Suche senden
Hochladen
Alterations in children and the integument
•
Als PPT, PDF herunterladen
•
0 gefällt mir
•
737 views
E
Erin Yesenosky
Folgen
Gesundheit & Medizin
Unterhaltung & Humor
Melden
Teilen
Melden
Teilen
1 von 45
Jetzt herunterladen
Empfohlen
Immunity notes
Immunity notes
Erin Yesenosky
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
Gi alteration in children
Gi alteration in children
Erin Yesenosky
Week three muscles
Week three muscles
Erin Yesenosky
Integumentary Disorders Presentation.ppt
Integumentary Disorders Presentation.ppt
Habtamuaberahareri
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
LECTURE ON SKIN DISEASES.pptx
LECTURE ON SKIN DISEASES.pptx
GeraldineWacdagan1
Skin Infections.pptx
Skin Infections.pptx
OsmanHassan35
Empfohlen
Immunity notes
Immunity notes
Erin Yesenosky
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
Gi alteration in children
Gi alteration in children
Erin Yesenosky
Week three muscles
Week three muscles
Erin Yesenosky
Integumentary Disorders Presentation.ppt
Integumentary Disorders Presentation.ppt
Habtamuaberahareri
Structure and function of the integument
Structure and function of the integument
Erin Yesenosky
LECTURE ON SKIN DISEASES.pptx
LECTURE ON SKIN DISEASES.pptx
GeraldineWacdagan1
Skin Infections.pptx
Skin Infections.pptx
OsmanHassan35
Chapter 008
Chapter 008
kevinyocum4
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
Tagore medical College
7. Fungal infections
7. Fungal infections
Dr.Bijay Yadav
LEPROSY.ppt
LEPROSY.ppt
SardarAwais4
Fungal diseases (Mycoses).ppt
Fungal diseases (Mycoses).ppt
habtamu biazin
Final ppt on fungal diseases
Final ppt on fungal diseases
Safeena Sidiq
Small pox and chicken pox
Small pox and chicken pox
Rizwan S A
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Ekranthkumar
Child with skin disorder
Child with skin disorder
NEHA MALIK
Leprosy
Leprosy
Riaz101
Leprosy
Leprosy
SaravananR156
Mycotic Infections of the Oral cavity . ( Candidiasis )
Mycotic Infections of the Oral cavity . ( Candidiasis )
Dr Monika Negi
Fungal infections lec
Fungal infections lec
drfarhatbashir
SKIN DISORDERS IN CHILDREN.pptx
SKIN DISORDERS IN CHILDREN.pptx
SarojKamboj
MOdule-8-BSCI-106-students-copy.pdf
MOdule-8-BSCI-106-students-copy.pdf
LanceNevado2
Lumpy skin disease- ppt file
Lumpy skin disease- ppt file
Ziad Mohamed El-Meshad
Laprosy
Laprosy
Chanda Jabeen
Measles
Measles
Saber AlZahrani
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Weitere ähnliche Inhalte
Ähnlich wie Alterations in children and the integument
Chapter 008
Chapter 008
kevinyocum4
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
Respiratory notes with children
Respiratory notes with children
Erin Yesenosky
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
Tagore medical College
7. Fungal infections
7. Fungal infections
Dr.Bijay Yadav
LEPROSY.ppt
LEPROSY.ppt
SardarAwais4
Fungal diseases (Mycoses).ppt
Fungal diseases (Mycoses).ppt
habtamu biazin
Final ppt on fungal diseases
Final ppt on fungal diseases
Safeena Sidiq
Small pox and chicken pox
Small pox and chicken pox
Rizwan S A
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Ekranthkumar
Child with skin disorder
Child with skin disorder
NEHA MALIK
Leprosy
Leprosy
Riaz101
Leprosy
Leprosy
SaravananR156
Mycotic Infections of the Oral cavity . ( Candidiasis )
Mycotic Infections of the Oral cavity . ( Candidiasis )
Dr Monika Negi
Fungal infections lec
Fungal infections lec
drfarhatbashir
SKIN DISORDERS IN CHILDREN.pptx
SKIN DISORDERS IN CHILDREN.pptx
SarojKamboj
MOdule-8-BSCI-106-students-copy.pdf
MOdule-8-BSCI-106-students-copy.pdf
LanceNevado2
Lumpy skin disease- ppt file
Lumpy skin disease- ppt file
Ziad Mohamed El-Meshad
Laprosy
Laprosy
Chanda Jabeen
Measles
Measles
Saber AlZahrani
Ähnlich wie Alterations in children and the integument
(20)
Chapter 008
Chapter 008
Respiratory notes with children
Respiratory notes with children
Respiratory notes with children
Respiratory notes with children
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
COMMON PATHOGENIC FUNGI OF SKIN INFECTION ppt
7. Fungal infections
7. Fungal infections
LEPROSY.ppt
LEPROSY.ppt
Fungal diseases (Mycoses).ppt
Fungal diseases (Mycoses).ppt
Final ppt on fungal diseases
Final ppt on fungal diseases
Small pox and chicken pox
Small pox and chicken pox
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Share_smallpoxchickenpoxrizwan-160925004343.pdf
Child with skin disorder
Child with skin disorder
Leprosy
Leprosy
Leprosy
Leprosy
Mycotic Infections of the Oral cavity . ( Candidiasis )
Mycotic Infections of the Oral cavity . ( Candidiasis )
Fungal infections lec
Fungal infections lec
SKIN DISORDERS IN CHILDREN.pptx
SKIN DISORDERS IN CHILDREN.pptx
MOdule-8-BSCI-106-students-copy.pdf
MOdule-8-BSCI-106-students-copy.pdf
Lumpy skin disease- ppt file
Lumpy skin disease- ppt file
Laprosy
Laprosy
Measles
Measles
Mehr von Erin Yesenosky
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Alterations of the digestive function
Alterations of the digestive function
Erin Yesenosky
Abnormalities with STD's
Abnormalities with STD's
Erin Yesenosky
Children and urinary
Children and urinary
Erin Yesenosky
Alterations and renal
Alterations and renal
Erin Yesenosky
Respiratory notes
Respiratory notes
Erin Yesenosky
Cardiac notes for children
Cardiac notes for children
Erin Yesenosky
Unit 4 notes cardiac
Unit 4 notes cardiac
Erin Yesenosky
Unit 4 notes cardiac
Unit 4 notes cardiac
Erin Yesenosky
Week three notes
Week three notes
Erin Yesenosky
Week two notes
Week two notes
Erin Yesenosky
Notes week one
Notes week one
Erin Yesenosky
Mehr von Erin Yesenosky
(12)
Alterations of the digestive function
Alterations of the digestive function
Alterations of the digestive function
Alterations of the digestive function
Abnormalities with STD's
Abnormalities with STD's
Children and urinary
Children and urinary
Alterations and renal
Alterations and renal
Respiratory notes
Respiratory notes
Cardiac notes for children
Cardiac notes for children
Unit 4 notes cardiac
Unit 4 notes cardiac
Unit 4 notes cardiac
Unit 4 notes cardiac
Week three notes
Week three notes
Week two notes
Week two notes
Notes week one
Notes week one
Kürzlich hochgeladen
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Dipal Arora
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Call Girls Delhi
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
parulsinha
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
perfect solution
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
parulsinha
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
astropune
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
TANUJA PANDEY
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Dipal Arora
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
Garima Khatri
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
chandars293
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
vidya singh
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
discovermytutordmt
Kürzlich hochgeladen
(20)
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Alterations in children and the integument
1.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 1 Alterations of the Integument in Children
2.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 2 Acne Vulgaris Most common skin disease Affects 85% of the population between ages 12 and 25 years Develops at sebaceous follicles located primarily on the face and upper parts of the chest and back
3.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 3 Acne Vulgaris (cont’d) Noninflammatory acne Blackheads Whiteheads Inflammatory acne Caused by follicular wall rupture in closed comedones Cystic nodules develop when inflammation is deeper
4.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 4 Acne Vulgaris (cont’d) Physiologic factors: Follicular hyperkeratinization Excessive sebum production Colonization of Propionibacterium acnes Inflammation secondary to the action of inflammatory products produced by P. acnes The excessive production of sebum is related to androgenic hormones
5.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 5 Acne Vulgaris (cont’d) Clinical management: Topical treatments Systemic therapies Surgery Scarring treated with dermabrasion, lasers, and resurfacing techniques
6.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 6 Cystic Acne
7.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 7 Acne Vulgaris Acne conglobata Highly inflammatory form of severe acne Characterized by the formation of communication cysts and abscesses beneath the skin
8.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 8 Atopic Dermatitis Most common form of eczema in children The cause is unknown, but 80% of individuals demonstrate a personal or family history of asthma or allergic rhinitis
9.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 9 Atopic Dermatitis (cont’d) Manifestations: Increased IgE levels Elevated interleukin-4 Positive allergen skin tests Eosinophilia Clinical manifestations: Severe pruritus, eczematoid appearance and age-dependent distribution of skin lesions • Young: rash to face, scalp, trunk, arms and legs • Older: rash to neck, antecubital and popliteal fossae, hands and feet
10.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 10 Atopic Dermatitis (cont’d) Clinical management: Accurate diagnosis and identification Elimination of exacerbating factors Reduction of emotional stresses Hydration of skin Anti-inflammatory agents Immunomodulator and systemic therapies
11.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 11 Atopic Dermatitis (cont’d)
12.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 12 Diaper Dermatitis Group of inflammatory disorders affecting the lower abdomen, genitalia, buttocks, and upper thigh
13.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 13 Diaper Dermatitis (cont’d) Diaper dermatitis is an irritant contact dermatitis Inflammation encouraged by prolonged exposure to irritation by urine and feces, maceration by wet diapers, airtight plastic diaper covers, and possible association with intercurrent illness and early introduction of cereals
14.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 14 Diaper Dermatitis (cont’d) Clinical manifestations: Vary from mild erythema to erythematous papular lesions Treatment: Frequent diaper changes to keep area clean and dry Frequent exposure of perineal area to air Topical antifungal medications Short-term topical steroids Barrier creams or pastes
15.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 15 Diaper Dermatitis (cont’d)
16.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 16 Infections of the Skin Bacterial infections: Impetigo contagiosum • Superficial skin infection usually caused by Staphylococcus or group A streptococci • High incidence in hot, humid climates Bullous impetigo Vesicular impetigo
17.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 17 Impetigo
18.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 18 Infections of the Skin Bacterial infections Staphylococcal scalded-skin syndrome (SSSS) • Serious skin infection caused by exfoliative toxin producing group II staphylococci • The exfoliative toxin causes separation of the skin just below the granular layer of the epidermis • Manifestations: Fever, malaise, rhinorrhea, and generalized erythema and skin tenderness, skin sloughing, and secondary infections • Treatment with oral and intravenous antibiotics, and aseptic technique to prevent infection
19.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 19 Infections of the Skin (cont’d) Fungal infections: Tinea capitis (scalp) • Most common fungal infection of childhood • Causative organisms found on cats, dogs, and rodents • Lesions circular and manifested by broken hairs at site, scaling and raised borders Tinea corporis (ringworm) • Kittens and puppies common source • Lesions erythematous, round scaling patches that spread peripherally with clearing in the center Treatment with antifungals
20.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 20 Tinea Capitis
21.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 21 Infections of the Skin Fungal infections Thrush • The presence of Candida in the mucous membranes of the mouths of infants, and less commonly in adults • Characteristics: White plaques or spots in the mouth that lead to shallow ulcers Tongue appears to have white covering • Thrush can spread to the groin, buttocks, and other parts of the body • Treatment with oral antifungal suspension
22.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 22 Infections of the Skin (cont’d) Viral infections Molluscum contagiosum • Highly contagious viral infection of the skin • Transmission is skin to skin and contact with contaminated items • The virus encourages epidermal cell proliferation • Lesions slightly umbilicated dome-shaped papules primarily on the face, trunk, and extremities • No specific treatment but self-limiting and clears in 6 to 9 months
23.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 23 Molluscum Contagiosum
24.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 24 Infections of the Skin Viral infections Rubella (German measles or 3-day measles) • RNA virus • The disease is mild in most children • Manifestations: Enlarged cervical and postauricular lymph nodes, low- grade fever, headache, sore throat, runny nose, cough Faint pink to red maculopapular rash caused by virus dissemination to the skin • Vaccination for rubella combined with mumps and rubeola (measles) (MMR)
25.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 25 Rubella
26.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 26 Infections of the Skin Viral infections Rubeola • RNA paramyxovirus • High fever, malaise, enlarged lymph nodes, runny nose, conjunctivitis, barking cough • Koplik spots over buccal mucosa Roseola • Characterized by fever and an erythematous macular rash that lasts about 24 hours
27.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 27 Infections of the Skin (cont’d) Viral infections (cont’d) Chickenpox (varicella) • Highly contagious DNA virus • Spread by close person-to-person contact and airborne droplets • First signs of illness include fever, itching, and appearance of vesicles on face, trunk, and scalp • Uncomplicated infection requires no therapy • Vaccine available
28.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 28 Chickenpox
29.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 29 Infections of the Skin Viral infections Herpes zoster (shingles) • Occurs mainly in adults • Varicella virus persists for life in sensory nerve ganglia and reactivates • Lesions consist of groups of vesicles situated on an inflammatory base and follow the course of a sensory nerve • Therapy similar to that for chickenpox
30.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 30 Infections of the Skin (cont’d) Viral infections (cont’d) Smallpox • Highly contagious and deadly • Caused by poxvirus variolae • Eradicated in 1977 and vaccines discontinued in 1972 • Concern that bioterrorists have virus led to implementation of vaccination and isolation criteria by the CDC
31.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 31 Insect Bites and Parasites Scabies Contagious disease caused by the itch mite Sarcoptes scabiei Transmitted by personal contact and infected clothing and bedding Female mite tunnels millimeters to 1 cm into the stratum corneum, deposits eggs, and over a 3-week period the eggs mature into adult mites
32.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 32 Insect Bites and Parasites (cont’d) Scabies (cont’d) The primary lesions are burrows, papules, and vesicular lesions with severe itching Patient is at risk for secondary infections from scratching Treated with application of scabicide and linen cleaning
33.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 33 Scabies
34.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 34 Insect Bites and Parasites Pediculosis Pediculus capitis (head), pediculus corporis (body), and Phthirus pubis (crab or pubic) Highly contagious parasite that survives by sucking blood • Acquired through personal contact and shared clothing, combs, or brushes Treated with pediculicides; all clothes, towels, bedding, and brushes should be washed in hot water
35.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 35 Insect Bites and Parasites (cont’d) Flea bites Cat, dog, and human fleas Bites occur in clusters along the arms and legs The characteristic lesion is an urticarial wheal with a central hemorrhagic puncture Treatment includes: • Spraying home • Treating infected animals • Washing clothing and bedding in hot water
36.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 36 Insect Bites and Parasites (cont’d)
37.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 37 Insect Bites and Parasites (cont’d) Lyme disease Multisystem inflammatory disease Spirochete, Borrelia burgdorferi causative agent transmitted by tick bite Occurs in stages: • Localized infection • Disseminated infection 9 months after bite • Late persistent infection continuing for years Treatment with antibiotics
38.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 38 Insect Bites and Parasites (cont’d) Bedbugs Cimex lectularius Live in the crevices and cracks of floors, walls, and furniture and in bedding or furniture stuffing 3 to 5 mm long and reddish brown Bedbugs feed in the darkness • Attach to the skin, suck blood, and leave Lesions are red macules that develop into nodules
39.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 39 Hemangiomas Strawberry hemangiomas Raised vascular lesions that usually emerge 3 to 5 weeks after birth The lesions proliferate, become bright red, and elevate with small capillary projections Cavernous hemangiomas Present at birth Cavernous hemangiomas involve larger and more mature vessels than strawberry hemangiomas
40.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 40 Strawberry and Cavernous Hemangiomas
41.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 41 Vascular Malformations Port-wine stains Congenital malformation of dermal capillaries Flat, pink, to dark reddish purple lesions Salmon patches Macular, pink lesions resulting from distended dermal capillaries • Usually fade by 1 year of age Common on the nape of the neck, forehead, upper eyelids, or nasolabial folds
42.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 42 Port-Wine Hemangioma
43.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 43 Miliaria Vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of eccrine ducts Miliaria crystallina • Ductal rupture within the stratum corneum • Clear vesicles without erythema Miliaria rubra (prickly heat) • Erythematous papules and papulovesicles
44.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 44 Miliaria Rubra
45.
Mosby items and
derived items © 2012 Mosby, Inc., an imprint of Elsevier Inc. 45 Other Skin Disorders Erythema toxicum neonatorum Benign, erythematous accumulation of macules, papules, or pustules Cause is unknown No treatment is required
Jetzt herunterladen