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SARAH MICHELLE CRASH COURSE STUDY GUIDE SOLUTION NEW UPDATE 2024

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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...

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SARAH MICHELLE CRASH COURSE
STUDY GUIDE SOLUTION
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

Presentation of Lyme Disease - Bulls eye rash

Lyme disease is also known as... - Erythema migrans

Treatment for Lyme disease over 8 years old - Doxycycline

Treatment for Lyme disease less than 8 years old - Amoxicillin

Aphthous Stomatitis vs herpes - Aphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth

Treatment for herpes - Antivirals with 48-72 hours
Valtrex or Acyclovir

Impetigo - 2 causes of bacteria - Staph aureus & strep pyogenies

Impetigo presentation - Honey crusted lesions

2 types of Impetigo treatment - Bullous: PO antibiotics
Nonbollous: mupirocin ointment

Pityriasis Rosea presentation - Christmas tree like pattern rash
Herald Patch

pityoriasis rosea treatment - Self limiting

Rubeola presentation - Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)

Rubeola prevention - MMR vaccine after 12 months old
( live vaccine)

Mumps presentation - Parotid gland swelling

Sialolithiasis: what is it! - Salivary gland stone

,Mass under chin when eating

actinic keratosis presentation - Dry pink lesions on a sun exposed area

actinic keratosis treatment - 5FU cream (topical chemo) and use liquid nitrogen
(cryotherapy)

If actinic keratosis is left untreated, what can it develop into? - squamous cell carcinoma

sqamous cell carcinoma presentation - Slow growing scaly ulcerated, bleeds easily

if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Refer to dermatology

ABCDEs of melanoma - asymmetry, border, color, diameter >6 mm, evolving

seborrheic keratosis: do lesions need to be removed - No- they are benign

most common type of skin cancer - basal cell carcinoma

basal cell carcinoma presentation - Shiny, waxy, pearly
May see telangiectasia with this

basal cell carcinoma : what should we do if we see this - Refer to derm

Another name for atopic dermatitis - Eczema

eczema (atopic dermatitis) presentation - Pruitic, itch scratch cycle. Located on flexor
surfaces (like back of knees, axilla, elbows) .

Eczema, atopic dermatitis - treatment - Topical corticosteroids

3A's - Asthma, allergies, atopic dermatitis

Plaque Psoriasis presentation - Silvery scales, itches

auspitz sign, psoriasis - pinpoint bleeding after a scale is removed or after

Koebner phenomenon - new psoriatic plaques form over areas of skin trauma. Trauma
to skin leads to having plaque in that spot

Plaque psoriasis treatment - Topical steroids

Contact dermatitis treatment - avoid offending agents, corticosteroids

, 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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