SARAH MICHELLE CRASH COURSE STUDY GUIDE SOLUTION NEW UPDATE 2024
Treatment for Rocky Mountain Spotted Fever - Doxycycline for any age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever - Rash on palms of hands and soles of feet pops up after 3-5 days of initial treatment...
, Shingles presentation - Severe, piercing, burning, stabbing nerve pain along a
dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment - Antivirals with 48 hours of onset of symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention - Shingrix (50 years and older). Most effective and preferred
because it's inactivated. We can give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
Which type of shingles must be referred out? - Shingles close to the eyes. Refer to
ophthalmology. It may lead to vision loss
Scabies presentation - - itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
but infants often do not have burrows on presentation.
Scabies treatment - Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
chicken pox prevention - Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox - When all the lesions are crushed
over
Molluscum contagiosum presentation - Flesh-colored papules w/ central umbilication.
Contagious
anthrax presentation - Ulcerated, black, and painless
Who would you typically see anthrax in? - Cattle farmers
Anthrax treatment - Ciprofloxacin for another 2 months
alternative treatment doxycycline
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