Alisha Shared "Derm Exam 1" - 39 Picmonics
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Derm Exam 1
Bacillus Anthracis (Anthrax) Characteristics
- Characteristics
- Gram-Positive
- Spore-Forming
- D-glutamate Polypeptide Capsule
- Protective Antigen
- Lethal Toxin
- Edema Factor
- Increased cAMP
1 min
Bacillus Anthracis (Anthrax) Disease
- Signs and Symptoms
- Cutaneous
- Painless Black Eschar (Necrotic Lesion)
- Pulmonary
- Mediastinal Widening
- Rapidly Fatal
- Woolsorter's Disease
- Gastrointestinal
- Consuming Anthrax-infected Meat
2 mins
Neisseria gonorrhoeae Characteristics
- Characteristics
- Gram Negative
- Diplococci
- Chocolate Agar
- Thayer-Martin Media
- VPN
- Oxidase Positive
- Glucose Fermenting
- Pilus
- Opa Surface Protein
- Rapid Antigenic Variation
- IgA Protease
2 mins
Neisseria gonorrhoeae Disease
- Signs & Symptoms
- Dysuria
- Pelvic Inflammatory Disease (PID)
- Fitz-Hugh-Curtis Syndrome
- Neonatal Conjunctivitis
- Pharyngitis
- Septic Arthritis
- Tenosynovitis
- Pustules On Hands And Feet
- Treatment
- Ceftriaxone
- Azithromycin
- Doxycycline
- Considerations
- C5-9 Complement Deficiency (Recurrent Infections)
2 mins
Nocardia
- Characteristics
- Aerobic
- Gram-Positive
- Catalase-Positive
- Urease-Positive
- Acid Fast
- Branching
- Beaded Filament
- AIDS/Immunocompromised
- Soil
- Signs and Symptoms
- Lung Cavitation
- Brain Abscess
- Kidney Abscess
- Treatment
- TMP-SMX
2 mins
Mycobacterium leprae
- Characteristics
- Acid-Fast
- Aerobic
- Likes Cool Temperature
- Diagnosis by Skin Biopsy or PCR
- Lepromatous Leprosy
- Th2 Response
- Leonine Facies
- Tuberculoid Leprosy
- TH1 Response
- Hypoesthetic Skin Plaques
- Granulomatous Response
- Treatment
- Dapsone
- Rifampin
- Clofazimine
2 mins
Rickettsia
- Need CoA and NAD
- Rocky Mountain spotted fever
- Typhus
- Ehrlichiosis
- Q fever
- Arthropod vector
- Fever
- Headache
- Rash
- Weil-Felix reaction
- Treatment doxycycline
1 min
Rocky Mountain Spotted Fever
- Rickettsia rickettsii
- Dermacentor Wood Tick
- Endemic to East Coast
- Fever
- Headache
- Rash Starts on Wrist and Ankle
- Rash migrates towards the trunk
- Thrombocytopenia
- Hyponatremia
- Elevated liver enzymes
59 secs
Borrelia burgdorferi
- Characteristics
- Lyme Disease
- Spirochete
- Dark-field Microscopy
- Giemsa Stain
- Silver Stain
- White-footed Mouse
- Ixodes Tick
- Babesia
- Anaplasmosis
- Signs & Symptoms
- Flu-like Symptoms
- Erythema Migrans
- Bulls Eye Rash
- Bilateral Bell's Palsy
- Conduction Defects
- Arthropathy
- Treatments
- Doxycycline
- Ceftriaxone
3 mins
Bartonella henselae
- Characteristics
- Gram-Negative
- Pleomorphic
- Bacillus
- Signs and Symptoms
- Cat Scratch Fever
- Lymphadenopathy
- Bacillary Angiomatosis
- Patients with AIDS
- Mimics Kaposi Sarcoma
- Benign
- Reactive Arthritis
- Non-Caseating Granuloma
2 mins
Pasteurella multocida
- Bacteria Characteristics
- Gram-Negative
- Coccobacilli
- Charcoal Yeast with Iron and Cysteine
- Zoonotic - Cats and Dogs
- Signs & Symptoms
- Cellulitis
- Osteomyelitis
- Septic Arthritis
- Treatment
- Amoxicillin-clavulanate
- Intravenous Antibiotics for Invasive Disease
2 mins
Necrotizing Fasciitis Pathophysiology and Characteristics
- Bacterial Infection of Muscle Fascia and Subcutaneous Fat
- Polymicrobial or Monomicrobial
- Polymicrobial: Anaerobe + Gram Negative Enterobacteriaceae
- Monomicrobial: Group A Streptococcus or Staph Aureus
- Clinical Manifestations
- Edema Extending Beyond Erythema
- Crepitus
- Pain Out of Proportion (POOP)
- Anesthesia Over Affected Area (Late Finding)
5 mins
Necrotizing Fasciitis Diagnosis and Treatment
- Diagnosis/Workup
- Usually a Clinical Diagnosis
- Soft Tissue Gas On CT
- Management
- Emergent Surgical Debridement
- Vasopressors and Fluids
- IV Immune Globulin If Strep Toxic Shock Syndrome
- Antibiotic Regimen
- Carbapenem Or Piperacillin-Tazobactam
- PLUS Clindamycin
- PLUS MRSA Coverage
4 mins
Sporothrix Schenckii
- Characteristics
- Fungi
- Thermally Dimorphic
- Cigar-shaped Yeast Forms
- Rose Thorn Prick
- Packaging Peat Moss
- Signs & Symptoms
- Local Pustule or Ulcer
- Nodules on Draining Lymphatics
- Treatment
- Potassium Iodide
- Itraconazole
2 mins
Impetigo
- Pathophysiology
- Transmission
- Incubation
- Signs & Symptoms
- Non-Bullous
- Bullous
- Diagnosis
- Clinical Presentation
- Treatment
- Antibiotics
- Prevention
- Hygiene
- Return to Work or School
- Complications
- Post-streptococcal Glomerulonephritis
- Rheumatic Fever
- Staphylococcal Scalded Skin Syndrome
2 mins
Skin Functions
- Characteristics
- Thermoregulation
- Protection
- Innate Immune Protection
- Synthesize Vitamin D
- Water and Salt Excretion
- Dilated Capillaries are a Blood Reservoir
2 mins
Skin Assessment
- Inspect the skin
- Observe for Abnormal Skin Pigmentation
- Inspect for Cyanosis
- Observe Skin for Pallor
- Observe for Jaundice
- Inspect for Erythema
- Palpate the Skin
- Check the Temperature
- Observe the Skin for Moisture
- Inspect for Diaphoresis or Dehydration
- Check skin for edema
- Imprint Thumb Firmly for 3 to 4 Seconds
- Look for lesions
- Note the Characteristics
- Palpate Lesion
4 mins
Skin Anatomy
- Characteristics
- Epidermis
- Keratinocytes
- Melanocytes
- Dendritic Cells
- Merkel Cells
- Dermis
- Sweat Glands
- Hair Follicles
- Sebaceous Glands
- Hypodermis
3 mins
Bullous Pemphigoid
- Linear Deposits of IgG
- Affects Hemidesmosomes
- Epidermal Basement Membrane
- Tense Blisters on Skin
- Nikolsky Negative
- Contain Eosinophils
- Rarely Affect Oral Mucosa
2 mins
Leishmania donovani
- Pathophysiology
- Protozoan
- Visceral Leishmaniasis
- Hepatosplenomegaly
- Spiking Fevers
- Skin Pigmentation
- Sandfly
- Diagnosis
- Macrophages with Amastigotes
- Treatment
- Amphotericin B
- Oral Miltefosine
2 mins
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