Islamic University Nursing College Chickenpox 1Chickenpox Varicella zoster virus 2Crops of vesicles mainly on the trunk and head Pass through various stages of papule vesicle pustule and crust ID: 379997
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Slide1
Rashes
Islamic University
Nursing College Slide2
Chicken-pox
1-Chicken-pox ,
Varicella
zoster virus
2-Crops of vesicles mainly on the trunk and head.
-Pass through various stages of papule, vesicle, pustule and crust.
3-Symptomatic :analgesia –
paracetamol
for discomfort and pyrexia.
-
pruritis
– antihistamine or calamine lotion
- acyclovir only for those at risk of complications or
immunocompromised
. Slide3
Chicken-poxSlide4
Impetigo
1-Staph
areus
and streptococcal
pyogenes
2-Thin–roofed
vesicles or
bullae
surrounded by narrow margin of
erythema
. The vesicles /
bullae
rupture to release thin cloudy yellow fluid. This fluid dries to form thick yellow crusts.
3-topical-bactroban(
mupirocin
) ointment/
betadine
cream
- antibiotics –
flucloxacillin
or erythromycinSlide5
SLIDE 2
ImpetigoSlide6
Erythema
Multiforme
Steven-Johnson Syndrome (mucous membrane
(
involvement
1-
Drug
most commonly associated
-Allopurinol
5
Recent drugs
-
Nevirapine
,
lamotrigine
,
sertraline
,
pantoprazole
,
tramadol
Antibiotics
- Sulphonamides, including co-
trimoxazole
, penicillin
cephalosporins
,
fluoroquinolones
,
vancomycin
NSAIDs
-
Piroxicam
,
fenbufen
, ibuprofen,
ketoprofen
, naproxen,
tenoxicam
,
diclofenac
,
sulindac
Anti-TB
-
Rifampicin
,
ethambutol
,
isoniazid
,
pyrazinamide
Anticonvulsants
- Barbiturates,
carbamazepine
,
phenytoin
,
valproate
,
lamotrigine
-
Infective
herpes simplex
2-target lesion –round ,
erythematous
papules contain central blister or darker area of necrosisSlide7
Erythema
MultiformeSlide8
Scabies
1-Mite –
sarcoptes
scabeii
2 -Clothes, towels, and bed linen should be machine-washed (at 50 degrees Celsius or above) to prevent re-infestation and transmission. Items that cannot be washed can be kept in plastic bags for at least 72 hours to contain the mites until they die.
-benzyl benzoate lotion ,apply for 24hours ,may be repeated in 1 week
-
permethrin
cream
Antiscabial
soap alone is not an effective treatment
Babies <2 months -5% sulphur ointmentSlide9
ScabiesSlide10
1-
Measles
2-Single stranded RNA
Morbillivirus
from the
paramyxovirus
family.
3-
Symptoms
Prodrome
- lasts 2-4 days with fever, runny nose, mild conjunctivitis and diarrhoea.
Koplik
spots are
pathognomic
and appear on the
buccal
mucosa opposite the second molar teeth as small, red spots each with a bluish-white speck (sometimes compared to a grain of rice) in the centre.
6
They occur in 60-70% of patients during the
prodrome
and for up to 2-3 days before the onset of the rash.
Rash - (
morbilliform
= measles-like) first seen on forehead and neck and spreads, involves trunk and finally limbs over 3-4 days. It may become confluent in some areas. Rash then fades after 3-4 days in the order of its appearance. It leaves behind a brownish discoloration sometimes accompanied by fine desquamation.
4-Uncomplicated measles is usually self-limiting and treatment is mainly symptomatic with
paracetamol
or ibuprofen and plenty of fluids. Patients should remain at home to limit disease spread.
It is a
notifyable
diseaseSlide11
MeaslesSlide12Slide13