Dermatology...What da funk ? Nurse Practitioner Review
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- čas přidán 6. 09. 2024
- Breaking down common dermatology that you will see in the clinic. Review for boards and wards! ANCC and AANP high yield topics by dual boarded, seasoned faculty Jennifer Klimek Yingling
It is important to note that the torso is divided by 9%. Each upper extremity can further be divided into anterior (4.5%) and posterior (4.5%). The lower extremities are estimated at 36%, 18% for each lower extremity. Again this can be further divided into 9% for the anterior and 9% for the posterior aspect.
See outline below:
The front and back of the head and neck equal 9% of the body's surface area.
The front and back of each arm and hand equal 9% of the body's surface area.
The chest equals 9% and the stomach equals 9% of the body's surface area.
The upper back equals 9% and the lower back equals 9% of the body's surface area.
The front and back of each leg and foot equal 18% of the body's surface area.
The groin area equals 1% of the body's surface area.
Pityriasis Rosea: Self limiting viral rash. Begins with larger "mother" or "herald patch" and then extends out as the "Christmas Tree Rash".
Pityriasis VERSICOLOR/ TINEA VERSICOLOR: Fungal, hot/humid climate. Malasserzia Yeast. Hypo/Hyperpigmentation of upper trunk and upper arms. Tx: Azoles, Selenium Sulfide
Ramsay Hunt syndrome is diagnosed on a clinical basis. Patients typically present with the classic triad of ipsilateral facial paralysis, otalgia, and vesicles on the auricle . The painful, erythematous vesicular rash can involve the auricle, auditory canal, scalp, cheek, tongue, or palate. Often there is a prodrome with pain, fever, and fatigue for 1 to 3 days, followed by the onset of facial paralysis and exanthem. Cranial nerves potentially affected in Ramsay Hunt syndrome: V, VII, VIII, IX, X, XII.
IMPORTANT to recognize difference in treatment of CAT SCRATCH (Bartonella Henselae) versus CAT BITES (Pasteurella multocida).
For Bartonella or Cat Scratch treat with Azithromycin. For patients with more severe disease, other antibiotic regimens have been successful, including azithromycin or doxycycline in combination with rifampin or rifampin alone. Treatment of CSD depends on the disease presentation. Most patients, especially children, have self-limited lymphadenopathy lasting two to eight weeks and do not require antibiotics. Up to 14 percent of persons develop dissemination to the liver, spleen, eye, or central nervous system requiring IV treatment.
For Cat Bite (Pasteurella) treat with Augmentin or Doxy with PCN allergy
Thank you for the helpful video!! I watched and rewatched this video in preparation for boards. So grateful for the knowledge shared!!
Glad it was helpful!
❤😂🎉😢😮😅😊
Zostavax is no longer available for use in the United States, as of November 18, 2020. PT's who had Zostavax in the past, should still get Shingrix vaccine. CDC recommends that healthy adults 50 years and older get two doses of Shingrix, 2 to 6 months apart