full-thickness tissue loss in which actual depth of the ulcer is completely obscured by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed. Glycoprotein spikes allow it to recognize, bind to, and fuse with a few cell types in the body. There is no known cure. Symptomes again will disappear. Benign papillary lesion caused by a papillomavirus Transmitted by sexual contact May be transmitted to the oral cavity through oral-genital contact or self-inoculation Papillary, bulbous pink masses that can occur anywhere in the oral mucosa Multiple lesions may be present. Routine screening (Chlamydia, gonorrhea, & HPV) Cotton undergarments Locating contacts of person with STD!!! -low grade tumor that originates in the pilosebaceous glands.
Herpes infection can be passed from you to your unborn child and cause a potentially deadly infection (neonatal herpes). Often there are no symptoms. The best response of the nurse would be to: A. Grouped burning and itching vesicles on inflammatory base, usually on or near mucocutaneous junctions (lips, nose, gentalia, buttocks). May treat with permethrin top lotion 1%. Sig: apply from neck down. Leave on x 8-14 hrs.
Repeat 2x in 7d and in 14d. -Pubic Lice: permethrin topical lotion 1% or RID shampoo. Sig: same as above. Pathogenesis: -Caused by the spirochete Borrelia burgdorferi -Endemic to the Northeast US. -Erythema migrans: “bulls-eye rash” It expands slowly over days to weeks to a central erythematous ring, surrounded by a clearing, which is surrounded by another erythematous ring. When this test is positive twice, it is followed by the Western blot test. Sig: 1 tab PO bid x 21d -Children < 8 y/o and pregnant moms: Amoxicillin 500 mg.
Sig: 1 tab PO bid x 21d. While you can certainly get herpes 2 on your lips and herpes 1 on your labia or penis, this is mostly likely going to be a one shot deal. It spreads through unprotected sex, needle sharing, or being born to an infected mother. She says, tearfully to the nurse, “If this turns out to be cancer and I have to have my breast removed, my companion will never come near me.” The nurse’s best response would be “Are you: A. Skin response similar to that of tinea corporis. Caused by Coxsackie A-16 virus Also caused by Enterovirus 71 Key Words: Oral ulcerative lesions located on hard palate, buccal mucosa, and tongue. -Rash is red macules with grey center Rash is typically tender, erythematous macules, sometimes a gray center is noted, which is peripherally distributed on hands, feet and buttocks.
A 4-year-old girl develops an erythematous rash that feels like sandpaper and that appears on the upper torso and spreads to the remainder of the trunk, sparing her palms and soles. She is feverish and complains of a headache. Examination of the oral cavity reveals a “strawberry tongue.” Her vaccines are up to date. What is the most likely diagnosis? Mr. B, a 22-year-old football player, has a rash that started on the sole of his foot and is slowly creeping up the lateral and medial ankles. It is itchy with a serpiginous border.
His toenails are disfigured (thick and yellow). What is the most likely diagnosis? Because herpes may have no symptoms for years, sometimes it is very difficult to know who passed it to whom. She is embarrassed by acnelike pustules that cover her nose, forehead, and cheeks. The nurse should be sure to include which information? Affected cells proliferate at a musch more rapid rate than normal cells. A 27-year-old professional comedian states that he has been experiencing an itchy rash for 6 weeks.
He pulls a tube of strong corticosteroid-antifungal cream out of his pocket and comments, “This stuff helped for a while, but then it got worse.” What is the presumptive diagnosis? What is the name for the acute, benign, self-limiting skin condition that presents initially with a large single lesion that is followed by sharply defined, thin, oval plaques with a collarette of scale? Which of the following is the most common, malignant, cutaneous neoplasm that commonly presents as an isolated, nonhealing, waxy papule with central depression on the face, ears, or scalp? The lesion can become locally invasive, aggressive, and destructive of surrounding and underlying tissue. A 50-year-old obese male states that ever since he started wearing jewelry around his neck, he has developed a velvety “dirty looking” rash on his posterior neck and armpits. He wears no other jewelry. What is the most likely diagnosis?
A 74-year-old male presents to your office for evaluation of bumps on his upper back and chest. His wife reports that he has had them for years, but they seem to be increasing in number. He states that they do not itch or hurt. Herpes genitalis (or genital herpes) is a genital infection caused by the herpes simplex virus (HSV). These lesions are light brown and have a stuck-on appearance. The nurse is assisting with a pre-kindergarten physical on a five year-old. What is the most likely diagnosis?