Integumentary Alterations

Another name for atopic dermititis

Dry skin

scaly lesions and intense pruritis

Dust mites

Pets or animal dander

pollens

Soaps or detergents

Food allergens

Changes in climate and temperature

sweating

Infections

Textiles

emotional stressors

Treatment of atopic dermatitis

Keep child fingernails short

Why shouldn't you use heat for treating atopic deteratitis?

Promote hydration of the skin

Diphenhydramine (Benadryl)

daily bathing in warm water followed by application of an occlusive product such as a cream or ointment to seal in moisture.

Why shouldnt' use use lotion sfor atopic dermatitis?

Most common prescribed treatment for atopic dermatitis and used to reduce inflammation

what is most often used to tx mild to moderate atopic dermatitis?

High potentcy steroids should be avoided in infants and young children for tx of atopic dermatitis?

Tx for severe or persistent atopic dermatitis

Act specifically to suppress T cell activity, thereby inhibitin gthe inflammatory process involved in the development of atopic dermatitis

S/E of corticosteroids that is not seen in Eladil and Protopic

Worsening symptoms of atopic dermatitis may indicate...

Atopic dermatitis often resolves by...

Caused by contact with soaps, detergents, poison oak/ivy, fabric softener, and loations

Colonization of the skin by _______________ ________ is present in 90% of children with atopic dermatitis

Total serum IgE, Specific IgE antibodies and eosinophil counts are lab test useful in evaluating

Bullae or vescicles & pruritis are signs of

Erythamatous leasions signs of

Tx of contact dermatitis

Medication for severe diaper dermatitis

Overgrowth of pityrosporum - yeast

Scales, dandruff, yellow-red patches

Tx of seborrheic dermatitis

Tx for adolescents in seborrheic dermatitis

spongiosis

use of mineral oil left overnight 2- 4 weeks may aid in removing persistent scales

sensitization phase

Elicitation phase

Topical retinoids to comodones only, in the evening

Topical antibiotics to entire area, nnot just lesions

Oral antibiotics

Oral isotrentinoin

Tx of severe papulonodular acne during menses

Involves pilosebacceous follicles: pore, sebascious gland and tiny vellus

Inreased production of sebum and androgen

Comedones, non inflammatory lesions, may be open or claosed in

Precaution in females taking isotretinoin (accutane)

Use of noncomedogenics

Don't PICK or Squeeze!

Tretinoin precaution

When using topical and oral medications that cause photsensitivty in acne, it is important to use

Topicals used in acne may cause

Auto immune disease causing hair loss on scalp and body

Highly contageous superficial bacterial skin enfection

characterized by local inflammation and infection in the peidermis

Vesicle with erythema surrounding that progresses to honey yellow crust

Tx for impetigo contagiosa

Bactroban/mupirocin is a topical antibiotic used for

oral and systemic antibiotics such as dicloxacillin or cephalexin (a cephalosporin aka Keflex) are considered appropriate cost effective therapy for

benign epithelial tumors

Salyicic acids can be used for tx of

Cryotherapy can be used for

Cautery or laser is a treatment for

Fever blisters symptom/sign of

Ulcers>yellow exudate>crust

Tx for mild HSV1

Tx for severe recurrent oral acyclovir

Can be fatal in immunocompromised child

Fungal infection in newborns

Fungal infection in children using inhalers

Fungal infection occuring with impaired immunity, or on antibiotics

White patche in mouth resemble coagulated milk

Pain with lesions

Tinea capitus

Tx for ringworm (dermatophytoses)

Griseofulvin po is treatment for

How long do you use griseofulvin po?

Selenium sulfide shampoo used to tx

How long should you use selenium sulfide?

Why are topicals innefective for dermatophytoses?

2% ketocanozole used to tx

Tinea Corporis

annular expanding lesion

raised erythematous border, scaly clearning center

Washing the body with selenium sulfide shampoo is a tx for

Tinea pedis

tx for tinea pedis and length of time

Tinea cruris

tx of tinea cruris and length of time

Pediculosis capitis

Tx for pediculosis capitus

What age should you not use Nix on a child? What is nix used for?

Highly contagious

Female mite burrows under skin and lays eggs and feces in the path

Itching noted for 1 month after infestation

Erythematous, papular rash

5% permethrin cream (Elimite) x 1 to whole body

Treat the entire family

Permethin is safe for what age children? Treatment for what?

Range for mild hypothermia

Range for moderate hypothermia

Profound hypothermia

Tx for profound hypothermia

Volume expanders

Internal warming

Rectal probe for temp monitoring

Humidified, warm 02

Warmed IVFs

Warm packs to core circulation areas

Hemodialysis prn

Hypoglycemia = IV glucose, tx in

High risk areas for frostbite

Immerse in warm water for 10-15 minutes

Narcotic alangesics used as treatment for

Warm fluids po

Amputation prn

Elevate prn to promote venous return

Who is at highest risk for animal bites?

Crushing lacerations

Puncture wounds

Cultures are obtained after what?

Irrigate/debride after

use local anesthesia after

Antibiotic therapy after..

Tetanus a possible problem after

Tx for bites and stings

past of meat tenderizer and 1 tsp water to site

baking soda and water paste tx for

Systemic reacction

tx for anaphylactic reaction

Medical ID important for

Systemic reaction can occur in what time frame?

Mild erythematous, painful purple bull's eye macule; fever, chills, malaise >>edema, tissue necrosis; slow to heal

Keep area below heart

cleanse; cool compresses, analgesics

If njo bullae, no further treatment and watch for secondary infection

Fang marks

Pain, edema, muscle cramps, crying

Systemic reaction to black widow bite in how long?

Malaise, vomiting, dizzyness, muscle ridgidity of abdomen

Calcium gluconate IV

Anti venom

Antihistamines

hydrocortisone

Rare, tissue destroying bacteria

Necrotizing fascities caused by

Can be caused by minor wound, chicken pox, abraison, bruise

Enters bloodstream

Remove affected tissue or limb may stop progression

Meningococcinum is a deadly infection in what age group?

Flu-like sx

Large bruises with damage like 3rd degree burns

Shock and respiratory failure

Antibiotics treat infections and damage to tissues

Fever and rash, seek medical attention immediately

What bacteria are normally found on the skin?

what causes epidermal inflammation and formation of visicles or warts?

Characteristic rashes are present with communicable _____

What causes fungal infections?

Affects the stratum corneum, hari and nails and are superficial and not in the skin.

How long does it take for nits to hatch?

Life span of lice

A small, superficial, elevated lesion containing serou fluid is called a

A flat, nonpalpapable lesion

contains purulent fluid

palpale lesion that is firm, such as a wart and does not contain fluid

Which of the following are manifestations of scabies?

Nits present
threadlike rash between fingers and other moist areas
Curcular rash on extremities
Pruritus
Eczematous eruption in infants

Life cycle of lice eggs

what tempt to wash clothes in contact with lice

Imetigo caused by what kind of infection?

Scabies caused by a

Cold sore, and fever blister caused by what kind of infection?

Ringworm is caused by what kind of infection

Should you wash off zinc oxide with each diaper change?

Constratch can be used to do what?

Medications used for relief of itching

Acne may be genetically inheritied, T or F

Acne more common in boys or girls?

No association between stress and acne - true or false

Comedones

open comedones

closed comedones

Red, inflamed skin

weeping, red vesicles and papules

Comedones or pustules are associated with

Thick and yellow scaly areas

Which of the following medications can be used for children with eczema?

Corticosteroids
Accutane
Peroxide
Antihistamines
Calamine lotion

Where ies eczema usually seen on a 4 year old child?

A complication that may occur with acne and most types of dermatitis is...