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Mostiicommon iitypeiiof iiskin iicancer iiin iiUSA ii- ii ii iiSkin iicancer iiMostiicommon iitypeiiofiiskin iicancer ii-ii ii iibasaliicell iicarcinoma iiwhite iibasal iicelliicarcinoma iisymptoms ii-ii ii iiAppearance iivaries; iismooth, iishiny iibump, iipink iitoiipearly iiBasal iicell iicarcinoma iicommon iilocations ii-ii ii iicheeks, iinose, iiface,iineck, iiarms, iiback iibasal iicelliicarcinoma iidiagnosis iigold iistandard ii-ii ii iibiopsy. iiifiinot iianiioption, iireferiitoiiderm numerous iidry,iiround iiand iipink iito iirediilesions iiw/iirough iiand iiscaly iitexture iiActinic iikeratosisii- ii ii iiPrecursor iito iisquamous iicell iicarcinoma ifiinot iian iioption, iireferiitoiiderm iiActinic iikeratosisiidiagnosis iigold iistandard ii- ii ii iiBiopsy. iiscab iiand iibe iiredii iiActinic iikeratosisiitreatment iigold iistandard ii- ii ii iismall- iicryotherapy crusting iior iibleeding iimay iibe iipresent iisquamous iicell iicancer ii- ii ii iichronic iired iiscaly iirough iitextured iilesion iiw/iiirregular iiborders iihands iiSquamous iicelliicarcinoma iicommon iilocations ii-ii ii iirims iiofiiears,iilips, iinose, iifaceiiand iitopiiof iiprecursor iilesion iito iisquamous iicell iicancer ii-ii ii iiactinic iikeratosis iireferiitoiidermatology ii. iisquamous iicell iicarcinoma iidiagnosis iib ii-ii ii iibiopsy iigold iistandard. iiifiibiopsy iiis iinot iian iioption, iimoles, iifamily iihx iiforiiskin iicancer iichild, iihistory iiofiisunburns, iilight iiskin, iichronic iiexposure iito ii iilight ii(sunlight/tanning iibeds), ii isk iifactorsiiforiiskin iicancer(melanoma iiand iiboth iinon-melanoma) ii- ii ii iiBlistering iisunburn iias iia diameter ii(size ii> mm iisize iiofiipencil iieraseriior iilarger) color ii(variegated iicolors iifromiiblack, iiblue, iidarkiitoiilight iibrown) borderii(irregular/notched/blurred) iiMelanoma iisymptoms ii(AB E) ii-ii ii iiasymmetry ii(shape/uneven iitexture)
APEA 3P Exam/PMHNP 3P exam prep With
complete Questions and answers Latest 2025/
iithe iipalms, iioriithe iisoles iiofiithe iifeet iiindividuals ii(blacks ii&iiasians) iiAcral iilengtiginous iimelanoma ii-ii ii iiMostiicommon iitypeiiofiimelanoma iiin iidark iiskinned asymptomatic ii&benign iipasted iion iiseborrheic iikeratosis ii-ii ii iisoft,iiround, iiwart-likeiigrowthiithat iiis iilight iitaniito iiblack iiand iilooks Escherichia iicoli Neisseria iimeningitidis Haemophilus iiinfluenzae iiBacterial iiMeningitis iiBacteria ii- ii ii iiStreptococcus iipneumoniae- iimost iicommon iistrainii iiwhich iiareiinon-blanchable erythematous iispot-like iirashii(petechiae) iiecchymosis iitoiipurple-colored iilesions ii(purpura) Triad=neck iiup rapid iichange iiin iimental iistatus iiw/iiheadache ii Nuchal iirigidity iiBacterial iimeningitis iisymptoms ii( lassic iiTriad) ii-ii ii ii igh iifever iiIs iibacterialiimeningitis iia iireportable iidisease ii-ii ii iiyes! iisupport iifamily iimannitol iitoiidiurese iithe iibrain), iilow iistimiienvironment, iitx iicomplications iithat iimay iiarrive iiand iiincreased iiintra iicranial iipressure iiifiipresent ii(dexamethosone(to iireduce iiinflammation, iihrs, iihydrate ii(lowiimaintenance iiafteriiinitial iifluid iicorrection),iiMaintain iiventilation iiand iireduce iiTreatment iiforiiBacterialiimeningitis-patient ii-ii ii iiIViiAbx iiASAP, iiresp/dropletiiiso iiforiifirstii 48 **Rifampin iichanges iiurine iicolor iitoiireddish iiorange iiand iican iistain iicontacts iirifampin ii iimg iiq ii iihours iix ii iidays iiTreatment iiforiibacterialiimeningitis-close iiencounter ii-ii ii ii lose iicontacts iishould iibe iitreatediiw/ **AVOIDiiRIFAMPINiiINiiPREGNANCY --Brudzinski iiand iiback iiofiihead iistartiiwithiiBiiasiiwelliias iibends-- +iiresult iiifiiptiiautomatically iibeds iibothiihips Patient iisupine, iiraise iiBA K iiofiihead iiand iiflex iichin iitowardsiichest iiBrudzinkski iisign ii(meningeal iiirritation) ii- ii ii iiTestsiiforiimeningeal iiirritation iiKernig's iisign ii-ii ii iiTests iiforiimeningeal iiirritation *others may iibe iiitchy evolving ii(changes iiin iicolor/size/shape)
Will iihave iiincreased iiESR iiErythema iiMigrans ii(early ii yme iidisease): iiTX ii- ii ii ii oxycycline iiis iialways iifirstiiline iiforiiall iiages ii iisoap iiand iiwater.ii isposeiiofiithe iitick iiby iiflushing iiit iiinto iithe iitoilet iisteady iipressure.iiAfteriiremoving iithe iitick,iiclean iiarea iiwithiirubbing iialcohol, iiiodine iiscrub, iior Remove iiticksiiby iigrasping iiwith iitweezersiior iiforcepsiiclose iitoiithe iiskin iiand iipulling iigently iiwith iiTick iirepellant iiskin iiuse ii-ii ii iiDEET iiTick iirepellant iiclothing iiuse ii- ii ii iiPermethrin caniibe iipainless iiarms, iiupper iilegs, iior iithe iitrunk ii• iiBitteniiarea iibecomes iiswollen, iired,iiand iitender,iior iican iibe iiBrown ii ecluse iiSpider iiBite: iiSX ii-ii ii ii• iiFever, iichills ii• ii ausea iiand iiVomiting ii•ii ocatediiin iithe iiinactivates iithe iitoxin ii• iiTreatiilike iicellulitis iiof iithe iiskin ii• iiAntibiotic iiointment iiatiifirstiiand iiwatch iiBrown ii ecluse iiSpider iiBite iitreatment ii-ii ii iiTreatment: ii•iiIce iipacksiito iiwound iias iithe iicold iiSkin iilesions ii-ii ii iiprimary iiskin iilesions iidifferent iifromiithe iiperson's iinormal iiskin; iiless iithan ii iicm iiMacule ii- ii ii iiFlat,iinonpalpable, iibut iivisually iidistinct iiareas iioniithe iiskin iisurface iiwithiicolor iiVesicle ii- ii ii iielevated, iiraised iilesion iifilled iiwithiiserous iifluid ii(herpetic iilesions) iiPapule ii- ii ii iipalpable iisolid iilesion ii(acne, iimoles) iiPustule iiWheal iiBullae ii(Blister) iiPlaque iiprimary iiskin iilesions ii> cmiiiniisize ii-ii ii ii odule iiNodule ii- ii ii iiraised iisolid iilesion ii(BCC) iiPlaque ii- ii ii iisolid iiraised iilesion iiwith iiflatiitopii(psoriasis)
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Exam iiTip: iiEiibefore iiI 2 .iiwesterniiblot iitestii(immunoflurorescence iiassay/iiIFA)ii 1 .iiEnzyme iiimmunoassay
iiPustule ii-ii ii iicircumscribed iielevated iilesion iicontaining iipus ii(acne iipustules) iinormal iiskin iidue iitoiichronic iiskin iiitching ii(eczema) iiSecondary iiSkin ii esions-Lichenification ii-ii ii iithickening iiofiithe iiepidermis iiwithiiexaggeration iiof iiSecondary iiskin iilesions- iiScale ii-ii ii iiflaking iiskin ii(psoriasis) iiSecondary iiskin iicondition-crust ii- ii ii iidried iiexudate ii(impetigo) iiinvolve iisubcutaneous iitissue) iiSecondary iiskin iicondition-ulceration ii-ii ii iieroding iiofiiepidermis iiand iidermis ii(ifiideep iican ii(surgical iiscars) iiSecondary iiskin iicondition-scar ii-ii ii iipermanent iifibrotic iichange iifollowing iidamage iito iidermis iicommon iiin iiBlack iiand iiAsian iidescent) iiSecondary iiskin iicondition-keloids/hypertrophic iiscarsii-ii ii iiovergrowthiiofiiscar iitissue ii(more Back iitrunk ii=ii Front iitrunk ii=ii oweriiEx ii=ii iieach ii ule iiofii 'sii-ii ii ii ead iiand iineck ii=ii One iileg iiadult ii= ii ule iiofii 's ii=-child iileg ii- ii ii ii hlid iione iileg=. iiRule iiofii 9 's ii=child iihead ii- ii ii iiChild iihead- ii 18 %ii(half iiofiiadult ii%) iiFirst iidegree ii(superficial): ii-ii ii iiRed iitoiibright iirediiskin iiand iitenderness/pain iireddened/weepy iiskin iisecond-degree ii(partial-thickness) iiburns ii- ii ii iiPainful iirediiskin, iibullae ii(blisters), iiskin, iileather-like iitexture iithird-degree ii(full-thickness) iiburns ii-ii ii iiPain iisensation iiabsent. iiPale/white iicolor, iicharred iiThird iidegreeiiburns iiin iiany iiage iigroup iiPartial iithickness iiburns ii> iiofiitotaliibody iisurface iiarea ii iiElectrical iiburns, iilightning iiburns ii ii riteria iiforiiBurn ii enter ii eferral:ii-ii ii iiFace,iihands, iifeet,iigenitals, iimajor iijoints ii iiimpetigo) iiBulla/Bullae ii-ii ii iielevated iisuperficial iiblister iifilled iiwithiiserous iifluid ii( ndiidegree iiburn,
iiorii lindamycin iiTI ii iiantibiotics iiin ii iiPenicillin iiAllergy ii ii oxycycline iiBI iioriiBactrimii iiBI iiP S iiFlagyl iiBI iiTreatment iiforiihuman iibites iiand iianimal iibites ii-ii ii ii•Augmentin ii / iimg iiBI iixii iidays iioriiIV iiAlso iigive iiTetanus iiboosteriiif iineeded ii Evaluate iiforiirabies iiprophylaxis 48 iihours iiTd iior iiTdap ii eed iievery ii iiyearsiiforiilifetime ii ommon iireaction: iipain iiat iiinjection iisiteiiin ii iiolder iiTetanus iiVaccination ii-ii ii iiInitial iiseries ii iidoses) ii TaP ii(infants iitoiiage ii :ii iidoses iiAges ii iiand iiContaminated iiwounds: iigive iione iidose iiifiilast iidose iiwasiimore iithan ii 5 iiyearsiiago iioriiis iidue iiImpetigo ii-ii ii iiBacteria ii(GramiiPositive): iiBeta iiStreptococcus iior iiStreptococcus iiaureus Mostiicommon iibacterialiiskin iiinfection iiin iiyoung iichildren iiages ii 2 - 5 iieasily, iihoneycolored iicrusts ii(fromiidried iiserous iiexudate) ii iiImpetigo iisymptoms ii- ii ii iiItchy iipink-red iilesions, iievolve iiinto iivesiculopustules iithat iirupture iiVery iipruritic iiand iicontagious iiImpetigo iiTreatment ii- ii ii iiOrderiiC&Siiof iifluid Severe iiCase= iiKeflex iioriiDicloxacillin iiQIDiix ii 10 iidays Penicillin iiAllergy iio iiGive iiAzithromycin ii 250 iimg iixii 5 iidays iioriio iiClindamycin iixii 10 iidays **Ifiino iiblisters-iitopical iimupirocin iiointment ii(bactroban) ii 2 % iixii 10 iidays iitretinoin iicreamii( etin-A) iiAcne iiVulgaris ii(common iiacne): iitreatment ii-ii ii iiFirst iiline iiis iialways iitopicaliiretinoid iisuch iias iierythromycin IFiino iiimprovement iiin ii 12 iiweeks,iiincrease iidose iioriiA iibenzoyl iiperoxide iiand/or topicaliiretinoid ii( etin-A) iioriiw/oiipapules iiAcne: iiMild iitreatmetnii- ii ii iiopen iicomedones iiblackheads/closed iicomedones ii(whiteheads) iiw/ iipain ii iiAnimal iibites: ii-ii ii ii at iibites iihave iiaiihigher iirisk iiofiiinfection iithat iidog iibites ii edness, iiswelling,
iimust iiuse ii iiformsiiof iicontraceptives, iimonthly iipregnancy iitesting iiAccutane- iicheck ii iver iifunction iitestsii( FTS) iiAcne: iiSevere ii-ii ii iipainful iiindurated iinodule, iicysts,iiabscesses, iipustules iionly iiprescribe ii 1 iimonth iisupply iiofiimedication ii Usually, iiwill iireferiitoiiDermatology iiTopical iiretinoid iiside iieffectsii-ii ii iiIrritation,iidry iiskin, iiflaking, iiredness iiduring iifirstii iiweeksiidue iitoiiincrease iiin iiskin iiturnover ii Afteriiwashing iifaceiiwaitii iiminutes iibeforeiiapplying iimedication iito iihelp iiminimize iiirritation iitazarotene ii(Tazorac), iiAccutane ii iiAcne iimedications iitoiiavoid iiin iipregnancy ii(categoryiiXii& ii-ii ii ategory iiX:iiTopical iiCategory iiC: iiTopical iiretinoids ii(tretinoin, iiadapalene) iipatient iihas iipustular/ocular iirosacea iiLow iidose iiTetracycline ii iimg iiQIDiioriidoxycycline ii iimg iiQDiiifiigel iinot iieffective iior iithe iiMetroiigeliior iiAzelex iigel iiQD-BI ii Treatment: iiFirst iiline: iio ii(Avoid iitriggersiiofiiflushing ii(EtO , iiexcessive iisun, iispicy iifoods)ii iitelangiectasias iiaround iinose, iimouth, iiand iichin iisymmetrically ii iiAcne ii osacea ii-ii ii iiSymptoms: ii• ii hronic iismall iiacne iilike iipapules/pustules, iiand iiMigratoryiiarthritis iiOccurs iion iiscalp, iielbows,iiknees, iisacrum, iiand iiintergluteal iifolds ii(extensor iisurfaces) ii iiFine iisilvery-white iiscales iiwithiipittediifingernails ii iiPruritic iierythematous iiplaques ii iiPsoriasis ii-ii ii iiSymptoms: ii• iiInherited iicondition ii(atopy)ii iiMethotrexate, iicyclosporine, iietanercept, iiadalimumab iiVIIiileast iipotent ii• iiTariipreps ii(mild iicases)ii• iiAnti-TNF ii(severe iicases)iior iiimmunologics iio iiclass iiI IIIiioniichildren, iiand iisensitive iiskin ii(face,iigroin, iietc. lass iiI iisuper iipotent iio lass iiPsoriasis iitreatment ii-ii ii iiTreatment: ii• iiTopical iisteroidsiio iiSeven iiclasses iiof iisteroidsii iio iiAvoid iiKoebner iiphenomenon: ii- ii ii iiNew iipsoriatic iiplaques iiformiiover iiskin iitrauma iiAuspitz iisign: ii- ii ii iiPinpoint iibleeding iiwhen iiplaques iiareiiremoved iiExtremely iiitchy ii iiAtopic ii ermatitis ii(Eczema): ii-ii ii iiInherited iicondition ii(atopy)ii iioriiMinocycline) iix ii iiweeksii-->iiExam iiusually iiasksiiabout iimoderate Topical iiretinoid ii( etin-A) iiA iitopical iibenzoyl iiperoxide iiA iioraliiantibiotic ii(Tetracycline iitreatment) iiAcne: iiModerateii(topicals iiplus iiantibiotics) ii-ii ii iipapules iiand iipustules iiwithiicomedones ii iipart
iicycles) iiToenails: iiSystemic iiantifungals iieither ii iiweeks iioriipulse iitherapy ii(once iiper iiweekiiforii ii 4 iiMild iicasesiifingernails: iio iiTopical iiPenlac iiThickened iinails iiwithiidebris iiTreatment: ii iitreatment ii-ii ii iiSymptoms: iiElderly iiwithiiyellow-colored iinails ii iiOnychomycosis iiaka iitinea iiunguium ii(fingernail iioriitoenail iifungus): iiSymptoms iiand Avoid iisharing iicombs, iiheadgear, iitowels,iipillows, iiand iiclothes iiwithiiothers iiAvoid iihepatotoxic iisubstances ii(alcohol, iistatins, iiacetaminophen) ii iiweeksii iiObtain iibaseline ii FT iiand iirepeatiiin ii iiweeks iioiiGold iistandard: ii iiGriseofulvin iiQD-BI iixii 12 Treatment: iiOraliimeds iionly ii(Griseofulvin, iiterbinafine, iifluconazole, iior iiitraconazole) ii ii sually iiassociated iiwithiitinea iipedis iilocated iiin iithe iigroin iiareaiiwhich iican iisometimes iiextend iitoiibuttocks ii iiTinea ii ruris ii(groin):symptoms iiand iitreatment ii-ii ii iiErythematous iiannular ii(ring-shaped) iirash Treatment: ii• iiAzole iitopical iicreamii(Lamisil, iiLotrimin, iiMonistat-Derm) iix ii 7 - 14 iidays iifeetiiand iione iihand" iidisease ii(dominant iihand iiused iiforiiitching iithe iifeetiibecomes iiinfected) ii iiScaling iiofiithe iisoles ii• iiSkin iifeels iiwet,iistrong iiodor,iivesicles iiand iibullae iithat iirupture ii• ii"Two iiTinea iiPedis ii( ands/Feet- iithink iipedicure):symptoms iiand iitreatment ii- ii ii iiSymptoms: ii• Treatment: iiAzole iitopicaliicreamii(Lamisil, iiLotrimin, iiMonistat-Derm) iixii 7 - 14 iidays iimeatballs") ii ondition iiis iiasymptomatic ii• iiKO iislide iiwilliishow iihyphae iiand iisporesii("spaghetti iiand iiback iithat iiappear iiafteriiskiniibecomes iitan iifromiisun iiexposure ii iiP.iiovale iiSymptoms: ii• iiMultiple iihypopigmented iiround iimacules iion iichest, iishoulders, iiand/or iiTinea iiVersicolor: ii ause/symptom/treatmetn ii-ii ii ii ause: ii•iiYeastiiPityrosporum iiorbiculare iior ii( amisil) iicreamiiBI iix ii iiweeksii•ii ypopigmented iispotsiimay iitakeiiseveral iimonths iito iifilliiin iiTreatment: ii•iiTopical iiselenium iisulfide iiand iitopical iiazole iiantifungals ii( izoral) iioriiterbinafine est,iielevation, iiand ii SAI s ii-As iithis iiis iia iiself-limiting iiinfection ii iiTreatment: ii iiExtremely iipainful, iitingling, iiand iiburning iisensation. ii sually iioniiindex iifinger iioriithumb iiAbrupt iionset iiof iismall iirediipapules/bumps iiwhich iibecome iivesicular ii ii SV ii iior ii SV ii iiinfection ii ii erpetic iiWhitlow ii(caused iibyiiherpes iisimplex): iisymptoms iiand iitreatment ii-ii ii iiSymptoms: iiIfiirecurrent iioriisevere iiinfection iican iiprescribeiioraliiacyclovir ii ii iipatches iioniithe iiscalp. ii air iibecomes iifragile iiatiithe iiroots iiand iibreaks ii(black iidotiisign) iiTinea ii apitis ii(scalp-think iiofiibaseball iicap):iisymptoms ii&Treatment ii-ii ii iiScaly iiround iiitchy
abs:ii• iiGold iiStandard: iiP ii iierupt ii• ii"Initially iioniitrunk, iithen iiscalp iiand iiface"ii iiIntense iiitching ii• iiErythematous iimacules ii•iiPapules iidevelop iiover iimacules, iithen iivesicles iiGeneralized iilymphadenopathy iiLow iigradeiifever ii ontagious iiforii iihours iibeforeiiand iiuntil iiall iilesions iiareiicrusted iiover ii iiVaricella iiZosteriiVirus ii(VZV):iisymptoms/lab/treatment ii- ii ii iiSymptoms: iiwilliiworkiibest Treatment: ii• iiSupportive, iiantihistamines ii•iiOraliiAcyclovir iiif iigiven iiwithin iithe iifirstii iihours; ii emove iieither iithe iipaperclip iior iineedle iiand iigently iievacuate iithe iiblood iiPosition iiatii iiand iiapply iisteadyiipressure iiuntil iiyou iihave iiblood iidraining ii iidamage iitoiinail iimatrix ii Ifiiblood iiis iinot iidrained iiand iithe iihematoma iiinvolves ii≥ 25 %,iithere iiis iia iihigh iiriskiiof iiischemic iiSubungual ii ematoma:Treatment ii-ii ii iiTreatiisubungual iihematoma iiby iitrephination ii iiscaly iired iirashes iion iisun-exposed iiareas iibutterfly-shaped iirashiion iithe iimiddle iiof iithe iifaceii(malar iirash) ii•Mayiihave iinonpruritic iithick iiSystemic ii upus iiErythematosus: iisymptoms/treatment ii- ii ii iiSymptoms: ii•Maculopapular ii VB iiworseniithe iidisease ii• iiWeariibroad-spectrum iisunblock iithat's iieffective iiagainst ii VA iiand iiTreatment: ii•ii efer iitoiirheumatology ii•iiAvoid iisunlight iiand iiother ii iilight iiexposure iican iiMolluscum iiContagiosum: iicause/symptoms/tx ii-ii ii iiCause: ii•iiPoxvirus ii(spreadsiivia iiskin-to-skin iicontact) Symptoms: ii• iiWhite iiplug, iidome iishaped iiwith iicentraliiumbilication ii• ii ighly iicontagious iioptions: iicryotherapy,iicurettage, iicantharidin ii• iiIfiisexually iiactive ii iiconsiders iithis iian iiSTI iiif iiin iigenital iiregion Treatment: ii• iiTypically iiresolves iion iiits iiowniiifiiimmunocompetent ii(watchful iiwaiting) iioiiOther iiinvolvement ii• iiProdrome iiof iifever iiwithiiflu iilike iisymptoms iiPetechiae iiand iipurpura ii• ii ecrosis iiwithiisloughing iiof iitissue ii• iiExtensive iimucosal iiStevens-Johnson iiSyndrome ii(SJS)/Toxic iiEpidermal ii ecrolysis ii(TE : iisymptoms ii-ii ii iiMnemonic: iiSA A(p) iiStevens-Johnson iiSyndrome ii(SJS)/Toxic iiEpidermal ii ecrolysis ii(TE : iiTriggers ii-ii ii ii iiwell DOii OT iichose iitopical iiacyclovir iias iianiioption iibecause iiit'siiexpensive iiand iidoes iinot iiwork
Treatment: iiScrub iieyelids iiin iiwarmiiwateriiand iibaby iishampoo ii aused iiby iilong iitermii iidamage iiOn iinasal iiside ii iiTriangular-shaped iiwhite iitoiiyellow iisuperficial iigrowthii iiPterygium ii(Surfer's iieye):iiSymptoms/Treatment ii- ii ii iiSymptoms: ii iiPrevention: iiweariisunglasses Surgical iiremove iiifiiit iigrowsiiinto iithe iipupil ii Treatment: ii iismall iiround iisuperficial iilesion iion iieach iiside iiofiithe iicornea ii aused iiby iilong-term ii iidamage iiPinguecula ii(think iiof iiPing-Pong): iiSymptoms/Treatment ii-ii ii iiSymptoms: iiWhite iito iiyellowish iiTreatment: ii•iiPrevention: iiweariisunglasses iiGrowsiigradually Chronic iiinflammation iiof iithe iimeibomian iigland ii(specialized iisweatiigland) ii Small iipainless iinodule ii ii halazion: iiSymptoms ii&iiTreatment ii-ii ii iiSymptoms: ii Treatment: ii• iiHot iicompress iiQIDiiifiilarge iiotherwise iino iitreatment iiabscess, iiand iiit's iiacute iiThink ii ordeolum ii" urts" ii ordeolum ii(Stye):iiSymptoms iiand iiTreatment ii-ii ii iiSymptoms: iiPainful ii•iiSwollen ii• ii ed,iiwarm, iioriidicloxacillin iiQIDiiif iipreseptaliicellulitis iidevelops ii iio ii eferiitoiiophthalmology iiforiiI& Treatment: ii• ii ot iicompress iiuntil iiit iidrains iiQIDii•iiAvoid iiwearing iieyeiimake-up ii•iiErythromycin iiin iielderly iiand iiis iibilateralii ormal iifinding iiin iielderly ii esult iiofiilipid iideposit iiSenile iiarcus: iiSymptoms iiand iiTreatment ii- ii ii iiSymptoms: iiWhite-gray iiring iioniiedge iiofiicornea Age iiless iithan ii iicheck iilipid iiprofile Treatment: ii one ii iiupper iiand iiloweriilids iibyiithe iiinner iicanthus iioriipalpebrum ii• ii holesterol iiplaques iiXanthelasma: iiSymptoms iiand iitreatment/ ii ii- ii ii iiSymptoms: ii• iiSoftiiyellow iiflat iiplaques iion iithe Dx: ii• iiOrderiifasting iilipid iiprofile iito iirule iiout iihypercholesteremia iiMore iicommon iiwithiiseborrheic iidermatitis iiMay iihave iifine iiscales ii iiand iiswollen iiedges iiof iieyelids iiBlepharitis ii(inflammation iiofiithe iieyelids): iiSymptoms/treatment ii-ii ii iiSymptoms: iiBilateral iired
ii hinitis iiand iiallergic iishiner Type iiIiisensitivity ii(IgE)ii iiTypically, iibilateral iiitchy iieyes iiwithii"stringy iidischarge iiand iiincreased iitearing" ii iiAllergic ii onjunctivitis ii(Keratoconjunctivitis): iiSymptoms ii&iiTreatment ii- ii ii iiSymptoms: ii ool iicompresses iiand iiavoid iiallergens ii iiEye iidrops iiolopatadine ii(Patanol), iiVisine ii(short iitermiioriiepisodic iiuse iionly) Treatment: iiPO ii(oral)iiantihistamines *Mayiibe iicalled iikeratoconjunctivitis iion iiANCC ii riediiyellow-green iicrusting iion iieyelids iioniiawakening iiBacterial ii onjunctivitis: iiSymptoms iiand iitreatment ii-ii ii iiSymptoms: ii•iiAcute iionset iiofiirediieye ii• iix ii iidays Treatment: iiTopical iiophthalmic iifluroquinolones ii(Ofloxacin) iiQii 4 iihours iix ii iidays, iithen iiQID iicontagious iieye ii•ii omplaint iiofiiitchy iieyes;iione iior iibothiieyes ii• iiPeriauricular iilymphadenopathy ii ii• iiVery iiViral ii onjunctivitis ii(Pink iiEye):iiSymptoms iiand iitreatment ii-ii ii iiSymptoms: ii• iiAcute iionset iiofiired iiKeep iiawayiifromiischool iiforii iiweek Treatment: ii iitreatment; iifrequent iihand iiwashing ii ii( erpes iiZoster) ii erpes iiKeratitis: ii ause, iisymptoms, ii X, iiTX ii-ii ii ii ause: ii erpes iiSimples iiVirus iior iiShingles iitrigeminal iinerve ii( iiV) iirash iioniithe iitemple iion iiaffectediiside iiFollows iithe ii iibranch ii(ophthalmic iibranch) iiofiithe Symptoms: iiAbrupt iionset iiof iieye iiPAI , iiblurred iivision, iiand iitearing, iiVesicles iiand/or iismall Dx: iiFluorescein iidye iio iiShows ii"fern-like" iilesion Treatment: iiOphthalmologist iior iiER iiSTAT Abrasion iiis iiround/irregular iiForeign iibody iisensation iionset iiofiisevere iieye iiPAI ii ii orneal iiAbrasion: iiSymptoms ii&ii ii&iitreatment ii&iialternative iimeds ii-ii ii iiSymptoms: iiAcute Dx: iiFluorescein iidye. iiWill iihelp iirule iiout iiherpes iikeratitis Treatment: ii• iiErythromycin iiointment iiQIDiix ii 3 - 5 iidays iiDO iiNOT iiPATCH iiTHE iiEYE Treatment: ii• iiTrichloroacetic iiacid, iisurgery, iilaser
Treatment: iiERiiSTAT ii ommon iiin iiinfants, iiadults iiover ii iialso iihave iihigher iirisk iiofiideveloping iisac/teariiduct iiusually iicaused iiby iiblockage ii ii acryocystitis: iibackground& iisymptoms ii&iitreatment ii-ii ii iiBackground: iiInfection iiofiilacrimal iieye/excess iitearing Symptoms: iiThick iieye iidischarge, iipain, iiredness/swelling/warmth iiofiilower iieyelid, iiwatery iiantibiotics ii iidays Mayiihave iiseasonal iioriidaily iisymptoms Atopic iifamily iihistory ii(asthma, iieczema) ii iichanges iiofiinasal iimucosa iidue iito iiallergies ii iiAllergic ii hinitis: iiBackground ii&iisymptoms ii& iitreatment ii-ii ii iiBackground: iiInflammatory iiBlue-tinged iioriipale iiboggy ii(spongy) iinasal iiturbinate's iiItchy iinose, iiFrequent iisneezing, ii oughing iiworsens iiwhen iisupine iidue iitoiipostiinasal iidrip, Symptoms: ii hronic iinasal iicongestion iiwithiiclear iimucus iidischarge iior iipostiinasal iidrip ii iiAzelastine ii(Astelin) iiQD-BI ii•ii econgestants iiPseudoephedrine iiP. ii ii( asacort iiAllergy) ii iisprays iiQDii• iiAntihistamine Treatment: ii• iiFirstii ine: ii asal iisteroidiisprays ii(Fluticasone ii- iiFlonase) iiBI , iitriamcinolone Avoid iiin iiinfants iiand iichildren ii•iiAvoid iitriggers iicommon. ii aused iiby iibleeding iiat iiKisselbach's iiplexus iiEpistaxis ii( osebleed): iiBackground ii&iiTreatment ii-ii ii iiBackground: iiAnterior iinosebleed iimore iiseptum iiand iihold iiforii iiminutes Apply iitwoiisprays iiofiitopicaliinasal iidecongestant ii(Afrin). iiPinch iialae iitightly iiagainst iinasal Treatment: ii ave iithe iipt.iiblowiitheir iinose iifirstii Hearing iiloss iiMeniere's ii isease: iiSymptoms ii- ii ii iiVertigo Painless Tinnitus Flashes iiof iilight ii Looking iithrough iithe iicurtain Sudden iionset iiofiifloaters ii etinal ii etachment: iiSymptoms ii&iiTreatment ii-ii ii iiSymptoms: ii
Ifiierodesiibones iiin iiface iiaffectsii iiVII Hearing iiloss ii(typically iiconductive iiunless iiit'siiwayiiinner iithan iican iihave iisensorineural) ii Foul-smell ii Cauliflower ii holesteatoma iisymptoms iiand iitreatment ii-ii ii iiSymptoms: ii Antiemetics iiforiinausea/vomiting iio iiPromethazine, iiprochlorperazine Meclizine, iidimenhydrinate ii Antihistamines iiforiivertigo ii iiMeniere's ii isease iiTreatment ii-ii ii ii sually, iiself-limiting. iiTreatiiacute iiattacksii Facial iinumbness iiand iipain iiif iiitiicompresses ii ii Sensorineural iihearing iiloss, iitinnitus iithat iiis iiinsidious; ii ii ii Gradual iionset, iione-sided ii 60 ii iiAcoustic ii euroma ii(Vestibular iiSchwannoma): iiSymptoms/ X/TX ii-ii ii iiSymptoms: iiAges ii Ifiiitiicompresses iion ii ii iiwilliihave iifacialiinumbness iiand iipain Dx: iiOrderiian iiM Iiio iiBenign iitumor iiof ii ii iicausing iisensorineural iihearing iiloss iiand iitinnitus. ii Treatment: iiSurgery Treatment: iiSURGERY iiBattle iiSign ii(Basilar iiSkull iiFracture):ii- ii ii iiBruising iibehind iithe iiearii(mastoid iiarea) iiappear iiwithin leaking iiofiiclear iifluid iifromiinose iiand iieyes,iiraccoon iieyes Parietaliibone iiis iimost iifractured.ii inear iifracture iimost iicommon iiLook iiforiiclear, iigolden iiserous iidischarge iifromiithe iiear iioriinose treat iiimmediately-Refer iitoiiER ii ue iitoiicalcium iicarbonate iicrystalsii(otoconia) iibeing iitrapped iiin iithe iisemicircular iicanals Mayiilose iibalance iiand iifall iichanges ii iiSymptoms: iiVertigo iilasting ii iiminute iicaused iiby iisudden iihead iimovements iiand iiposition iiBenign iiParoxysmal iiPositional iiVertigo ii(BPPV):iiSymptoms ii&ii ii&iiTreatment ii- ii ii ii Tinnitus ii(Subjective) Sensorineural ii earing ii ossii(Fluctuating) ii Aural ii(auditory) iifullness ii iiMeniere's ii isease iiMnemonic: iiVAST ii-ii ii iiVertigo ii(Episodic) ii
ii ii> ii Hearing iiTests:ii• ii onductive ii earing ii oss ii• iiWeber-ii ateralization iito iiaffectediiearii• ii inne- iiOther: iiS.iiaureus- iigram iipositive iiPseudomonas iiaeruginosa ii(gramiinegative) iiOtitis iiExterna ii(swimmers' iiear):iiBacteria ii&iiSymptoms ii&iitreatment ii-ii ii iiBacteria: iiactivities iithat iiinvolve iiswimming iioriigetting iiearsiiwet iiPurulent iigreen iidischarge ii• iiPruritis ii•ii earing iiloss ii(ifiiblocked iiwithiipus) ii• ii istory iiofiirecent Symptoms: iiErythematous iiand iiswollen iieariicanal iithat's iitender iitoiitouch ii• iiExternal iieariipain ii• iiB >A iiwetii earing iiTests:ii• ii onductive ii earing ii oss ii• iiWeber-ii ateralization iito iibad iiearii• ii inne- iimix iisolution iiof iialcohol iiand iivinegar iieariidrops iitoiiuse iiafteriiswimming iioriiwhen iieariicanal iigets iiQIDiix ii iidays ii• iiKeep iiwateriiout iiofiiear iiduring iitreatment ii• ii SAI s iiforiipain ii•iiIfiirecurrent, iican Treatment: iiTopical iisteroid iiand iiantibiotic iicombination iioii ortisporin iiorii ipro ii iieariidrops iiInvolves iithe iiinner iiear ii• iiSymmetrical iiprogression ii• ii uman iispeech iilost iifirstii iiPresbycusis: iiSymptoms ii- ii ii iiSymptoms: ii• iiSensorineural iihearing iiloss iiwithout iilateralization ii• iiAssociated iiwithiiAGING iiADULT ii iiHigh iifrequency iipneumoniae, iiH. iiinfluenzae, iiViral iiAcute iiBacterial ii hinosinusitis ii(AB S): iibacteria ii& iisymptoms ii-ii ii iiBacteria: iiStreptococcus iiFacial iipain iiand iiupper iimolar iitoothiipain iiFrontal iisinusitis: ii iiFrontal iiheadache iioriiheadache iibehind iione iieyeiiMaxillary iisinusitis: ii iinasal iicongestion ii•iiPurulent iinasal iiand/or iipostnasal iidrip ii(may iihave iia iicough iiwhen iisupine) iisymptoms iireturned ii•ii nilateral iifacial iipain/pressure iior iia iitoothache ii(upper iimolar iipain) iiwith Symptoms: iiPersistent ii I iisymptoms iiforii iidays iior iimore iioriia iicold iithat iiresolved iibut Transillumination: iiCompare iieach iiside. iiAffectediiside iimay iibe iiduller iioriismaller Do iinot iiuse iiantihistamines iioriidecongestants iiforiipain ii Treatment: iiEither iiimmediate iiantibiotic iitreatment iior iiobservation iiFirstii ine: iiAugmentin Penicillin iiAllergy: iiLevofloxacin ii 750 iimg iiQDiix ii 5 - 7 iidays iior iiDoxycycline iiBIDiixii 5 - 7 iidays iinasal iispray ii(Oceaniispray)iiP iiphenylalanine ii• iiSteroid iinasal iisprayii(Fluticasone ii-iiFlonase) iiBI TI iixiifewiiweeksiioriisaline ii an iido iisupportive iicare iiand iiwaitii iimonths ii• iiOraliidecongestants iioiiPseudoephedrine iior
ii epatomegaly iiand iior iisplenomegaly ii iilymphadenopathy ii• iiSevere iifatigue iipresent iiforiimany iiweeks ii•iiMaculopapular iirash ii• Symptoms: iiSore iithroat iiwithiitonsillitis. iiMayiihave iiwhitish iitonsillar iiexudates ii• iiPosterior Classic iiTriad: iiFever, iiPharyngitis, iiLymphadenopathy Dx: ii• iiMonospot ii(heterophile iiantibody) iiweeks.ii Treatment: iiSymptomatic ii• ii est ii•iiAvoid iicontact iisportsiiand iiheavy iilifting iiforiiatiileast ii 6 AiiRuptured iispleen iiis iia iirareiibut iiserious iisequela iiofiimono ii Mayiido iian iiabdominal iiUS iitoiiclear iipatient iiforiisports ii( larithromycin). ii evofloxacin iiworksiias iiwelliibut iiit iiis iioverkill iiofiichoice. iiThe iipatient iimay iidevelop iia iirashiiwithiithis iidrug. iiMacrolides iiareiia iigood iioption TestiiTip: iiIfiithe iipatient iihas iistrepiithroat iiand iimono, iiavoid iiusing iiAmoxicillin iiasiithe iiantibiotic iiStrep iiis iimost iicommon iiin iischool-aged iichildren iithroat iiis iiviral ii(rhinovirus, iiadenovirus, ii SV) iiGroup iiAiistreptococcaliibacteria ii(Streptococcus iipyogenes)• iiMostiicommon iicause iiofiisore iiStrep iiThroat: ause, iisymptoms, iiTX ii- ii ii ii ause: TX:iiFirst iiline-Pencillin iiViioriiamoxicillin iisuspension iiimmediate iioriiXR iiQDiix 10 iidays ii ANAPHYLAXIS iiHX: iiz iipack iioriiclindamycin ii iimonth iiafteriistrep) iipoststreptococcaliiglomerulonephritis, iipoststreptococcaliireactive iiarthritis ii(develops iiwithin iiStrep iiThroat, ii onpuruluent iiSSTI ii isks ii-ii ii iio ii heumatic iifever, iiscarletiifever, iiacute iiTonsillopharyngeal iiabscess,iicellulitis, iiO ,iisinusitis iiStrep iithroat,iipurulent iirisks ii-ii ii ii• iiSuppurative ii(Pus): iiAnterior iicervical iilymphadenopathy ii iipoint) ii iiFever ii iipoint) iiStrep iithroat ii•ii entor ii riteria:ii- ii ii ii•iiBe iiable iitoiiconnect ii entor ii riteria iiwith iiStrepiiThroat ii
SX:
iiInfectious iiMononucleosis: iicause/sx/dx/tx ii- ii ii iiEpstein iiBar iiVirus ii(Herpes iiVirus iiFamily) Mayiihave iiabdominal iipain iiand iidiarrhea ii hildren: iiTender iianterior iicervical iilymphadenopathy ii•iiScarlatiniform iirashii(sandpaper iirash) ii• iiAbsence iiofiiviral iisymptoms ii(coryza, iicough, iihoarseness, iirunny iinose, iiwateryiieyes) iiAbrupt iionset iiof iifever,iisore iithroat,iiand iipain iion iiswallowing
