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Dermatologic Issues
| Question | Answer |
|---|---|
| Pruritus | Sensation of itching; most common dermatologic symptom; can signal internal disease like diabetes or cancer.; |
| Pruritus Management | Use tepid baths, pat dry, apply emollients, avoid heat, alcohol, and irritating soaps. |
| Impetigo | Contagious bacterial skin infection with honey-colored crusts caused by Staphylococcus or Streptococcus. |
| Impetigo Education | Bathe daily with antibacterial soap, do not share towels, complete antibiotic course, avoid scratching. |
| Folliculitis | Infection of hair follicles causing pustules; often from shaving, occlusion, or hot tubs (Pseudomonas). |
| Furuncle (Boil) | Deep infection of hair follicle forming a painful, fluctuant nodule; do not squeeze to prevent spread. |
| Carbuncle | Cluster of interconnected furuncles with multiple drainage points; more severe systemic symptoms.; |
| Herpes Zoster (Shingles) | Painful vesicular rash in dermatomal pattern due to reactivation of varicella-zoster virus. |
| Shingles Education | Antiviral meds (acyclovir), keep lesions clean/dry, avoid contact with non-immune, manage pain. |
| Herpes Simplex | Viral infection causing oral (HSV-1) or genital (HSV-2) lesions; contagious during outbreaks.; |
| HSV Management | Antiviral therapy, avoid skin-to-skin contact during outbreak, neonatal transmission prevention.; |
| Tinea Infections (Ringworm) | Fungal infections named by location: pedis (feet), corporis (body), cruris (groin), capitis (scalp).; |
| Fungal Infection Care | Keep skin dry, wear cotton, use antifungal creams/shampoos, avoid sharing personal items.; |
| Pediculosis Capitis (Head Lice) | Infestation with lice/nits on scalp; treat with permethrin, fine-tooth comb, clean linens.; |
| Pediculosis Corporis (Body Lice) | Associated with poor hygiene; treat with scabicide, wash clothes/bedding in hot water.; |
| Pediculosis Pubis (Crab Lice) | Sexually transmitted lice infestation; treat patient and partners, check for other STIs.; |
| Scabies | Infestation with Sarcoptes scabiei mite causing intense burrow-related pruritus, especially at night.; |
| Scabicide Application | Apply after skin cools post-bath, cover body (not face/scalp), leave on 12-24h, treat all contacts.; |
| Psoriasis | Chronic autoimmune inflammatory disorder causing rapid epidermal turnover and scaly plaques.; |
| Psoriasis Triggers | Stress, trauma, infection, certain medications, alcohol, and weather changes can cause flare-ups.; |
| Psoriasis Treatment | Topical steroids, vitamin D analogs, phototherapy, systemic immunosuppressants, biologic agents. |