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furuncle
- abscess or boil
- deep, tender, firm, red papule enlarges rapidly into a deep-seated nodule.
becomes squishy (fluctuant)
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where are furuncles most common?
friction areas (belt, thighs, buttocks, groin, axilla, waist)
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carbuncle
- deep (dermis and subQ)
- multiple openings
- painful
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common locations for carbuncle
back of neck, trunk, lateral thighs
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before the days of abx, if you got a carbuncle
you died
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carbuncle treatments
abx (difficult to I&D because of multiple sites)
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Erysipelas aka
st anthony's fire
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Erysipelas
- superficial cellulitis, lymphatic involvement.
- facem legs
- group A strep
- staph aureus
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Erysipelas prodrome and color
prodrome: 4-48 hours malaise, fever up to 104
color: dark fiery red with vesicles
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mainstay treatment for mrsa
doxycycline
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superficial cellulitis, aka what, is this color
erysipelas is very fiery red
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erysipelas treatment
- dicloxacillin
- cephalosporin, erythromycin ok
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cellulitis
- infex of dermis and subQ
- group A strep
- staph aureus
- H flu type B in kids
- treatment same as erysipelas
-
why mark erysipelas with a pen
to make sure it's not growing
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the dreaded "red streak"
lymphangitis
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lymphangitis means you the provider need to
get more aggressive. IV instead of oral, maybe debridement, get worried since it's spreading
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impetigo
- bacterial skin infex
- staph aureus
- group A strep
- highly contagious, direct contact, 5-7 yrs
-
impetigo most common location
face
-
impetigo treatment
- bactroban or altabax
- remove crusts, wash, change pillowcase
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folliculitis
chronic = follicular destrux = alopecia
-
folliculitis location
- any hair bearing surface
- back, buttocks, upper arms
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why is pseudofolliculitis 'pseudo'?
it comes from secondary--you did something to make it happen (shaving, waxing)
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can folliculitis be boils, furuncles?
yes it can
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folliculitis treatment
- wash, new razorblade daily
- topical clinda
- topical hydrocortisone
- erythro
- cipro
- bactroban intranasal
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