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Exam (elaborations)

AANP Exam 2024/2025 Review- SKIN

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  • June 9, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
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  • AANP Exam
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DoctorKen
AANP Exam 2024/2025 Review- SKIN


1. Erythema Migrans- (stage 1 Lyme) - ANS -Target bulls-eye, usually

appears in 7-14 days POST being bitten by a deer tick. Rash is hot

to touch with rough texture, flu like symptoms. DX: B. Burgdorferi

via ELISA, then confirm with western blot. Increased ESR.

TREATMENT: Younger than 7- Amoxicillin or cefuroxime axetil.

Older than 7 yrs.- Doxycycline. EXAM




2. RMSF - ANS -Fever, chills, N/v, photophobia, myalgia, arthralgias

THEN 2-5 days later you develop a petechial rash on forearms,

ankles, wrists, that spreads towards trunk and becomes

generalized. Think rocky NC/OK/AK/TN/MO DX: PCR essay with

Rickessetti Antigen TREATMENT- doxycycline. EXAM

, 3. Erythema Migrans- (stage 1 Lyme) - ANS -Target bulls-eye, usually

appears in 7-14 days POST being bitten by a deer tick. Rash is hot

to touch with rough texture, flu like symptoms. DX: B. Burgdorferi

via ELISA, then confirm with western blot. Increased ESR.

TREATMENT: Younger than 7- Amoxicillin or cefuroxime axetil.

Older than 7 yrs.- Doxycycline EXAM




4. Melanoma - ANS -Dark Moles, uneven texture, different colors,

irregular, >6mm, could be itchy EXAM




5. Stevens Johnson Syndrome - ANS -Classic is target or bulls-eye.

Abruptly, hives, blisters, petechiae, purpura, necrosis, sloughing of

tissues. Extensive mucosal involvement. Prodrome of fevers with

flu like symptoms. Triggers: Allopurinol, anticonvulsants, pcn,

sulfonamides, NSAIDS. HIV patients have higher risk for this

syndrome.

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