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IOS 11 Exam 1

Treatment of superficial fungal infection

QuestionAnswer
Vulvovaginal Candidasis s/s are vulvar pruritis, cottage-cheese discharge, erythema, irritation, occassional erythematous "satelite lesions", dysuria, dyspareunia
Cause of vulvovaginal candidiasis C. albicans 85-90%
Treatment of uncomplicated vulvoginal candidiasis Lactobacillus, and Topical: Clotrimazole, miconazole, Miconazole, Ticonazole can take oral Fluconazole
Treatment of complicated vulvovaginal candidiasis Increase topical therapy 7-14 days or take 150mg Fluconazole, or Boric acid vaginal capsules x14days
Exogenous Risk factors for oropharyngeal candidiasis Steriods,Antibiotics, Dentures, Xerostomia (dry mouth), smoking, disruption of oral mucosa
Disease states that are risk factors for oropharyngeal candidiasis Immunosuppressed, neonates, Elderly, HIV/AIDS, DM, cancer, malnutrition
Treatment of uncomplicated oropharyngeal candidiasis Clotrimazole 10mg troche-hold in mouth for 15-20 minutes 4-5x day for 7-14 days or Nystatin rinse QID or Amphotericin suspension QID
Oropharyngeal candidiasis that is refractory or diseases (HIV, immunosuppressed) Fluconazole, azoles, Amphotericin B
Primary Prophylaxis for oropharyngeal candidiasis Not recommended
Secondary prophylaxis for oropharyngeal candidiasis Fluconazole or itraconazole.
Dermatophyte risk factors Prolonged exposure to sweaty clothes, failure to bathe regularly, multipe skin folds, sedentary lifestyle, confinement to bed
Primary pathogens involved in dermatophytes Trichophyton, Epidermophyton, Microsporum
Tinea manuum Palmar surface of hands
Tinea Corporis Ring worm
Tinea barbae Hairs and follicules of beard
Topical Treatment for tinea Azoles, terbinafine-use systemic if wide spread
Treatment of Tinea unguium Systemic Terbinafine, itraconazole- 12 weeks
Created by: liza001
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