Bening skin lesions

hair disorder (may not be quizzed on)

pathogenesis for molluscum

pox virus

warts caused by

HPV

are some warts cancerous

yes

some of oncogenic warts

16-18-31-33

ways to tx wart

inflamamtory cascade is incited thru acids, lasers

is it common in children

yes and very contagious

most people can fight of the virus

true

are warts systemic process

no they form bcuz of cracks in skin

what is condyloma accuminatum

genital wart= crusty papule

is warts always tx?

yes because it become cancerous even thou it resolves sponatnoesly

cervical cancers are caused by what warts

16 and 18

plantar and acral

hpv 1,2,4

genital warts

6 and 7

genital warts tx for men and women

MEN= treated because it is seen
WOMEN= nto treated but reffered bcuz it has to be tx internally

warts point of entry

break in skin barrier

tx general concept

inflammatory cascade

black dots in the center

thrombosed cappilaries

ways to irritate warts

acids, lasers, glue, [bannan peels, garlic: creates a acid that breaks down the wart], liquid nitrogen

tx given when there are lot ofwarts

oral cimetidine= stimulates in t cells

management of genital warts

imiquimode cream; podphylin (no preganant); condylox gel or sol (no pregnant); LN2; vergen ointment (no pregnant, lactating women )

prevention of gential warts

dont have sex, safe sex; vaccines= gardasil hpv types 6 and 11 cover 90%

molluscum contagiosum pathogensis

pox virus

where do mollsucom lesions appear

anywhere in body mostly on folds ro genital

molluscum lesion charactertsic

white, pink rof elsh coloored; umblicated (identifier); itch red sore and swollen

molluscum is contagious?

yess very esp in kids

molluscum tx

cryotherapy (liquid n2)= very painful and intolerable in kids
cantahrone= scarring
podophylin
imiquimoid= hit or miss

zoster is reactivation of

chickenpox

zoster lives in

dorsal nerve root

zoster infx folllows

lines of langer and rarely cross midline!!

hutchinson’s sign

vesicles tht develop on tip or side of nose

dx of zoster

clinical dx

sx of zoster

vesicular rash+ prodromal rash= hx vip

zoster compliactaion

ramsey hunt syndrome= harder to tx
postherpetic neuralagia

do u bx zoster

if undiagnosable yes

smear for zoster

tzank smear

zoster= pcr

true

zoster tx

famcyclovir, acyclovir, valacylovir*

vaccine for zoster

shingrix= not many ppl take it

hsv 1 and 2 dormant in

nerve root ganglia

hsv 1 and 2 wht would pts c/o

tingking senstaion; painful vesicles with crusting

when are hsv 1 and 2 meds given

w/in first 72 hrs

hsv 1 contact

skin to skin contact

hsv 1 and 2 carriers present

yes, viral shedding

how is hsv 1 spread

kissing, sharing utensils

hsv 2 spread

std, wekaend immune system

triggers of hsv

stress, illness, sun exposure, menstration, surgery

topical anti viral med of hsv

acyclovir , docosanol, pencyclovir cream

oral and viral med for hsv

acyclovir, fam/valcyclovir

do you give topical for hsv to kids

yes but not adults