection?
No
If a patient has excessive and continuous exudation, is it still OK to use self-care for a fungal infection?
No
If a patient has 2 locations of infection, is it still OK to use self-care for a fungal infection?
Yes
If a patient has an extensive, seriously inflamed or debilitating fungal infection, is it still OK to use self-care?
No
What co-morbid conditions are not appropriate for self-treatment of fungal infections?
Immune deficiency and Diabetes
If a patient has rhinitis, is it still OK to use self-care for a fungal infection?