ExamI1:INURSI623/INURS623I(LatestI2024
/I2025IUpdate)IAdult/IGerontologyIHealthI
CareIIIIGuideI|IQsI&IAs|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IMaryville
Q:IFungalIskinIinfections
Answer:
·ICandidiasis-Ibright,IbeefyIredIrashItreatIwithItopicalIantifungal,
·IDermatophytosesI-ItheItineasI(ringworm)
·IOnychomycosisItreatIwithITerbinafineIforI6-12IweeksI(onlyI73-
79%Ieffective,IeducateIpatient.
·IFungalIinfectionsIsurviveIonIkeratin,IsoIconsideredIsuperficial.
·IPathogens:IEpidermophyton,Itrichophyton,Imicrosporum.
·IThoseIatIriskIareIDMIandIimmunocompromised.
·IDiagnostics:IKOH
Q:ITineaIcorporis
(RingwormIofIbody)
Answer:
HxIofIerythematousIroundIandIelevatedIpruriticIlesionIthatIgrowsIinIsizeI&IstartsItoIclearIinIth
eIcenter
MiconazoleI2%IcreamIBIDIx4Iweeks,IClotrimazoleI1%,ITerbafineI1%
Q:ITineaIcapitusI(ringwormIofIhead)
,Answer:
ChildrenIcommon.IPainlessIbaldIspot,ImayIhaveIkerionIthatIlooksIlikeIhoneycomb,Iinflammati
on.IBoggyImassIcontainingIbrokenIhairsIandIoozingIpurulentImaterialIfromIfollicularIorifices
SystemicIantifungalsI-IGriseofulvinIBIDIforI2-
4ImonthsIorI2IweeksIafterInegativeIcultures.ITeratogenicI-IuseI2ndImethodIofIcontraception.
ORIterbinafineIcream
Q:ITineaIversicolorI(skin,IAKAIpityriasisIversicolor)
Answer:
RoundIorIovalIlesionsIofIhypoIorIhyperpigmentationImacule,IlocatedImainlyIonIbackIchest,Iar
ms,IsometimesIneck/face.ISometimesIveryIfineIscalesIseen.IAgentIPIoribiculareIcausesIround,I
pityrosporumIovaleIcausesIoval
ClotrimazoleI1%IcreamIandIsolutionIBIDIupItoI4Iweeks
Q:IBacterialIinfectionsIofItheIskin
Answer:
·IImpetigo
·IhighlyIcontagious
Cellulitis
·IKeflexI(1stIgenIcephalosporine)I10-14Idays,IorIdicloxacillin,
·IPCNIallergyIuseIErythromycin.
·InonIpurulentIassumeIstaphIaureus
PurulentIcellulitis
·II&DIfirstIline
·INOI1stIgenIcephalosporine
·IConsiderIMRSA-IBactrim,ICleocin,IDoxycycline
,Q:IImpetigo
Answer:
HoneyIcrustedIplaques,IusuallyIonIface
Bullous:IbeginIasIsmallIvesiclesIthatIruptureIeasilyIwithIserousIfluidIturningIintoIcrust
Nonbullous,Ivesticulopustular:Ithick,IadherentIlesions,IdirtyIyellow-
coloredIcrustIwithIerythematousImargins
Treatment:
CleanIlesions.IBactrobanITIDIxI7Idays.IAntibioticI(Keflex,IAugmentin,ICloxacillin).IWithInoIt
reatment,IitIisIself-limitingI2-3Iwks
Q:Ifollilculitis
Answer:
Staphylococcus.IMultipleIsmallIpapulesIonIerythematousIbase,IcanIbeIlargeIyellowIwhiteItend
erIpustulesIinIadults.ICommonIinIplacesIhairIisIpresent,IwidespreadIisIcharacteristic,IbumpyIra
sh,InoIitching.
Treatment:
OnlyIifIbecomesIinfected.ILargeIlesionsIcleansedIwithIweakIsoapIsolution,IfollowedIbyIsoakin
gIwithIsalineIorIaluminumIsubacetateIBID.ITAOIcanIbeIusedIBIDIforI5Idays.IOralIABTI1stIg
enIcephalo.IifIresistant
Q:ILocalizedIcellulitis
Answer:
TheItypicalIlesionIofIcellulitisIisIwide,IdiffuseIareaIofIerythematousIskinIthatIisIwarmIandIten
derItoIpalpation.IInfectionIisIoccasionallyIaccompaniedIbyIsevereIedema.ISystemicIsymptomsI
suchIasIfever,Ichills,IandImalaiseImayIalsoIbeIpresent.
CAUSES-
IDiabeticIpatientIorIotherIimmunocompromisedIpatients.IAnyIbreakIinItheIskin.ISkinIbreaksIfr
omIsurgicalIincisions,IskinItears,Iwounds,Itrauma,IinsectIbitesIorIstings,IandIanimalIorIhumanI
bites.IPREEXISTINGIconditions-
, IstasisIulcers,Idermatitides,IviralIskinIinfections,IsuperficialIbacterialIinfections,IandIbolusIdise
aseIallIhaveItheIriskIforIsecondaryIinfections.
Subjective-
Itender,Iwarm,IerythematousIareasIofIskinIusuallyIonIface,Ineck,IandIextremities.IUsuallyIrepo
rtIanIinsectIbiteIorIsomeIformIofIskinIbreak.IIfIrecurrentIcellulitisImayIdenyIanyItraumaIorIinj
ury.
Objective-
ILowerIlegImostIcommonIsiteIofIinfectionI.IfIlowerIextremityIcellulitesIshouldIlookIforISSIofI
tineaIpedisI(AthletesIfoot)IinfectionIcanIbeIpointIofIentryIforIbacteria.IInIchildrenIandIoccasio
nallyIadultsItheIchecksIandIperiorbitalIareaIareImoreIcommonIsitesIofIinvolvement.IRedIandI
warmIappearanceItoItheIskinIwillIbeInoted.IRedIboardersIareIflatIandIdiffused.
Q:ILocalizedIcellulitisItreatment
Answer:
DiagnosticItesting-
ImostIcasesIareIdiagnosedIbyIhistoryIandIPEI.IUsuallyInoIdischargeIorIobviousIwoundItherefo
reIunableItoIobtainIaIculture.IIfIopenIwoundIorIpurulentIdischargeIpresentIaIcultureIandIgramI
stainIshouldIbeIobtained.IForIpatientsIwithIfeverIaICBCIshouldIbeIdoneI.IIfIperiorbitalIcelluliti
sIEOMIshouldIbeIdoneIandItestIofIcranialInerves.
Management-
ITakeIintoIconsiderationIseverityIofIinfection,IsiteIofIinfection,IunderlyingIdisease,IandIvirulen
ceIofItheIpathogen.
ForIthoseIwhoIhaveIcellulitisInotIrelatedItoIhumanIorIanimalIbitesItakesIDICLOXACILLINIor
ICEPHALEXINIforI10-14Idays.IPatientsIwithIpenicillinIallergyIgetIErythromycin.
InfectedIhumanIandIanimalIbitesIareItreatedIwithIAugmentinIforIatIleastI2Iweeks.
LE'sIcellulitisIrequiresIbedrestIandIelevationIofItheIleg.
NeedItoIconsiderIcomorbidIconditionsIandIconsiderIreferralIofItreatment.
HemophilusIinfluenzaIcanIeItreatedIwithICeftin
IfIgramInegImicroorganismItreatIwithIfluoroquinolonesIsuchIasIlevofloxacinIcanIbeIused.
