MERCY RETREAT Dermatology
|
|
- Melissa Berry
- 5 years ago
- Views:
Transcription
1 MERCY RETREAT 2016 Dermatology
2 INFECTIONS IN DERMATOLOGY Why we do talk about infections today? These are some of the most commonly seen dermatologic diseases that present to primary care physician office However, we had only minimal exposure of what to look for in medical school Important to have a good mental model of what to look for when evaluate these patients At the end of the day, dermatology is a field of pattern recognition. We group skin rashes into different morphologies to help us figure out exactly what disease we are looking at. There are many common confusions around diagnosing and managing these infections We will talk about common pitfalls in diagnosis and treatment
3 MYSTERY CASE
4 TINEA
5 DERMATOPHYTES BACKGROUND Group of closely related organisms capable of infecting keratinized skin and its appendages Acquired by contact with infected person, animal or infected soil Recurrent course Most common types Tinea corporis Tinea cruris Tinea pedis/manuum Onychomycosis (nail fungus) / tinea unguium Tinea capitis Tinea barbae/faciei
6 DERMATOPHYTES PREDISPOSING FACTORS Heat Humidity Perspiration Maceration Irritation Occlusion (clothing, shoes)
7 DERMATOPHYTES TINEA PEDIS Tinea pedis ( athlete s foot ) is the most common fungal infection seen in developed countries Most commonly caused by the fungus Trichophyton rubrum Fungus thrives in warm, moist environment (e.g., shoes) Public showers, gyms are common sources of infection Good foot hygiene may reduce recurrences There are three clinical patterns of infection: interdigital, moccasin, and vesiculobullous type
8 TINEA PEDIS EXAMPLES Moccasin Interdigital Vesicular
9 TINEA PEDIS MOCCASIN TYPE (WITH MANUUM) Moccasin type may present as one hand, two feet syndrome. Affected hand shows unilateral fine scaling in the creases. If you see a hand like this, look at the feet as well.
10 TINEA CORPORIS BACKGROUND Tinea corporis, ringworm, refers to dermatophytosis of the skin, usually affecting the trunk and limbs Often itchy The margin of the lesion is the most active; central area tends to heal Scrapings should be taken from the red scaly margin for KOH exam A variant of this is tinea cruris or jock itch, which has a similar presentation but appears in the groin Check the bottom of the feet for tinea pedis Morphology in this case is erythematous, scaly, annular plaque/patch with advancing borders
11 TINEA CORPORIS EXAMPLES
12 TINEA CORPORIS - EXAMPLES
13 TINEA CRURIS - BACKGROUND Dermatophyte infection of the groin is called tinea cruris (aka jock itch ) May lack scale because of scrotal occlusion Look at the soles for tinea pedis
14 TINEA UNGUIUM - BACKGROUND Onychomycosis is a chronic fungal infection of the nailbed Usually starts with tinea pedis Responds very poorly to topical antifungals
15 TINEA UNGUIUM EXAMPLES
16 TINEA CAPITIS BACKGROUND
17 DERMATOPHYTE WORK UP KOH Prep One should always confirm the diagnosis of tinea with KOH prep first before giving antifungal Too often does practitioner skip this very important step and just try to treat without finding the fungal element This is especially important when you re planning on giving oral antifungal
18 DERMATOPHYTE WORK UP Parallel walls throughout the entire length Septated and branching hyphae
19 DERMATOPHYTE KOH PREP
20 DERMATOPHYTE TREATMENT Topical Antifungal Clotrimazole, econazole, miconazole, ketoconazole Works okay for tinea pedis in otherwise healthy adults Dermatophytes can invade down to Adamson s fringe so topicals don t work well in hair-bearing areas because topical cannot penetrate that deep Oral Medication Griseofulvin tinea capitis, corporis, cruria, pedis Terbinafine tinea pedis, unguium Fluconazole tinea unguium Adamson's Fringe
21 DERMATOPHYTE ORAL ANTIFUNGAL Check CBC and LFTs Remember that young children can have elevated alkaline phosphatase, which can be normal Should not drink alcohol when taking oral antifungal Griseofulvin Tinea capitis, tinea corporis, tinea cruris, tinea manuum / pedis Terbinafine Tinea unguium / onychomycosis, tinea pedis
22 MYSTERY CASE TINEA INCOGNITO
23 MORE TINEA EXAMPLES Tinea manuum Tinea corporis
24 TINEA - SUMMARY Look for erythematous, scaly, annular patch with scale most notably on the advancing edge Do not forget that diagnosis is best made with KOH prep Unless you re treating groin area or just trying to maintain an area rather than cure an area (e.g., 80 yo patients with tinea pedis), use oral antifungal over topical antifungal Also, please dose appropriately. Common failure of treatment is actually underdosing the medication, especially in pediatric patient populations
25 MYSTERY CASE
26 SCABIES
27 SCABIES BACKGROUND Also known as the seven-year itch Contagious infestation by the mite Sarcoptes scabiei Must check areas: Hands (wrists and in between fingers) Genitalia (especially penis) Commonly found in nursing homes, day care One should ask about sexual history in adults
28 SCABIES FOCUS ON THE HANDS IN ADULTS
29 SCABIES AND THE GENITALS
30 SCABIES - TREATMENT Topical permethrin 5% cream (NOT 1%) First line treatment Oral ivermectin can be used if permethrin does not show improvement Wash all bed sheets, pillow cases, cloths on the day of treatment Manufacture recommendation says you only need to treat once, but some physicians prefer to re-treat again in 7 days. All family members really should be treated concurrently Be careful about giving multiple tubes of permethrin to one patient and tell him/her to share it with family. Insurance company may consider this as insurance fraud. If you do decide to treat entire family, give everyone his/her individual prescription
31 MYSTERY CASE
32 MYSTERY CASE
33 HERPES ZOSTER
34 HERPES ZOSTER BACKGROUND Caused by varicella zoster virus, one of eight herpesviruses Patients had chickenpox in childhood, virus goes dormant inside nerves May present with burning sensation, pain, and eventually Grouped vesicles with erythematous base would subsequently present in dermatomal / bandlike configuration Very contagious during this period
35 HERPES ZOSTER DERMATOMES
36 HERPES ZOSTER EXAMPLES
37 HERPES ZOSTER CRANIAL NERVE V
38 HERPES ZOSTER CRANIAL NERVE INVOLVEMENT Hutchinson s Sign Branch CN V1 Involvement
39 HERPES ZOSTER COMPLICATIONS Ramsay Hunt Syndrome, type II Occurs when virus infects the geniculate ganglion of the facial nerve (CN VII) Ipsilateral facial paralysis Ear pain Vesicles in the auditory canal and auricle Herpes zoster ophthalmicus Represents ~15% of all cases Can cause corneal / uveal damage Needs ophthalmology consult
40 HERPES ZOSTER DISSEMINATED
41 HERPES ZOSTER TREATMENT Oral antiviral, either acyclovir or valacyclovir In cases of Ramsay Hunt Syndrome, type II, herpes zoster opthalmicus, and disseminated herpes zoster, IV acyclovir may be needed at least in beginning to ensure no progression of disease during this period given the potential permanent damage in these cases. The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they've already had shingles or not. Although the vaccine is approved for people age 50 and older, the Centers for Disease Control and Prevention isn't recommending it until you reach age 60. Patient is contagious when vesicles are present. Patient should avoid contact with pregnant women, children/infants, immunocompromised patients (e.g., HIV, cancer patient). Must keep the area covered until lesion site has completely crusted over When in hospital, please follow CDC guideline on whether it s standard contact precaution +/- airborne precaution
42 MYSTERY CASE
43
Outline Dermatomycoses Definition: diseases or fungal infections of the skin Transmission of Dermatomycoses Case Report 1 Presentation of Disease
Outline Dermatomycoses Tinea corporis,tinea capitis,tinea pedis, Tinea cruris, Definition: diseases or fungal infections of the skin Dermatophyte infections are caused by Trichophyton, Microsporum, and
More informationCommon Superficial Fungal Infections
How to recognise and treat Common Superficial Fungal Infections Dr Lilianne Scholtz (MBBCh) Types of superficial fungal infections Ringworm (Tinea) Candida (Thrush) Body Groin Feet Skin Nappy rash Vagina
More informationNursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi Medical Microbiology
1 Nursing college, Second stage Microbiology Medical Microbiology Lecture-1- Fungi (Mycosis) They are a diverse group of saprophytic and parasitic eukaryotic organisms. Human fungal diseases (mycoses)
More informationMolly Senn-McNally, MD 6/6/18
Molly Senn-McNally, MD 6/6/18 At the conclusion of this activity, participants will be better able to: 1. Recognize symptomatology and presentations of common SKIN infections found in athletes and understand
More informationLUZU (luliconazole) external cream
LUZU (luliconazole) external cream Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage
More informationAll three dermatophytes contain virulence factors that allow them to invade the skin, hair, and nails. Keratinases. Elastase.
DERMATOPHYTOSIS (=Tinea = Ringworm) Infection of the skin, hair or nails caused by a group of keratinophilic fungi, called dermatophytes Microsporum Epidermophyton Hair, skin Skin, nail Tih Trichophyton
More informationSkin Problems. Issues for a Child. Skin Problems. Paediatric Palliative Care For Home Based Carers. Common in children with HIV
Skin Problems Paediatric Palliative Care For Home Based Carers Funded by British High Commission, Pretoria Small Grant Scheme Skin Problems Common in children with HIV Often conditions common in all children
More informationShingles. A Guide to Understanding Herpes Zoster. By Sarah Weis, PharmD Candidate 2012
Shingles A Guide to Understanding Herpes Zoster Information Every Elder Should Know By Sarah Weis, PharmD Candidate 2012 Herpes zoster, also known as shingles, effects up to 1 million people every year
More informationTinea: Head to Toe A dermatophyte tour of human skin. Tour de Tinea Head to Toe. Tips for Tinea Head to Toe. Psoriasis. Non-inflammatory Tinea Capitis
Tinea: Head to Toe A dermatophyte tour of human skin Renee Howard, MD Assistant Clinical Professor of Dermatology, UCSF Tour de Tinea Head to Toe Tips for Tinea Head to Toe Capitis Faciei Corporis Pedis
More informationCUTANEOUS MYCOSES. Introduction
1 CUTANEOUS MYCOSES Dr. Mohamed El-Sakhawy Epidermis Introduction Outermost layer of the skin Its layers are made of Mostly dead cells. Most of the cells of the epidermis undergo rapid cell division (mitosis).
More informationTINEA (FUNGAL) INFECTION
1 Medical Topics - Tinea TINEA (FUNGAL) INFECTION Tinea infection There are 3 main groups of fungal organisms that can cause skin infections. They include dermatophytes, yeast and moulds. Dermatophytes
More informationTypes of Skin Infections
Anatomy of Skin Types of Skin Infections Bacterial Impetigo Folliculitis Acne Fungal /Parasitic Tinea Pedis Tinea Cruris Tinea Versicolor Tinea Corporis Toenail fungus Allergic/Irritation conditions Dermatitis
More informationPediatric Dermatology. Wingfield Rehmus, MD MPH BC Children s Hospital
Pediatric Dermatology Wingfield Rehmus, MD MPH BC Children s Hospital Conflict of interest! No financial conflict of interest! Individual products shown are examples only not a product endorsement Pediatric
More informationPrevention is Key. sponsored by
Infections in Sport Prevention is Key sponsored by 1 1 Introduction Many infections can be acquired during sporting activities either from person to person contact, exposure to blood, bodily fluids or
More informationmiconazole and zinc oxide topical
miconazole and zinc oxide topical Pronunciation: mye KON a zole and ZINK OX ide TOP ik al Brand: Rash Relief Antifungal, Vusion What is the most important information I should know about miconazole and
More informationCOMMON CHILDHOOD SKIN DISEASES. Sharon Seguin MD FAAD
COMMON CHILDHOOD SKIN DISEASES Sharon Seguin MD FAAD COMMON CHILDHOOD SKIN DISEASES Rashes Infections And Infestations RASHES Dermatitis- Inflammation of the skin Eczema- Atopic Dermatitis Psoriasis Pityriasis
More informationMedical Directive. Medical Director: Date Revised: January 23, Executive Director: Date Revised: January 23, 2019
Medical Directive Assessment and Treatment of Onychomycosis and Tinea Pedis Assigned Number: 026 Activation Date: January 1, 2019 Review due by: December 1, 2020 Approval Signature & Date Medical Director:
More informationRASHES- Dermatitis nonspecific term for inflammation of the skin. 1. ECZEMA Atopic Dermatitis- specific form of eczema starting in childhood
COMMON CHILDHOOD SKIN DISEASES Sharon Seguin MD Dermatology- Confluence Health Wenatchee Rashes Infections and Infestations RASHES- Dermatitis nonspecific term for inflammation of the skin 1. ECZEMA Atopic
More informationRashes Not To Be Missed In Children
May 2016 Rashes Not To Be Missed In Children Dr Chan Yuin Chew Dermatologist Dermatology Associates Gleneagles Medical Centre Scope of presentation Focus on rashes May lead to significant morbidity if
More informationScabies. Scabies 10/22/2012. What s Bugging You? Common Cutaneous Infections and Infestations in Kids
What s Bugging You? Common Cutaneous Infections and Infestations in Kids Andrea L. Zaenglein, MD Associate Professor of Dermatology and Pediatrics Penn State/ Hershey Medical Center Touching the Future
More informationManagement of fungal infection
Management of fungal infection HKDU symposium 17 th May 2015 Speaker: Dr. Thomas Chan MBBS (Hons), MRCP, FHKCP, FHKAM Synopsis Infection caused by fungus mycoses Skin infection by fungus is common in general
More information1. WHAT IS CANESTEN HC CREAM AND WHAT IS IT USED FOR?
Canesten HC Cream Clotrimazole 1.0% w/w Hydrocortisone 1.0% w/w Read all of this leaflet carefully because it contains important information for you. Keep this leaflet. You may need to read it again. If
More informationKetoconazole pills for toenail fungus
Ketoconazole pills for toenail fungus The Borg System is 100 % Ketoconazole pills for toenail fungus Uses. See also Warning section. Ketoconazole is used to treat certain serious fungal infections in the
More informationSports Dermatology. Kyle Yost, D.O. Primary Care Sports Medicine University of Maryland
Sports Dermatology Kyle Yost, D.O. Primary Care Sports Medicine University of Maryland DISCLOSURES Neither I, Kyle Yost, nor any family member(s), have any relevant financial relationships to be discussed,
More informationA COMPARATIVE STUDY OF EFFICACY OF TERBINAFINE AND FLUCONAZOLE IN PATIENTS OF TINEA CORPORIS
Int. J. Pharm. Med. & Bio. Sc. 2013 Kumar Amit et al., 2013 Research Paper ISSN 2278 5221 www.ijpmbs.com Vol. 2, No. 4, October 2013 2013 IJPMBS. All Rights Reserved A COMPARATIVE STUDY OF EFFICACY OF
More informationITCHY BUGS. Indoor session 1. Start scratching now
ITCHY BUGS Indoor session 1 Start scratching now 2 Bed bugs and head lice will be covered at 2pm 3 Itchy bugs Top 14 Scabies Ringworm Clostridium difficile Methicillin-resistant Staphylococcus aureus (MRSA)
More informationCommunicable Disease Guidelines
Note: This information is to assist in making decisions regarding the control of communicable diseases. It is not intended for the purposes of making diagnoses. Refer to disease specific information sheets
More informationTo Order, Visit the Purchasing Page for Details
Go Back to the Top To Order, Visit the Purchasing Page for Details Chapter Fungal Diseases Fungi are eukaryotic microorganisms that have a cellular wall and do not photosynthesize. They parasitize organisms
More information12/12/2018. Childhood Skin Infections. Objectives. Verruca vulgaris. Case #1. Case #2. Management 1. Evidence Updates
Objectives Childhood Skin Infections Evidence Updates Brian Z. Rayala, MD Associate Professor Department of Family Medicine UNC School of Medicine At the end of lecture, learner will be able to:» Diagnose
More informationCOMMON SKIN INFECTIONS. Sports Medicine
COMMON SKIN INFECTIONS Sports Medicine IMPETIGO IS A SUPERFICIAL BACTERIAL INFECTION CAUSED BY: STREPTOCOCCI OR STAPHYLOCOCCUS AUREUS BOULOUS IMPETIGO IMPETIGO COMES IN TWO FORMS: BOULOUS OR NON- BOULOUS
More informationCommon Childhood Rashes. The Itchy and the Scratchy presented by Trina Blythe MD, FAAP
Common Childhood Rashes The Itchy and the Scratchy presented by Trina Blythe MD, FAAP Objectives Be able to identify some of the most common rashes of school age children Determine which rashes require
More informationCommunicable Disease Guidelines
Communicable Disease Guidelines Note: This information is to assist in making decisions regarding the control of communicable diseases. It is NOT intended for the purposes of making diagnoses. Refer to
More information29a Pathology - Integumentary System
29a Pathology - Integumentary System 29a Pathology - Integumentary System! Class Outline 5 minutes Attendance, Breath of Arrival, and Reminders 10 minutes Lecture: 25 minutes Lecture: 15 minutes Active
More informationDeep Dermatophytosis
Deep Dermatophytosis 2016-11-06 MMTN/Bangkok Department of Dermatology Chang Gung Memorial Hospital, Linkou Branch Taoyuan, Taiwan Superficial dermatophytosis Wikimedia Stratum corneum Tinea faciei Tinea
More informationMycology. BioV 400. Clinical classification. Clinical classification. Fungi as Infectious Agents. Thermal dimorphism. Handout 6
BioV 400 Mycology Handout 6 Fungi as Infectious Agents True or primary fungal pathogens invades and grows in a healthy, noncompromise d host Most striking adaptation to survival and growth in the human
More informationAssistant Professor 2 Professor, Department of Pharmacology, Govt. Stanley Medical College& Hospital, Chennai, Tamilnadu, India
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 79-085, p-issn: 79-086.Volume 4, Issue 0 Ver.III (Oct. 05), PP 97-04 www.iosrjournals.org A Randomized Open Label Comparative Study of Once
More informationOCCUPATIONAL HEALTH DISEASE SPECIFIC RECOMMENDATIONS
Herpes simplex virus (HSV) Cold sores Genital herpes Herpetic whitlow OCCUPATIONAL HEALTH DISEASE SPECIFIC RECOMMENDATIONS contact with primary or recurrent lesions, infectious saliva or genital secretions
More informationCommon Childhood Infections. BSME school nurses June Dr David Cremonesini
Common Childhood Infections BSME school nurses June 3 2016 Dr David Cremonesini Chicken Pox Contagious from 1-2 days BEFORE rash starts until all blisters crusted over (usually 5-6 days after rash) Commonly
More informationBRAINZ POLICY AND PROCEDURE ON COMMUNICABLE DISEASES
BRAINZ POLICY AND PROCEDURE ON COMMUNICABLE DISEASES PURPOSE: To prevent the spread of communicable diseases to client and staff of Brainz Home care Agency from staff with contagious illnesses. POLICY:
More informationMy ear won t stop hurting!
This month: 1. My ear won t stop hurting! 5. Cortisone Cream Didn t Help! 2. What are these red bumps? 6. Can my girlfriend get it? 3. Why won t this rash leave? 7. My wife noticed it! 4. What s the cause
More informationChickenpox Notification
Goolwa Campus: (08) 8555 7500 Victor Harbor Campus: (08) 8551 0900 Investigator College Chickenpox Notification Date for Distribution: 2018 Dear Parents/Caregivers There has been a case of chickenpox reported
More informationExtended Abstract 1. Methods:
Extended Abstract 1 Article: Chretien J.H. Efficacy of Undecylenic Acid- Zinc Undecylenate Powder in Culture Positive Tinea Pedis. International Journal of Dermatology. 1980; 19: 51-54. http://onlinelibrary.wiley.com.proxy.lib.uwaterloo.ca/doi/10.1111/j.1365-4362.1980.tb01997.x/pdf
More informationDermatology for the Internist DREW M ANDERSON, MD VOLUNTEER CLINICAL ASSISTANT PROFESSOR OF MEDICINE, INDIANA UNIVERSITY SCHOOL OF MEDICINE
Dermatology for the Internist DREW M ANDERSON, MD VOLUNTEER CLINICAL ASSISTANT PROFESSOR OF MEDICINE, INDIANA UNIVERSITY SCHOOL OF MEDICINE Why Should I Care? 53% of all skin related visits are to non
More informationApproximately 25% of people develop shingles during their lifetime, with the majority of cases occurring in those over 50 years of age.
ÜNZÜLE ALPASLAN WHAT IS SHINGLES? Shingles is an infection of an individual nerve and the skin surface that is supplied by the nerve; it is caused by the varicella-zoster virus - the same virus that causes
More informationClassification. Distal & Lateral Subungual OM. White Superficial OM. Proximal Subungual OM. Candidal OM. Total dystrophic OM
Onychomycosis Commonest dermatological condition Definition: Infection of the nail caused by fungi that include dermatophytes, non-dermatophyte moulds and yeasts (mainly Candida). 80% of all OM affects
More informationIssues in Dermatology. Rhonda Lesniak, PhD, ARNP, FNP-BC, NCSN
Issues in Dermatology Rhonda Lesniak, PhD, ARNP, FNP-BC, NCSN Anatomy of the Skin Functions Protect Fluid balance Absorption Synthesis of Vitamin D Sensation/communication with external environment Thermoregulation
More informationDiagnosis and Management of Common and Infective Skin Diseases in Children at primary care level
Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Dr Ng Su Yuen Paediatrician and Paediatric Dermatologist Hospital Pulau Pinang Outline Common inflammatory
More informationTitle Text. Rash/Skin-Related Illnesses B-8
Title Text Rash/Skin-Related Illnesses B-8 Title Fifth Disease/Erythema Text Infectiosum/ Parvovirus B19 Note to Parents Recommended? Yes, mainly to advise susceptible women who are pregnant, or who might
More informationIJBCP International Journal of Basic & Clinical Pharmacology
Print ISSN 2319-2003 Online ISSN 2279-0780 IJBCP International Journal of Basic & Clinical Pharmacology doi: 10.18203/2319-2003.ijbcp20150020 Research Article Efficacy safety of 1% terbinafine hydrochloride
More informationDermatologic Emergencies Sept 2014
Dermatologic Emergencies Sept 2014 SJS YES MUCOSAL INVOLVEMENT MCC drugs >> HSV TARGET LESIONS, +NIKOLSKY, painful Prodromal flu-like symptoms
More informationCommon Skin Diseases in the Elderly
Common Skin Diseases in the Elderly Kumutnart Chanprapaph MD Clinical Instructor Division of Dermatology Department of Internal Medicine Ramathibodi Hospitial, Mahidol University Everyman desire to live
More informationDrugs dermatological conditions II
MMS Pharmacology Lecture 5 Drugs dermatological conditions II Dr Sura Al Zoubi 1 TOPICAL CORTICOSTEROIDS Corticosteroids (glucocorticoids) have immunosuppressive and antiinflammatory properties. Topical
More informationChickenpox Procedure. (IPC Policy Manual)
Chickenpox Procedure (IPC Policy Manual) DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Policy Approval Group Date ratified: 3 July 2018 Name of originator/author: Senior Clinical Nurse Specialist
More informationSubunit adjuvanted zoster vaccine: why the fuss?
Subunit adjuvanted zoster vaccine: why the fuss? Soren Gantt, MD PhD MPH Pediatric Infectious Diseases Vaccine Evaluation Center BC Children s Hospital University of British Columbia Disclosures Research
More informationKNOW THE FACTS What Is Scabies? How Do You Get Scabies?
KNOW THE FACTS What Is Scabies? Scabies is a skin condition caused by an infestation of the human itch mite called Sarcoptes scabiei. These microscopic mites burrow into the skin and cause symptoms of
More informationDermatophytes Dr. Hala Al Daghistani
Dermatophytes Dr. Hala Al Daghistani Dermatophytoses are superficial infections of the skin and its appendages, commonly known as ringworm, athlete s foot, and jock itch. They are caused by species of
More informationProf Dr Najlaa Fawzi
1 Prof Dr Najlaa Fawzi is an acute highly infectious disease, characterized by vesicular rash, mild fever and mild constitutional symptoms. is a local manifestation of reactivation of latent varicella
More informationAged 70 or 78? There s a vaccine to help protect you from the pain of shingles
Aged 70 or 78? There s a vaccine to help protect you from the pain of shingles This leaflet describes shingles and the benefits of the vaccination and who is eligible for the vaccine this year. There is
More informationClinical Practice Guideline Superficial Fungal Infection
Clinical Practice Guideline Superficial Fungal Infection ก ก ก กก ก ก ก ก กก ก ก ก ก ก ก ก ก ก ก ก ก ก ก ก ก ก ก * ก Superficial fungal infection ก 1. ก (Pityriasis versicolor, Tinea versicolor) 2. ก ก
More informationDermatomycosis( ( 真菌性皮肤病 ) 浙医一院皮肤科
Dermatomycosis( ( 真菌性皮肤病 ) 浙医一院皮肤科 方红 Dermatophytosis is a superficial infection of the skin, hair and/or nails by fungi classified as dermatophytes. The dermatophytoses are some of the most common diseases
More informationDRUGS TO FIGHT AGAINST MICROORGANISMS. Fungi, Viruses, Protozoa, & Helminths Chapter s 42 & 43
DRUGS TO FIGHT AGAINST MICROORGANISMS Fungi, Viruses, Protozoa, & Helminths Chapter s 42 & 43 FUNGI Simple, plant like, lack green pigment, like dark, damp environments Molds- fuzzy, filamentous (mushrooms,
More informationThree clinical cases. fungal infections
Three clinical cases Diagnostic and treatment challenges in skin and mucosal fungal infections Else Svejgaard, MD, Merete Hædersdal, MD Dept. of Dermatology, Bispebjerg University Hospital, Copenhagen,
More informationApo-Ciclopirox ciclopirox USP 8% w/w Nail Lacquer (Topical Solution)
New Zealand Consumer Medicine Information Apo-Ciclopirox ciclopirox USP 8% w/w Nail Lacquer (Topical Solution) What is in this leaflet Please read this leaflet carefully before you start using Apo-Ciclopirox.
More informationIntroduction to Viruses That Infect Humans: The DNA Viruses
Chapter 24 Introduction to Viruses That Infect Humans: The DNA Viruses Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 24.1 Viruses in Human Infections and Diseases
More informationSection 10.5 Varicella
Section 10.5 Varicella Chickenpox Introduction Transmission Signs and Symptoms Complications Diagnosis Treatment Infection Prevention and Control Precautions for Residents with Chickenpox Additional considerations
More informationChildhood Contagious Diseases)5(
Childhood Contagious Diseases)5( Children have maturing immune systems and are often in close proximity to one another, such as in day-care centers, classrooms, and on school buss. This makes the transmission
More informationTo provide guidance on prevention and control of illness caused by varicella-zoster virus (VZV).
Effective Date: 04/18 Replaces: 0 4 / 1 3 / 1 7 Page 1 of 4 POLICY: To provide guidance on prevention and control of illness caused by varicella-zoster virus (VZV). DEFINITIONS Two syndromes occur from
More informationRecommendations for the Control of Common Communicable Diseases in Educational Settings
Recommendations for the Control of Common Communicable Diseases in Educational Settings Developed by the National Institute for Communicable Diseases (NICD) A Division of the National Health Laboratory
More information1. Multiple choice (30 2 each); circle the number of the correct choice. b. Trichophyton schoenleinii is traditionally most associated with
NAME SS# EXAM 2 March 26, 2002 BIO 329 Directions: All explanations, definitions, and descriptions should be presented in good English This means complete sentences should be used except when lists or
More informationPictures of herpes on inner thighs
Pictures of herpes on inner thighs You cannot totally prevent getting viral infection. But you can always keep the immune system powerful by taking suitable precautions. Avoid having sex with multiple
More informationScrub In. What is a function of the skin: The innermost layer of the epidermis is constantly reproducing itself. This function enable the skin to:
Scrub In What is a function of the skin: a. Convert glycogen to glucose b. Secretion of growth hormones c. Manufacture of vitamin C d. Protection from germ invasion The innermost layer of the epidermis
More informationPathogens with Intermediate Virulence Dermatophytes opportunistic Pathogens
Pathogens with Intermediate Virulence Dermatophytes opportunistic Pathogens Cryptococcus neoformans Candida albicans Aspergillus species Pneumocystis carinii 1 Dermatophytes Named for derma skin Cause
More informationEVALUATION OF TINEA MANNUM IN THE STUDENTS OF DIYALA MEDICAL COLLEGE
International Journal of Bio-Technology and Research (IJBTR) ISSN(P): 2249-6858; ISSN(E): 2249-796X Vol. 4, Issue 2, Apr 2014, 1-6 TJPRC Pvt. Ltd. EVALUATION OF TINEA MANNUM IN THE STUDENTS OF DIYALA MEDICAL
More informationCommon Skin Diseases. MdAhadAli Khan Department of Pharmacy SUB
Common Skin Diseases MdAhadAli Khan Department of Pharmacy SUB Intact: Skin is unbroken Contusion: Injury in which skin is unbroken Excoriation: Removal of an area of the skin Abrasion: Spot rubbed bare
More informationVARICELLA. Dr Louise Cooley Royal Hobart Hospital
VARICELLA Dr Louise Cooley Royal Hobart Hospital Varicella Zoster Virus (VZV): The Basics Herpes virus Exclusively human infection Primary infection: varicella (chickenpox) Neurotropic, establishing latency
More informationDermatophytie = ﺔﻔﻌﺳ ﺔﻴرﻄﻓ
1 / 20 2 / 20 3 / 20 4 / 20 dermatophytes The and superficial belong dermatophytes to the Several and forms. adeep of This dermatophytes of article fungi focuses (ringworm) infect on superficial humans;
More informationSexually Transmitted Diseases. Ch 24
Sexually Transmitted Diseases Ch 24 Statistics THERE ARE CURRENTLY 65 MILLION PEOPLE LIVING WITH INCURABLE STDs IN THE U.S. THERE ARE 15 MILLION NEW CASES REPORTED EACH YEAR SOURCE: CDC, 2000 REPORTS WHY
More informationBack to Basics: Skin Assessment Training. Speaker: Joanne T. Wheaton APRN, FNP-C
Back to Basics: Skin Assessment Training Speaker: Joanne T. Wheaton APRN, FNP-C LEARNING OBJECTIVES: 1. Learn the basic anatomy and physiology of the skin, how to assess the skin, identify the differences
More informationLecture 4 Dermatology. Dr khaled sobhy
Lecture 4 Dermatology Dr khaled sobhy 1-Tinea Cruris Tinea is fungal infection by dermatophyte known as Tinea which invade stratum corneum of the epidermis and hair and nail Tinea can be transferred by
More informationSexually Transmitted Diseases
Sexually Transmitted Diseases What are they? Infections that spread from person to person through sexual contact More than 25 known STDs Most of the time those who have them may not realize it, hard to
More informationKentucky Department for Medicaid Services. Drug Review Options
Kentucky Department for Medicaid Services Drug Review Options The following chart lists the agenda items scheduled and the options submitted for review at the November 21, 2013 meeting of the Pharmacy
More informationDrug Prescribing Pattern in Dermatophytosis at the Medical Outpatient Clinic of a Tertiary Healthcare in Karnataka, India
in Dermatophytosis at the Medical Outpatient Clinic of a Tertiary Healthcare in Karnataka, India Vishal P Giri 1, Om P Giri 2 1 Department of Pharmacology, Teerthanker Mahaveer Medical College and Research
More informationOutline. Case 1 2/23/2012
Outline Lindy P. Fox, MD Associate Professor Director, Hospital Consultation Service Department of Dermatology University of California, San Francisco Part 1: Approach to the itchy patient Eczemas Fungal
More informationCatamaran Prior Authorization Department. Phone: Fax: Prescriber Information. Member Information.
Prescriber Information Last Name First Name DEA / NPI Specialty Phone Member Information Last Name Fax - - - - First Name Member ID Number DOB Medication Information: Drug Name and Strength: Quantity:
More informationThe Lee Wiggins Childcare Centre MANAGEMENT OF COMMON COMMUNICABLE DISEASES
Policy Statement The Lee Wiggins Childcare Centre (LWCC) is committed to providing a safe and healthy environment for children, families and employees. The LWCC will take every reasonable precaution to
More informationPediatric Rashes: To Play or Not to Play
Objectives Pediatric Rashes: To Play or Not to Play Tami Jakubowski DNP, CPNP-PC, CSN Tracy Perron PhD, RN,CSN Pediatric Nursing Conference July 27,2018 Identify rashes commonly encountered among school-aged
More informationDisclaimer. 20 Second Fungus Test
Disclaimer No part of this book may be reproduced or transferred in any form or by any means, graphic, electronic, or mechanical, including photocopying, recording, taping, or by any information storage
More informationAbstract. OBJECTIVE--To compare the efficacy and safety of terbinafine 1% cream and clotrimazole 1% cream in the treatment of tinea pedis.
Abstract. OBJECTIVE--To compare the efficacy and safety of terbinafine 1% cream and clotrimazole 1% cream in the treatment of tinea pedis. DESIGN-- Multicentre, double blind parallel group study. SETTING--32
More informationSTD. Are sexually transmitted infections (STIs) different from sexually transmitted diseases (STDs)?
What are sexually transmitted diseases (STDs)? STD Sexually transmitted diseases are diseases that can be passed from person to person through sexual contact. Depending on the STD, sexual contact that
More informationChapter 40. Alterations of the Integument in Children
Chapter 40 Alterations of the Integument in Children Acne Vulgaris Most common skin disease Affects 85% of the population between ages 12 and 25 years Develops at sebaceous follicles located primarily
More informationRamsay Hunt syndrome. and facial palsy
Ramsay Hunt syndrome and facial palsy What is Ramsay Hunt syndrome? Facial Palsy UK is a national charity for anyone affected by facial palsy, whatever the cause. We have produced this guide to Ramsay
More informationCOMMON SKIN CONDITIONS IN PRIMARY CARE. Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio
COMMON SKIN CONDITIONS IN PRIMARY CARE Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio DISCLOSURE The Speaker and members of the planning committee do not have a conflict of interest
More informationThe skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis
Dermatology The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis The image to the left shows an image of skin cells and the proteins which
More informationChapter 29. Learning Objectives. Learning Objectives (Cont d) 9/10/2012. Cutaneous Disorders
Chapter 29 Cutaneous Disorders Learning Objectives Describe the three layers of skin, and their composition and functions Describe the morphology of primary skin lesions Describe the morphology of secondary
More informationAdvanced Practice Education Associates. Dermatological Disorders
Advanced Practice Education Associates Dermatological Disorders Overview Skin Infections: Bacterial infections, Fungal, viral infections Skin Things: Herpes zoster, lupus Skin cancer Itchy Things 200 Copyright
More informationDermatophytosis: a clinical study and efficacy of KOH examination as compared to culture
International Journal of Research in Dermatology Reddy LVN et al. Int J Res Dermatol. 2018 Aug;4(3):340-345 http://www.ijord.com Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20182942
More informationPHARMACY PRACTICE I PHCY280 (2 CREDITS); PHCY280L (1CREDIT) SUMMER Christy Mary Sam
PHARMACY PRACTICE I PHCY280 (2 CREDITS); PHCY280L (1CREDIT) SUMMER 2014-15 1 Christy Mary Sam COMMUNICATION SKILLS Communication is the process involved with the exchange of any kind of information between
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER Clotrimazole Cream 1%
PACKAGE LEAFLET PACKAGE LEAFLET: INFORMATION FOR THE USER Clotrimazole Cream 1% Read all of this leaflet carefully before you start using this medicine because it contains important information for you.
More informationOSPAP Programme Skin Disorders
OSPAP Programme Skin Disorders Slide 1 of 43 MPHM14 OSPAP Dermatology History taking general considerations Where did the problem first appear Are there any other symptoms Occupational history General
More information