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PEDIATRICS IN PRIMARY CARE: FINAL EXAM WITH REAL EXAM QUESTIONS AND WELLDETAILED ANSWERS || ALREADY GRADED A+ | LATEST EXAM || GUARANTEED PASS$20.49
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,Traumatic Alopecia: Hair growth expected in what time frame after treatment? -
ANSWER-3-6 months
Cellulitis (H&P/Presentation) - ANSWER-Erythematous swelling, induration,
tenderness, malaise, fever; Always ask about occupation etc (e.g. Nursing home
higher risk for MRSA)
Cellulitis (Management) - ANSWER-1. I&D as needed; Culture
2. In peds always assume MRSA (Treat with Bactrim or Clindamycin)
Candidiasis (Etiology) - ANSWER-1. Environment
2. Immunocompromised
3. Antibiotic use
4. Oral steroid use
Candidiasis (H&P/Presentation) - ANSWER-1. Satellite lesion present
2. Beefy, erythematous, shiny, painful/burning lesion; May peel
3. White plaques present on oral mucosa
Candidiasis (Management) - ANSWER-1. Topical Antifungals (Nystatin,
Lotrimin, ketoconazole, spectazole; apply a thin layer to rash and 1 inch beyond
margins)
2. If recalcitrant- Oral Antifungal (fluconazole)
3. If bottle feeding (Dishwash or Boil nipples); If breastfeeding swab nystatin on
nipple (advise the mother to see PCP if infection begins to develop on breast e.g.
peeling)
4. Don't use wipes (they burn), warm water on cloth; Baby oil
5. Zinc oxide-based cream (e.g. destin)
, Tinea (What is it?) - ANSWER-A dermatophyte fungal infection
Tinea (H&P/Presentation) - ANSWER-1. Pruritis
2. Annular exanthem with central clearing and erythematous border
3. Present on head, body, feet, and groin
4. If on scalp hair breaks off at the base leaving a "black dot look" (hair does
return)
Tinea (Management) - ANSWER-1. Culture
2. Antifungal agent
3. Soak combs in bleach if scalp involved
Tinea (Head, Body, Groin, Feet) - ANSWER-1. Capitis
2. Corporis
3. Cruris
4. Pedis
Tinea Management (1. Corporis 2. Capitis) --med and course of treatment -
ANSWER-1. Antifungal cream (clotrimazole/Lotrimin) 2-3 x/day
2. Griseofulvin qday x 4-8 weeks
Alopecia Areata (1. What is it? 2. Etiology? 3. Affects what pediatric population?)
- ANSWER-1. Complete/Partial hair loss (frontal or parietal areas; "bald patches"
2. Unknown etiology (can occur in mono, stress)
3. Usually occurs in children older than 2 years old (24-65% of children have 1st
episode prior to 16 yr.)
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