Integ- Scars and skin conditions

Hypertrophic scar: Hypertrophic scarring

would describe a healed wound with thick

fibrous tissue that remains within the

original wound border

Keloid: Keloid scarring is a condition in

which excessive scar tissue grows outside

of the original margins of the wound

Herpes zoster (shingles)

How does Herpes zoster (shingles) present?

• FOLLOWS DERMATOMAL PATTERN

• Presents as a painful rash with clusters of fluid filled

vesicles

• Mostly unilateral

• CN V may be involved, especially V1

• CN VII can occur in Ramsay Hunt syndrome

Herpes Simplex HSV-1 (Type 1)

Herpes Simplex HSV-1 (Type 1)

Primarily causes oral lesions (cold sores, fever blisters).

Spread through saliva; lies dormant in the trigeminal ganglion.

Recurs with stress, sunlight, or illness.

Herpes Simplex HSV-2 (Type 2)

Primarily causes genital herpes with more frequent

recurrences.

Spread through s*xual contact; dormant in sacral ganglia.

Higher risk for neonatal transmission during childbirth.

Kaposi’s sarcoma

Etiology: Viral — caused by Human Herpes

virus-8 (HHV-8)

Common in: Immunocompromised patients,

especially those with HIV/AIDS

Appearance: Multiple red, purple, or brown

macules, plaques, or nodules often on skin,

mucous membranes, or internal organs.

Does not spread through contact.

Cellulitis

• Bacterial skin infection of dermis/subcutaneous tissue (Strep/Staph)

• Presents with redness, warmth, swelling, tenderness

• Often unilateral; associated with breaks in skin, edema, diabetes

• Requires systemic antibiotics; elevate limb

• PT: no massage or compression during acute stage

• Red flags: rapidly spreading redness, fever, systemic symptoms

ABCDE rule; Diameter is considered bad if greater than how many mm

Greater than 6mm