Epididymitis Unilateral testicular pain with Phren sign (pain relief
when testicle is lifted) and the scrotum is swollen and angry
TXT < 35 yrs old: Doxycycline & rocephin
TXT > 35 yrs old Levofloxin
Acne caused by genetics & increased androgens
TXT: 1. benzoyl peroxide 2. topical ABX & 3. oral ABX
Refer to derm for Acutaine
if their face is getting irritated- reduce frequency of TXT
Osgood Schlatter pain over the anterior tibial tubercle near the
tendon insertion site
TXT: NSAIDS, ICE, & will likely outgrow it once the bones stop growing
,Keloid grows over the skin incision or injury- common with infected
nose rings
hypertrophic scars will regress over time
hydrocele abnormal accumulation of fluid around the testes
sometimes born with it or later on with inflammation or injury of the
testes
most resolve on their own & do not need surgery
Splinter hemorrhage black lines under the nail not related to
melanoma but caused by endocarditis
Seborrheic Keratosis Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema Extremely PRURITIC
,commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Contact Dermatitis Linear distribution
TXT: topical steroids & avoid irritant
Shingles Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for
permanent corneal scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c
inactivated also give at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury red does not blanch
, no breaks in the skin
TXT: foam dressings
Unstageable pressure injury can not see the depth of the wound
bed because of the presents of a sloth
Eschar on the heel typically seen with diabetics
if it is stable with no signs of infections it should not be removed or
soaked by the patient
Scabies between fingers & ties intently pruritic & everyone in the
house has same symptoms
TXT: permethrin cream & wash everything in hot water usually have to
treat twice to get rid of it effectively
Chicken Pox Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be
combed out. may need 2 treatments. wash bedding & other items in
hot water
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