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Integument and STD's
Stack #126374
| Question | Answer |
|---|---|
| Drugs to treat acne | benzoperoxide, topical erythromycin, retin A, systemic low dose tetracycline erythromycin accutane |
| Tx candiadiasis | oral: nystatin swish and swallow, systemic oral fluconazole, IV amphotercin B, Diaper: topicae cream, barrows solution |
| TX pediculosis | pyrethrin OTC, Infants permethrin 1^ creme rinse if persists, lindane, neurotoxic |
| ECM | rash prevalent in Lyme disease erythema chronicum migrons (Bulls Eye Rash) |
| Lyme 'Disease Stage 1 | within one month of tick bite: ECM rash, fatigue, fever, arthralgia, myalgia |
| Lyme /disease Stage 2 | 2-3 mos after ECM, meningitis type symptoms, difficulty w/ memory, bells palsy, peripheral neuropathies, syncope, SOB, dysrhythmias, myopericarditis |
| Lyme Disease Stage 3 | months to years after infection, arthritis (knees), chronic neurological neuropsychiatric symptoms |
| Labs Lyme Disease | ESD, ELISA for IgM and IgG antibodies, serological tests may not become positive until later stages of disease |
| T | (blank) |
| Tx Lyme disease | early antibiotics, tetracycline, doxcycline, PCN, ampicillin once there are CNS manifestations Ceftriaxone |
| Erythema Multiforme Exudation | Steven Johnson Syndrome - drug reaction often following URI can be fatal |
| CSD - Cat Scratch Disease | lymphadenopathy, positive CSD skin test, biopsy lymph node, indirect flourescent antibody test ABX contraindicated, rest |
| Reportable STD's | Gonnorhea, syphillis, chlamydia, trichomonaisis |
| Chlamydia | most purulent, bacteria, mucopurulent thin discharge, PID, Dx - culture, Mgt - zithromax tetracycline. partners also need tx |
| Gonnorhea | bacteria, women often asymptomatic, prulent yellow discharge, PID, septicemia DX culture, TX PCN, ceftriaxone, tetracycline, azithromycin, oldest venereal disease |
| syphllis | chancre, many stages, rash palms and soles of feet, DX dark field microscopic exam of chancre for spirochetes, PCN |
| BV Bacterial Vaginosis | thin watery yellow gray fishy discharge, PID, DX microscopic exam of secretions, Flagyl or Cleocin No alcholol with flagyl Fungal |
| HPV | Dx cytologic smear, warts, biopsy, treat symptoms trichoacentic acid, podioflox, Omoquimad cream, cryotherapy, Pap smears, condoms ,Viral |
| Herpes | 1 above the belt 2 below the belt, severe intial symptoms, vesicles, flu like symptoms, feer, chills, severre dysuria, itching, tingling, heavy watery discharge. Affects nerve ganglia, Acclovair but contraindicated in pregnancy |
| Trichomoniasis | protozoan frothy foul malodorous discharge, strawberry cervix, flagyl, reportable |
Created by:
margaretptz
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