gFlashcards

GENITAL WARTS, HPV 6, 11, 16 6 and 11 rarely associated with cervical cancer not cure just treat the symptoms

HPV 16 and 18

pale pink with numerous discrete narrow-to-wide projections on a broad base. surface is smooth or velvety, moist and lacks hyperkeratosis(thickening of the stratum corneum) seen in other warts. sexually active pt may present with multifocal bilateral red or brown slightly raised smooth papules 50% of genital warts in children are from sexual abuse.

cryosurgery Aldera cream remember not curing the patient just treating the symptoms.

enterovirus, echo virus, and coxackeivirus cause most exanthems usually a generalized rash presenting at any stage of illness

erythematous macules and papules with areas of confluence, but may be vesicular, petechial, urticarial. palms and soles involved more common in children just treat the symptoms, don't usually need to give anything.

5th disease (erythema infectious)-caused by parvovirus B-19 Measles Roseola HHV 6,7 Scarlet fever erythema multiforme hand,foot,mouth disease

HSV-1 oral

HSV-2 genital

Elevated IgG antibody titer, indicates previous infection primary infection (most intense) establishes a nerve ganglion spread through direct contact with lesion, virus containing fluid (saliva and cervical secretions) self-inoculating, infection in one site does not protect a pt from infection at another site.

grouped vesicles on an erythamatous base and then umbilicate vesicles are uniform in size mucous membrane lesions have exudate (leaky fluid), skin lesions form crust. (lasts 2-4 weeks) prodrome(early symptom) of burning and itching Bell's Palsy

herpes simplex virus

2-5mm papule, slightly umbilicated, flesh colored dome shaped with gummy material inside. virus is encapsulated, host immune system will not recognize it. spread by touching and auto inoculation lesions last 6-8 weeks

KOH prep will show inclusion bodies curettage- scraping with a curette cryosurgery- if mom wants the papules removed!

chicken pox, lesions will be at different stages (papules, vesicles, pustules, crusts) DEWDROP ON A ROSE PETAL transmission via airborne droplets or vesicular fluid contagious until all lesions have crusted. eventually becomes latent and moves into neuroaxis.

skin infections, neurologic (encephalitis), pneumonia, dangerous in pregnancy

lab tests- serologic testing IgM antibodies, IgG indicates post exposure tzank smear will tell you if there is a virus infection, will not tell you whether its HSV or varicella. vaccine- live attenuated, lasts 6 yrs acyclovir in kids > 12 or high risk

SHINGLES, usually involvers a single dermatome T-cell immunosuppression greatest risk occurs once in a lifetime direct contact with vesicle can transmit varicella elderly greatest risk of post hepatic neuralgia (PHN)zo

must have varicella or varicella vaccine in order to get zoster. one sided pain may mean shingles, not necessarily a heart attack or back pain.

peripheral facial nerve palsy with vesicular rash on ear or in the mouth.

bell's palsy is just facial palsy.

goal is suppress pain, inflammation, and infection Valtrex (name brand) 3X greater bioavailability PAIN CONTROL!!!