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Integumentary
Test #3
| Question | Answer |
|---|---|
| Acne Vulgaris | common disorder of sebaceous glands and their follicles, presence of closed or open comedones, papules, pustules, nodules, cysts |
| Retinoid therapy | used for severe acne only, many severe side effects, sexually active females must be on affective contraceptive |
| Oral Candidiasis and Candidal diaper dermatitis | (thrush) oral-white plaques, dermitis-red scaly, beefy red rash *usually seen in newborns |
| Thrush treatment | Nystatin applied to affected areas (in mouth allow to swallow) |
| Pediculosis Capitis | Head lice, eggs hatch in 7-10 days, lice mature in 1 month, |
| Head lice treatment | Pyrethrin w/ piperonyl butoxide (RID), Permethrin creme (NIX)drug of choice for infant *itching may continue 2-3 wks after tx |
| Lyme Disease | Stage I-1month after bite, ECM's 2-24", Stage II-2-3months after ECM, Neurologic and Cardiac abnormalities, Stage III-months to years, arthritis & chronic neurologic symptoms |
| Lyme Disease diagnostics | Recognition of ECM, increases sed rate, ELISA, Serologic tests may not become elevated til later stages |
| Lyme Diseas tx | Doxycycline for >8yrs, Amoxicillan <8yrs |
| Poison Ivy, Oak, Sumac tx | Cold/tepid compress, Calamine lotion, topical or oral steriod |
| Steven-Johnson Syndrome s/s | severe form of erythema multiforme, begins w/flu-like sympt. lesions of mucuos membranes & multiple systemic symptoms |
| SJS treatment | symptomatic, hospitalization for severe cases, nursing care is same as a burned child |
| Catch Scratch Diseas | lympadenitis follows an animal scratch or bite, self-limiting, symptomatic tx |
| Brown Recluse Spider | Mild sting w/bite, star shaped in 3-4 days then ulcerates, tx w/antibiotics, pain meds, may need skin graft |
| Black Widow | Has hourglass shaped marking on underside, very painful, dizzines, weakness, abd pain, delirium, paralysis, death, *tx w/antivenin, muscle relaxant |
| Rabies | Immediately cleanse wound, give tetanus & antibiotics, *vax given on day 0,3,7,14,28 |
| Snake bites | usually vipers (cortilidae, morbidity varies on size of snake, amount of venom, time of year, location of bite, age and size of child |
| Snake bite interventions | loose tourniquet proximal to bite, remove constricting clothing, immobilize limb, bring dead snake, once symptoms occur it is impossible to stop respiratory paralysis |
| Von Recklinhausen Disease | autosomal dominant, coffee colored spots at birth, tumors, elephantitis, affects neurologic, opthalmic & skeletal *tx symptomatic |
Created by:
jas067
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