Vesiculobullous Disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Erythema Multiforme lesions look like ? | *self limited hypersensitivity disorder with target lesions with central vesicles (big with dot in the middle)
🗑
|
||||
| Top way we Erythema Multiforme ? | * reactivation of HSV
🗑
|
||||
| What would we see upon biopsy ? | * focal liquefaction of epidermal keratinocytes
🗑
|
||||
| Ery. Multi. Prodrome = ? | * NONE, but look for a Hx of HSV
🗑
|
||||
| Ery. Multi. CxSx = ? | * can have mucosal involvement in up to 50%... * See the rash with the centered vesicles....* see extensive target lesions with a dark purple center (almost looks like what would happen if an octopus attached itself to you)
🗑
|
||||
| What is Stevens-Johnson Syndrome ? | * Serious systemic disorder in which TWO or more mucous membranes AND the skin ... * They are SUPER sick with high fever and have Epidermal detachment at 2 or more sites
🗑
|
||||
| SJS Prodrome = ? | * 1-14 days of fever, malaise, and URI symptoms
🗑
|
||||
| What we see in SJS ? | * raw, denuded skin... * Nikolsky Sign... * Painful mucosal crusting with hemorrhagic crusting
🗑
|
||||
| What do we have to take a good Hx with SJS ? | * B/c early SJS resembles Ery. Multi.... * BUT, SJS has a prodrome and is wayyy worse.
🗑
|
||||
| Stevens-Johnson Syndome vs. Toxic Epidermal Necrolysis = ? | * SJS = <10% of body affected.... * SJS-TEN = 10-30%.... * TEN = >30%.... So, SJS can become TEN !
🗑
|
||||
| SJS agent in KIDS and ADULTS = ? | * Kids = Mycoplasma Infections..... * Adults = medications, esp. anti-convulsants
🗑
|
||||
| SJS Management = ? | * Is life threatening... * Need to treat eyes and mouth to resolve their involvement in the disease and place patient in the ICU/Burn unit for fluid loss
🗑
|
||||
| What is SJS commonly confused with, Dx wise ? | * Staphylococcal Scalded Skin Syndorme (SSSS)
🗑
|
||||
| What is SSSS ? | * Exfoliative toxin A and B of S. aureus cause the superficial skin to blister.... * Cultures will show nothing and sampling a busted bullae will show nothing also(sterile fluid).
🗑
|
||||
| What is Toxic Shock Syndrome ? | * develop a red, flat rash, in which the sin peels 1 - 2 weeks after the syndrome
🗑
|
||||
| How will TSS patients present and what is usu the cause of TSS? | * These patients have SUDDEN onset fever, rash, hypotension, and toxic appearance (No Prodrome)... * The major cause is Tampons in women or packing, such as nose bleeds where they leave them in or WAYYY too long.... * They need lots of IV fluids
🗑
|
||||
| The factors that increase susceptibility to TSS = ? | * Menstruation -- recent birth --
recent surgery -- Foreign bodies or packings -- Tampons --
Infection by S. Aureus
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
thamrick800
Popular Medical sets