SKIN PART 2— INFECTIONS AND TRAUMA

IN PART 2 OF SKIN VISITS, WE TALK ABOUT INFECTIONS AND TRAUMA

LET’S START WITH THE COMMON STAPH AND STREP INFECTIONS OF SKIN—FOLLICULITIS, CELLULITIS, AND IMPETIGO. THESE ARE ALL INFECTIONS THAT USUALLY ARISE FROM THE BODY’S OWN BACTERIA THAT ARE OPPORTUNISTIC AND CAUSE INFECTIONS WHEN GIVEN THE OPPORTUNITY.

WHAT IS FOLLICULITIS?

WHAT IS THE MANAGEMENT FOR THIS?

NEOSPORIN IS GREAT FOR PREVENTION BUT NOT GREAT FOR TREATING AN INFECTION

HOW CONTAGIOUS IS THIS?

DOES ‘HOT TUB’ FOLLICULITIS FIT IN THIS CATEGORY AS WELL.

THEN WE HAVE THE FUN IMPETIGO WITH YELLOW CRUSTED SORES ON FACES.

WHAT IS THE MANAGEMENT FOR IMPETIGO

GOOD OPPORTUNITY TO MENTION ANTIBIOTIC STEWARDSHIP—THAT WE SHOULDN’T THROW ORAL ANTIBIOTICS AT EVERY INFECTION UNLESS THEY ARE TRULY NEEDED AS THIS CAN CONTRIBUTE TO ANTIBIOTIC RESISTANCE.

WITH PLAYING OUTSIDE, KIDS GET LOTS OF CUTS AND SCRAPES THAT GET INFECTED AND SHOW UP WITH CELLULITIS.

DO YOU TREAT THIS ANY DIFFERENTLY?

WITH EACH OF THESE INFECTIONS, WHEN SHOULD PARENTS CALL FOR MORE HELP?

LET’S COVER THE COMMON ANTIBIOTIC SIDE EFFECT OF ERYTHEMA MULTIFORME

LET’S FINISH THE BACTERIAL SKIN INFECTIONS BEFORE WE MOVE OVER TO VIRAL SKIN INFECTIONS. A PARONYCHIA IS CELLULITIS BUT LOCALIZED TO NAIL BEDS

DOES A PARONYCHIA GET CONFUSED WITH AN INGROWN NAIL?

LET’S MOVE TO THE VIRAL SKIN INFECTIONS NOW.

ROSEOLA IS A TOUGH ILLNESS BECAUSE IT PRESENTS WITH FEVER ONLY—AND SOMETIMES A VERY HIGH FEVER AND NO OTHER SYMPTOMS.

AND THEN WHEN THE RASH COMES ON AFTER THE FEVER GOES AWAY THEN YOU KNOW WHAT CAUSED THE FEVER.

HOW IS THIS RASH AND DISEASE DIFFERENT FROM FIFTH DISEASE?

AND FIFTH DISEASE IS MORE DANGEROUS.

LET’S TALK ABOUT HAND-FOOT-MOUTH DISEASE

WHAT DOES THE RASH LOOK LIKE WITH HAND FOOT AND MOUTH

HOW LONG IS IT CONTAGIOUS AND HOW DO WE CARE FOR THE KIDS?

AND THE OTHER COMMON MOUTH VIRUS IS HERPES VIRUS CAUSING COLD SORES

SO MANY PEOPLE GET THIS AS A SMALL CHILD AND NEVER KNOW THEY HAD IT?

AND THIS IS TOUGH TO MANAGE BECAUSE MEDICATIONS ONLY WORK WHEN THEY CAN BE GIVEN BEFORE THE COLD SORES ARISE

WHAT IS SYMPTOMATIC CARE FOR THAT FIRST BAD PRESENTATION OF MOUTH HERPES?

OKAY. NOW LET’S MOVE TO SKIN TRAUMA ITEMS. MOST COMMON IS PROBABLY INSECT BITES. FOR SOME PEOPLE THESE ARE NOT A BIG DEAL AND FOR OTHERS THEY GET BAD REACTIONS.

HOW DO WE HELP KIDS WHOSE BODIES OVERREACT TO INSECT BITES?

CAN PARENTS DO ANYTHING FOR PREVENTION OF THE HYPERSENSITIVITY?

WHEN SHOULD PARENTS CALL ABOUT MOSQUITO BITES?

LACERATIONS ARE UP NEXT. ONE OF THE BIG QUESTIONS PARENTS HAVE IS “WHEN SHOULD I COME IN AND GET STITCHES”?

BURNS ARE ALSO TOUGH TO EVALUATE AND TO KNOW WHAT TO DO WITH THEM. WHEN SHOULD PARENTS COME IN WITH BURNS?

WHAT IS THE MOST COMMON BURN YOU SEE?

What is your management for MINOR BURNS?

ARE THERE ANY BURNS THAT NEED TO GO TO SPECIALISTS?

LAST IS SLIVERS OR OTHER FOREIGN BODIES.

THIS WRAPS UP OUR EPISODE ON SKIN INFECTION AND TRAUMA. NEXT WILL BE OUR EPISODE REVIEWING BABY SKIN.