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Duke PA Bacterial Infections of the Skin

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Question
Answer
superficial skin infections   impetigo, intertrigo  
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pyodermas   abscesses, furuncles, carbuncles  
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soft tissue infections   cellulitis, erysipelas  
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non-specific skin term (doesn't say anything about pathology)   intertrigo, folliculitis  
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superficial kind of cellulitis   erysipelas  
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bacteria causes almost all types of cellulitis   streptococcus  
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pain out of proportion to how lesion looks   necrotizing soft tissue infections (NSTI)  
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type of superficial cellulitis, almost always group A strep; sharp, raised borders   erysipelas  
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type of intertrigo caused by C. minutissium   erythrasma  
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type of NSTI caused by P. aeruginosa   ecthyma gangrenosum  
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a deep type of impetigo, is an ulcerative lesion with thick crust that is usually tender   ecthyma  
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scabbing eruption, very common in children but adults often infected,   impetigo  
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etiologic agents of impetigo   A B-hemolytic streptococcus pyogenes or S. aureus  
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predisposing factors for impetigo   truama (minor), underlying dermatoses, poor hygiene, previous antibiotic therapy, warm temps/high humidity  
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appearance of impetigo non-bullous   small pustules or vesicles that erode crust (honey-colored), surrounding skin is usually inflammed  
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appearance of impetigo bullous   vesicles or bullae containing clear or turbid fluid, surrounding skin can be normal  
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topical treatment for impetigo   bactroban (mupirocin), altabax (retapamulin)(MSSA only)  
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bacterial causes of intertrigo   groups A and B streptococci, non-diptheroid species of Corynebacterium, P. aeruginosa  
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skin on skin can cause   intertrigo  
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tend to see satellite lesions with __ caused intertrigo   candida  
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bacterial intertrigo __ bad   smells  
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patients that have an increased risk of erythrasma, it is bright red w/ woods lamp   diabetics  
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topical treatment for erythrasma   benzoyl peroxide, mupirocin, imiadazoles  
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neck-fold intertrigo in babies think __   strep  
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dermal ulceration, crust is yellowish-gray and thicker and harder than crust in impetigo, children and elderly at risk   ecthyma  
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pyoderma etiology is almost always   S. aureus  
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localized, walled off collection of pus, can develop at any cutaneous site, starts as firm nodule that becomes fluctuant   abscess  
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deep-seated erythematous nodule, common in hair bearing regions or areas of friction, develop central necrotic plug   furuncle  
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large area of coalescing abscesses or furuncles   carbuncle  
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gold standard treatment of abscesses, furuncles, and carbuncles   incision and drainage  
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when doing an I and D be sure to remove __ or infection will recur   loculations  
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adjunctive therapy to I and D   systemic antibiotics and warm compresses  
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populations at risk for CA-MRSA   native americans, african americans, homeless, populations in close quarters, incarcerated military recruits, children in daycare, competitive athletes  
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cornerstone of CA-MRSA treatment   I and D  
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most common soft tissue infections   cellulitis, and erysipelas  
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clinical presentation of soft tissue infections   acute, diffuse inflammation of skin, +warmth and tenderness, systemic symptoms not uncommon  
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predisposing factors for soft tissue infections   trauma, surgery, mucosal infection, underlying dermatoses, immunologic deficiency  
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extends into subcutaneous tissue, borders are often indistinct,   cellulitis  
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etiologic agents of cellulitis   GAS, S. aureau  
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superficial cellulitis, raised borders with clear demarcation from uninvolved skin.   erysipelas  
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etiologic agents responsible for erysipelas   GAS, very rarely S. aureus  
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part of the body that is most commonly affected by erysipelas   lower extremity and face  
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treatment therapy for cellulitis and erysipelas   penicillinase-resistant synthetic penicillins or cephalosporins. use macrolides ( but not erythromycin) in penicillin allergic patients  
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supportive treatment for cellulitis and erysipelas   rest, elevation, warm compresses  
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peggy wants us to know about what drug for the treatment of cellulitis and erysipelas. It is very cheap and it works well   dicloxacillin  
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common sites of infection for necrotizing soft tissue infections   perineum, extremities, trunk  
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predisposing factors for folliculitis   shaving, friction in or occlusion of hair covered areas of the body, immunosuppression, topical corticosteroids  
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sites of prediliction for folliculitis   face (especially beard), scalp, neck, legs, trunk, and buttocks  
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aka barber's itch   pseudofolliculitis barbae  
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keloidal folliculitis is found in what part of the body   nape of neck at hairline  
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prevention of infectious folliculitis   antibacterial soaps  
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infection of subcutaneous lymphatic channels, usually results from trauma, red streaking from wound   acute lymphangitis  
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most common etiology of acute lymphangitis   group A streptococcis, less commonly S. aureus  
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gram negative bacteria found in marine animals that inhabit warm bodies of water   vibrio spp  
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very rare in the US, usually acquired via contact with infected animals or their products or from feed, soil contaminated with spores of the bacillus   cutaneous anthrax  
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systemic tx for erythrasma   doxycycline, macrolides  
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systemic treatment for impetigo   cephalosporins, dicloxacillin  
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