Skin and soft tissue infections

Повестка
Раздел 1
Раздел 2
Раздел 3
Раздел 4
Раздел 5
Образец текста нижнего колонтитула
08.02.20XX

Введение
В PowerPoint можно создавать презентации и делиться своими материалами с другими, где бы они ни находились. Введите здесь нужный текст, чтобы начать работу. В этом шаблоне вы также можете добавлять рисунки, изображения и видеоролики. Сохраняйте презентации в OneDrive и открывайте их с компьютера, планшета или телефона.
Образец текста нижнего колонтитула
08.02.20XX

Scabies
Mites Sarcoptes scabiei

Scabies
Transmission
crowding, skin to skin contact and fomites
The female mite burrows just beneath the skin
in order to lay her eggs. She then dies. The eggs hatch into tiny mites that
spread out over the skin and live for only about 30 days.

Scabies
CLASSIC SCABIES
Small erythematous papules
“Knots on a rope”
Pruritic
Severe and worse at night
Fingers web spaces, flexor surfaces of wrist, elbow, axillary folds, beltline, lower buttocks, genitalia
Образец текста нижнего колонтитула
08.02.20XX

Scabies
CRUSTED SCABIES
Образец текста нижнего колонтитула
08.02.20XX
Norwegian scabies
Crusting, scaling fissuring affecting an older, immunosuppressed adult
Higher mite burden
Transmission via fomites
Hands, feet, scalp

Scabies
Diagnosis
Clx – history and appearance of the rash
Microscopy
Treatment
Permethrim
Lindane
Ivermectim
08.02.20XX
Образец текста нижнего колонтитула

Pediculosis humanus capitis
Pediculosis humanus corporis
Pediculosis pubis
Pediculosis ciliaris
Head Lice
Body Lice
Pubic Lice
Pediculosis

Head Lice
Children, femals, Europian
Direct contact or fomites
Nits firmly “cemented” to human hair
White spots of nits can be mistaken
for dandruff
Unlike dandruff, the nits cannot be
brushed off

Body Lice
Poverty, poor hygiene, crowding
Direct contact and clothing
Lays eggs in seams of clothing
Can live up to 3 days without feeding on host
Образец текста нижнего колонтитула
08.02.20XX

Pubic Lice
Sexual active, young adults and adolescents
Sexual transmitted and fomites
Contact with eyes can lead to Pediculosis ciliaris
Generally smaller in size than the other types
Образец текста нижнего колонтитула
08.02.20XX

Lice
Symptoms
Itchy
Excoriation
Hyperpigmentation
Lymphadenopathy
Bacteria transmitted by the body louse
Rickettsia prowazekii
Borrelia recurents
Borrelia quintana
08.02.20XX
Образец текста нижнего колонтитула

Lice
Diagnosis
Head lice or nits are usually on the scalp and nape of the neck and over the ears. Adult lice are approximately the same size as a sesame seed.
Body lice are more difficult to find, but they usually can be detected in the seams of underwear.
Pubic lice are found on the skin and hair of the pubic area or on the eyelashes
Treatment
Inspection and remove
Permethim
Refractory treatment: oral Ivermectin
08.02.20XX
Образец текста нижнего колонтитула

Varicella zoster virus
Herpes zoster
Shingles

Shingles
Due to reactivation of the VZV from dorsal root ganglion nerves
the condition is preceded by several days of radicular pain with hyperaesthesia
unilateral patchy rash in one or two contiguous dermatomes
intense erythema with papules in affected skin
later crusting and separation of scabs after 10–14 days, often with depigmentation
regional lymphadenopathy
08.02.20XX
Образец текста нижнего колонтитула

Shingles
Herpes Zoster oticus the trigeminal nerve
Ramsay Hunt Syndrome
Ipsilateral facial paralysis
Ear pain
Vesicles in the auditory canal and auricle
Herpes Zoster ophthalmicus the facial nerve
Conjuctivitis, scleritis, episcleritis, keratitis, glaucoma, retinitis
Argyll-Robertson pupils

Shingles
Diagnostic
RCR for detection of viral DNA
Direct fluorescent antibody
Tzanck swear
Treatment
<72 hrs – valacyclovir, acyclovir
Post-herpetic neuralgia
Amitriptyline, pregabalin, gabapentin
08.02.20XX
Образец текста нижнего колонтитула

Molluscum contagiosum
Molluscum contagiosum virus
Poxvirus

Molluscum contagiosum
Children and sexually active adults
Painless
Incubation period
between 2-6 weeks
Persist for months
In any part of the body except palms and soles
Sometimes pruritic
Transmission
Direct skin-to-skin contact
Autoinoculation
“kissing lesions”
Fomites
sharing towels and bath toys
Through water
Swimming pool
08.02.20XX
Образец текста нижнего колонтитула

Molluscum contagiosum
Dome-shaped papules with umbilication
2-3mm in diameter
Pink-white to flash colored
Single or multiple (more common)
Hemispherical up to 5 mm

Molluscum contagiosum
Diagnosis
Clinical
Histology
Henderson – Peterson bodies
Treatment
Self-limiting
Cryotherapy, Cantharidin, Curretage, Imiguimod, Topical retinoids
08.02.20XX
Образец текста нижнего колонтитула

Staphylococcus aureus
Staphylococcal scalded skin syndrome

SSSS
is a bacterial toxin-mediated skin disorder that primarily affects young children
generally from bullous Impetigo
occurs when exotoxins produced by Staphylococcus aureus undergo hematogenous dissemination to the skin
diffuse skin pain and erythema as well as superficial blistering and desquamation
fever, irritability, and poor oral intake.
The desquamation phase lasts 2 to 4 days and is followed by complete healing, without scarring

Diagnosis
Clx
Skin examination
Flaccid bullae, superficial desquamation, and shallow erosions
Absent mucous membrane involvement
Evidence of concurrent cutaneous, conjunctival, or internal staphylococcal infection
Positive Nikolsky sign
Treatment
Intravenous antimicrobials
oxacillin or nafcillin.
Isolation in an incubator
Nontraumatic skin care
emollients (sterile petrolatum, paraffin oil);
the shedding epidermis must be conserved as a “biologic dressing”
08.02.20XX
Образец текста нижнего колонтитула

Erythrasma
Corynebacterium minutissimum

Erythrasma
chronic superficial skin infection
Superficial reddish-brown scaly patches
Enlarges peripherally
Mild infection but tends to chronicity if untreated
Coral pink fluorescence with Wood’s light
Common sites: groin (especially men), axillae, submammary, toe webs
08.02.20XX

Erythrasma
Diagnosis
Appearance
Fluoresces coral red with Wood’s lamp
KOH exam for dermatophyte (that can co-exist)
Gram stain: g+ filaments and rods
Образец текста нижнего колонтитула
08.02.20XX

Erythrasma
Treatment
Topical imidazole e.g. miconazole or erythromycin 2% gel
Oral roxithromycin or erythromycin
Loose fitting clothing and antibacterial wash may prevent recurrence
08.02.20XX
Образец текста нижнего колонтитула

Tinea versicolor
Образец текста нижнего колонтитула
08.02.20XX