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Fund of Disease ch16

Fund of Disease Chapter 16-Diseases of the integumentary system

An acute contagious skin disease caused by staph(staphylococci) and strep(streptococci) especially in children is impetigo
Impetigo is characterized by 1.Erythema(redness) 2.Oozing vesicles(fluid filled papules) 3.Pustules (pus fulled papules) with a honey colored crust
Tx of impetigo includes 1.wash with soap and water 2.keep lesions dry(astringent--caladryl) 3.Topical antibiotics(neosporin)
Lyme disease is a bacterial disease transmitted by the bite of a deer tick
Signs & symptoms of Lyme disease usually occur 3-30 days after exposure and include 1."Bull's eye rash"(target) 2.Flu like signs & symptoms such as: a.malaise(feeling of being unwell) b.cephalalgia(headache) c.chills d.pyrexia(fever) e.arthralgias(joint pain) f.myalgias(muscle pain) g.lymphadenopathy(swollen lymph glands)
Tx of Lyme disease includes antibiotics(Vibramycin, Amoxil)
Untreated Lyme disease can cause permanent damage to the heart, joints & nervous system
HSV I (Herpes Simplex Virus I) causes herpetic stomatitis AKA cold sores or fever blisters
Herpetic stomatitis is usually found near the oral labiae(lips)
The HSV I(Herpes Simplex Virus I) can be dormant in the body for months but frequently becomes active when a person is under stress or when their immune system is weakened(compromised)
Tx of the Herpes Simplex Virus I(HSVI) includes antiviral drugs(Abreva)
Tinea refers to fungal infections
Tinea corporis is AKA ringworm
Tinea corporis causes erythematous(red) ringed shaped pruritic(itchy) lesions
Tinea pedis is AKA athlete's foot
Tinea pedis frequently attacks the skin between the toes causing fissures(cracks), pruritus(itching), & pain
Tinea cruris is AKA Jock itch
Tinea cruris causes erythematous(red) ring-like areas with vesicles (fluid filled papules/raised)
Areas of the body susceptible to tinea are usually warm, dark, & moist environments
Tx of tinea includes 1.Keeping susceptitble areas dry 2.Topical antifungal medications (Tinactin, Desenex)
Pediculosis is AKA lice
Pediculosis(lice...louse/singluar) can infest the head, pubic area(crabs) and the body
Head lice are common among children and are transmitted by direct contact or formites such as combs, scarves, hats & bed linen
The primary symptom of pediculosis(lice) is pruritus(itching)
Pediculosis(lice) are difficult to see but their white eggs(nits) can be located on the hair shaft
Tx of pediculosis(lice) includes 1.Medicated shampoos(RID) 2.Use of a fine toothed comb 3.Washing clothes in hot water(>131 degrees/ greater than) and machine drying 4.Leave the house for 55 hours to allow the lice to die
Some studies show that lice are becoming resistant to the medicated shampoos
Scabies is a contagious skin infestation caused by the itch mite
Signs & symptoms of scabies include vesicles(fluid filled papules), pustules(pus filled papules), and intense pruritus(itching)
Scabies are usually transmitted by skin to skin contact
Tx of scabies incluces 1.Scrubbing with medicated soaps and shampoos(Elimite) in hot baths. 2.Washing clothes in hot water(greater than > 131 degrees) and machine drying
Allergic Contact Dermatitis (ACD) is a noncontagious inflammation of the skin caused by an allergic response
Common allergies include 1.plants such as poison ivy, or oak,(leaves of 3, beware of me) 2.Chemicals found in clothing dyes, soaps & perfumes 3.Metals such as nickel found in costume jewelry, etc.
Signs & symptoms of ACD(Alergic Contact Dermatitis) include 1.Erythema(redness) 2.Vesicles(fluid filled papules) 3.Pruritus(itching)
Tx of ACD(Alergic Contact Dermatitis) includes 1.Removal of the allergen 2.Topical SAIDs(steroidal anti-inflammatory drugs)(hydrocortisone) 3.Antihistamines(Benadryl) 4.Antipruritic medications(Caladryl)
Atopic Dermititis(AD) is AKA eczema
Eczema is an idiopathic(unknown disease) skin disorder causing erythematous(red), dry, and crusted patches on the skin
AD(Atopic Dermititis) usually affects those with allergies and asthma
Eczema outbreaks will disappear in half of all children effected by adolescence
Tx of Atopic Dermatitis(AD) includes the use of SAIDs (steroidal Anti-Inflammatory Drugs)(hydrocortisone)
A nevus is AKA mole
A nevus(mole) is a benign skin lesion that CAN become malignant
Signs & symptoms that indicate a possible change of a nevus(mole) to a malignant lesion include 1.Change in the size or shape 2.Pruritus(itching) 3.Soreness 4.Discharge 5.Darkening of the nevus(mole)
The ABCDEs of moles (nevus) include Asymmetry or one half does not match the other half Border or edges are ragged, blurred or irregular Color is not the same throughout Diameter is larger than the eraser on a pencil Elevated or raised from the skin
Tx of a suspect nevus(mole) involves surgical removal or cryosurgery(freezing to destroy tissue)
Basal Cell Carcinoma(BCC) is the most common skin cancer that is slow growing & usually nonmetastasizing
BCC (Basal Cell Carcinoma) usually develops on the face or neck of light skinned men(2 to 1) who are over exposed to UV(Ultra Violet) light (sun and/or tanning beds)
Tx of Basal Cell Carcinoma (BCC) involves 1.Surgical removal of the tumor 2.Radiation therapy 3.Chemotherapy(antineoplastics)
Squamous Cell Carcinoma (SCC) is a more serious skin lesion because it metastasizes(spread) through the lymph vessels
SCC(Squamous Cell Carcinoma) usually develops on the face, ears, neck, lips & back of the hands of light skinned men(3 to 1) who are over exposed to UV(Ultra Violet) light (sun and/or tanning beds)
Tx of SCC (Squamous Cell Carcinoma) involves 1.Surgical removal of the tumor 2.Radiation therapy 3.Chemotherapy(antineoplastics)
Malignant(Metastatic) Melanoma(MM) is the most serious form of skin cancer because it metastasizes(spread) early
MM (Malignant(Metastatic) Melanoma can develop from a nevus(mole) and is associated with overexposure to UV(Ultra Violet) light (sun and/or tanning beds) in caucasians(10 to 1)
Tx of Malignant(Mestastatic) Melanoma (MM) involves surgical removal of the tumor and surrounding lymph nodes
The Px for MM (Malignant(Mestastatic)Melanoma depends on the degree of mestastasis(spread)
Tanning beds emit 50-74% more UVA rays that the sun
Exposure to tanning beds for people under 30 increases skin cancer risk by 75%
To protect your skin from UVA & UVB sunscreen should contain mexoryl or avobenzone
Acne Vulgaris(AV) is caused by a clogging of the sebaceous(oil/sebum producing) glands
Characteristics of AV (Acne Vulgaris) include 1. Comedones (white heads & black heads) indicate noninflammatory acne 2.Pustules(pus filled papules) indicate inflammatory acne
Tx for AV(Acne Vulgaris) include 1.Benzoyl peroxide 2.Stridex 3.Keeping the hands away from the face 4.Gentle cleaning of the skin twice a day
Rosacea is an idiopathic(unknown disease/cause) cyclic progressive inflammatory skin disease that causes facial erythema(redness) edema(swelling) papules(raised lesions) pustules(pus filled papules) and pain
Tx of rosacea includes 1. Avoidance of triggers(sunlight, stress, wind, temperature extremes, skin care products) 2.Topical vitamin A (retinol) 3.Oracea
Psoriasis is an idiopathic(unknown disease/cause) autoimmune chronic (persistant) skin disease with a hereditary basis of which there is no cure
The psoriasis lesions are erythematous(red) patches with white or silvery scales
The psoriasis lesions primarily form on the elbows & knees but the trunk, arms, legs & scalp can be affected
Psoriasis can be exacerbated(made worse) by 1.Stress 2.Changes in climate 3.NSAIDs(Non-steroidal anti-inflammatory drugs) 4.Injuries to the skin 5.Infections
Tx of psoriasis includes controlling lesions with 1.Coal-tar medications(Tegrin, Denorex) 2.SAIDs (Steroidal anti-flammatory drugs) 3.UV(Ultra Violet) light therapy
Onset & exacerbation of psoriasis has been linked to drinking non-light beer
Created by: Patti Belfi Reed Patti Belfi Reed