Derm

29 flashcardsby Madi
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1
Abx for mammalian bites include ______ or _____ + _______
- Amoxicillin-clavulanate PO
- Ampicilin-sulbactam IV
- +MRSA coverage
2
You should suture mammalian bites only in ______ areas & if pt is seen within ______
- cosmetic/functional
- 6-12 hrs
3
Common snake bite culprits are ______, ______, ______, or _____
rattlesnakes, cottonmouth moccasins, copperheads, and coral snakes
4
Presentation of snake bites include _______, _______, ________, erythema, and pain
puncture marks, bullae, edema
5
Labs needed for snake bites include ______, _____, ______, ______, _____, ______ bc these patients are at risk for ______
- H/H, platelet , creatinine, ALT/AST, CoAgs, CK
- Bleeding
6
Dose anti-venom on _______, not ______
- Severity
- Weight/age
7
Brown recluse spider bites cause _______ & ______
- Inflammatory cascade
- Tissue necrosis
8
Black widow spider bites cause ________ with _______ affecting ______
- Intense pain
- Catecholamine release
- Neurotransmitters
9
Treatment of Jellyfish stings includes ______, ______, & _______... _______ is rare
- Remove adherent tentacles (double glove!)
- Baking soda slurry
- Topical steroids
- Systemic envenomation
10
Treatment of Bees/Wasps stings includes ...
treatment based on reaction group (I-IV)
11
An Abscess is an area of ______ that is ______. Most often the result of a ______ leading to ______
- Non-functional tissue
- Self-contained
- Bacterial infection
- Leukocyte accumulation
12
Pressure Ulcers are the result of prolonged contact with surface with or without ____ or ____
shearing or friction
13
Stage 1 Pressure Ulcers have ____ skin with _______ of a localized area
- Intact
- Non-blanchable redness
14
Stage 2 Pressure Ulcers have ______ loss of _____ presenting as a _______ with a ______ wound bed, w/o _____. May also present as an ______
- Partial thickness
- Dermis
- Shallow open ulcer
- Red pink
- Slough
- Intact or openuptured serum-filled blister
15
Stage 3 Pressure Ulcers have _______ loss. _____ may be visible. _____ may be present but doesn't ______. May include ____ & ____.
- Full thickness tissue
- Sub Q fat
- Slough
- Obscure the depth of tissue loss
- Undermining & tunneling
16
Stage 4 Pressure Ulcers have _______ loss with _____. _____ or ____ may be present on part of wound bed. Often includes ____ & ____
- Full thickness tissue
- Exposed tendon or muscle
- Slough or Eschar
- Undermining & tunneling
17
Suspected deep tissue injury will have _____ or ____ localized area of discolored ____ skin or _____. The area may be preceded tissue that is _____, _____, ____, _____, ____ or _____ than adjacent tissue.
- Purple or Maroon
- Intact skin or blodd-filled blister
- painful, firm, mushy, boggy, warmer or cooler
18
Unstageable pressure ulcers have ______ loss in which the base of the ulcer is covered by _____, _____, _____, ____, or ____ slough and/or ____, ____, or ____ eschar
- Full thickness tissue
- yellow, tan, gray, green, or brown
- tan, brown, or black
19
Negative Pressure Wound Therapy (NPWT) can be continuous or intermittent at ___ - ___ mmHg depending on _____. You need to observe ____
- 50-125mmHg
- age and location
- Fluid loss
20
Contraindications of Negative Pressure Wound Therapy (NPWT)
necrotic tissue, placement of exposure vital structures (tendons, ligaments, organs, nerves, major blood vessels), untreated osteo, fistulae, malignancy in the wound, sensitivity to silver
21
NPWT Settings should be ____ mmHg in infants (birth–2 years of age), _____ mmHg in children (2–12 years of age), and _____ mmHg in adolescents (12–21 years of age).
- 50 to 75
- 75 to 100
- 75 to 125
22
A 3-year-old girl presents to the ED for a progressive erythematous rash to her torso and bilateral lower extremities. She has had a fever for 1 day and has been receiving ibuprofen for the past 24 hours. What is the likely diagnosis?
Toxic epidermal necrolysis (TEN): caused by a hypersensitivity to nonsteroidal anti-inflammatory medications. The rash typically develops within 48 hours of medication exposure
23
5.   When examining a patient with a confluent, erythematous, sloughing rash, TEN is suspected. Which of the following physical examination supports the diagnosis of TEN?
d. Skin tenderness
24
When admitting a patient to the burn unit with suspected Stevens–Johnson syndrome, which information from the patient’s history supports the diagnosis of Stevens–Johnson syndrome?
Started on phenytoin 1 month ago.
25
Stevens–Johnson syndrome is a hypersensitivity reaction associated with
medications including some anticonvulsants. Any medication given within 8 weeks of onset should be a suspected cause and should be discontinued.
26
Which of the following specialty services should be consulted during in the hospitalization of a patient with Stevens–Johnson syndrome?
- It is imperative to include ophthalmology in the treatment process due to the increased risk of corneal scarring which can lead to vision loss.
27
Which combination is the best choice for empiric antibiotic treatment of suspected necrotizing fasciitis?
Vancomycin and ciprofloxacin.
28
12.   Which diagnostic tool is helpful in acquiring information prior to performing an incision and drainage for a skin abscess?
US
29
A 6-year-old girl is being admitted from a community hospital after a black widow bite to her left forearm. The primary medication requirements are anticipated to be:
opioid analgesia.
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