NURS 623 Exam 1 - Questions and Answers A skin condition primarily centrally on the face, chronic, persistent erythema, telangiectasia, erythematous
... [Show More] papules, and can cause a bulbous nose. Rosacea What are triggers of rosacea? Sun exposure, hot/cold weather, hot spicy aged drinks/foods Highly contagious. Honey crusted plaques, usually on face Bullous: begin as small vesicles that rupture easily with serous fluid turning into crust; dirty yellow-colored crust with erythematous margins Impetigo (bacterial infection) Treatment for impetigo Bactroban TID x 7d, PO kflex; augmentin; cloxacillin; With no treatment, it is self-limiting 2-3 wks Unexplained pain with or without Unilateral vesicular rash along dermatome lasting 3-5 days, up to 30. Herpes Zoster (Shingles) Treatment for Shingles Famcyclovir, Acyclovir, Valacyclovir. Prednisone taper. Vaccine. Grouped vesicles on erythematous base. Oral or genital, can be asymptomatic. Prodrome can include headache, fever, muscle ache, lymphadenopathy, local pain. Herpes simplex Treatment of oral herpes simplex lip ointment Blistex. OTC Abreva. Denavir for extensive lesions Treatment of genital herpes simplex Valacyclovir and famciclovir Most common precancerous growth, Primary lesions macules or papules poorly circumscribed, skin colored or hyperpigmented Actinic Keratosis (precursor to SCC) Slow-growing, Usually head and neck but can be anywhere. Flesh color, pearly domed nodule with overlaying telangiectatic vessels PUTON acronym
Basal cell cancer Treatment for basal cell 5-fluorouracil 5% topical simple excision (Mohs microsurgery - highest cure) Rapid growing, nodular, opaque, non-distinct borders, in areas of sun exposure, · Firm, scaly, rough, later bleeds. Does not heal Hyperpigmented Squamous cell cancer (SCC) Treatment for Squamous cell cancer (SCC) Mohs surgery - most effective Erythematous round and elevated pruritic lesion that grows in size & starts to clear in the center Tinea corporis (Ringworm of body) Treatment for Tinea corporis (Ringworm of body) Miconazole 2% cream BID x4 weeks, Clotrimazole 1%, Terbafine 1% Painless bald spot on scalp, may have kerion that looks like honeycomb, inflammation. Boggy mass containing broken hairs and oozing purulent material from follicular orifices (common in children) Tinea capitus (ringworm of head) Round or oval lesions of hypo or hyperpigmentation macule, located mainly on back chest, arms, sometimes neck/face. (may have very fine scales) [Show Less]