Most common type of skin cancer in USA - answer-Skin cancer
Most common type of skin cancer - answer-basal cell carcinoma
basal cell carcinoma symptoms - answer-Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations - answer-cheeks, nose, face, ne...
Most common type of skin cancer in USA - answer-Skin cancer
Most common type of skin cancer - answer-basal cell carcinoma
basal cell carcinoma symptoms - answer-Appearance varies; smooth, shiny bump, pink
to pearly white
Basal cell carcinoma common locations - answer-cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard - answer-biopsy. if not an option, refer to
derm
Cellulitis Symptoms: - answer-Diffused pink to red colored skin, warm to touch, and may
become abscessed
If red streaks radiating from infection it has spread to lymph nodes (lymphangitis)
Usually within the deep dermis and is poorly demarcated (poor boundaries)
Most common location is the lower legs
-->If pt. has DM and develops cellulitis watch for osteomyelitis
Cellulitis treatment - answer-First line: Abscess/cellulitis is I&D (if <5 cm no PO antibiotic
needed) • Check for tetanus vaccine status
Nonpurulent: Cephalexin (Keflex) 500 mg or Dicloxacillin q 6 hours for 5-10 days
Purulent (MRSA): Wound culture o Follow up in 48 hours Bactrim BS BID x 10 days o If
you suspect osteomyelitis order an MRI
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
Erysipelas: - answer-Bacteria: Group A Streptococcus
Located: • Involves upper dermis and superficial lymphatics • Found on the cheeks and
shins
Erysipelas: Symptoms - answer-Symptoms: • Bright red plaque or induration with sharp
or elevated margins on the face or lower legs • If fever and chills present pt. is septic
(hospitalization is recommended)
,Erysipelas: Treatment - answer-If treating facial erysipelas assume MRSA is present.
Use appropriate antibiotics or refer to ER if septic
Dicloxacillin QID, Cephalexin or Clindamycin x 10 days
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
MRSA: Treatment - answer-Bactrim
Doxycycline
Minocycline
Clindamycin
--> If patient is allergic to Sulfa do not use Bactrim
Human bites - answer-"Dirtiest" bite of all. Watch for closed-fist injuries of the hands
(may involve joint capsule and tendon damage). Eikenella corrodens & numerous
bacteria may be involved
Animal bites: - answer-Cat bites have a higher risk of infection that dog bites Redness,
swelling, pain
Systemic symptoms may develop within 12-24 hours
Treatment for human bites and animal bites - answer-•Augmentin 875/125 mg BID x 10
days or IV antibiotics in ER Penicillin Allergy § Doxycycline BID or Bactrim DS BID
PLUS Flagyl BID or Clindamycin TID
Also give Tetanus booster if needed
Evaluate for rabies prophylaxis
Tetanus Vaccination - answer-Initial series (3 doses) DTaP (infants to age 6): 5 doses
Ages 7 and older
Td or Tdap Need every 10 years for lifetime Common reaction: pain at injection site in
24-48 hours
Contaminated wounds: give one dose if last dose was more than 5 years ago or is due
Impetigo - answer-Bacteria (Gram Positive): Beta Streptococcus or Streptococcus
aureus
Most common bacterial skin infection in young children ages 2-5
Impetigo symptoms - answer-Itchy pink-red lesions, evolve into vesiculopustules that
rupture easily, honeycolored crusts (from dried serous exudate)
Very pruritic and contagious
Impetigo Treatment - answer-Order C&S of fluid
, Severe Case= Keflex or Dicloxacillin QID x 10 days
Penicillin Allergy o Give Azithromycin 250 mg x 5 days or o Clindamycin x 10 days
**If no blisters- topical mupirocin ointment (bactroban) 2% x 10 days
Acne Vulgaris (common acne): treatment - answer-First line is always topical retinoid
such as tretinoin cream (Retin-A)
Actinic keratosis - answer-Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard - answer-Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - answer-small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze,
crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
squamous cell cancer - answer-chronic red scaly rough textured lesion w/ irregular
borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - answer-rims of ears, lips, nose, face and
top of hands
precursor lesion to squamous cell cancer - answer-actinic keratosis
squamous cell carcinoma diagnosis by? - answer-biopsy gold standard. if biopsy is not
an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - answer-Blistering
sunburn as a child, history of sunburns, light skin, chronic exposure to UV light
(sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE) - answer-asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - answer-Most common type of melanoma in dark skinned
individuals (blacks & asians)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller karimikelvin92. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $25.99. You're not tied to anything after your purchase.
