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Dermatologic Issues in Acute Care Settings

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27 Questions

Which one of these is the most correct?

This one

What is the most common cause of erythroderma?

Preexisting cutaneous conditions like psoriasis

Which class of medications is NOT commonly associated with triggering exfoliative dermatitis?

Antidepressants

Which of the following is NOT a characteristic physical finding of erythroderma?

Thick, leathery skin due to lichenification

What symptom is present in nearly all patients with erythroderma?

Pruritus

Why is it crucial to identify and manage erythroderma appropriately?

Erythroderma may be life-threatening

Which one of these is the most correct?

This one

Which of the following is NOT a common clinical finding in erythroderma?

Hyperpigmentation

Which of the following laboratory abnormalities is NOT typically seen in erythroderma?

Thrombocytopenia

Which of the following is NOT a recommended management strategy for erythroderma?

Systemic corticosteroids

Which of the following is NOT a characteristic of erythema multiforme (EM)?

Chronic and progressive course

Which of the following is a potential treatment option for idiopathic cases of erythroderma?

All of the above

What is a major risk factor for developing erysipelas?

Lymphatic edema

What are common entry portals for erysipelas?

Surgical incisions, insect bites, stasis ulcerations, and venous stasis

Which symptom is NOT typically experienced by patients with erysipelas?

Rash

How is the location of inflammation important in diagnosing erysipelas?

Redness and swelling involving a joint should raise suspicion for septic arthritis

What is NOT required for the diagnosis of erysipelas?

Imaging studies

What should be a part of the initial evaluation for a patient with SJS?

Obtaining a CBC, LFT, BMP, EKG, Chest x-ray

What is the recommended treatment for a patient with SJS in terms of fluid replacement?

Crystalloids

What is the best course of action regarding the suspected causative drug in a patient with SJS?

Discontinue its use

What is the extent of detached skin surface area that classifies the condition as TEN instead of SJS?

More than 30% body surface area

Which drug is reported to be effective in the treatment of both SJS and TEN?

Systemic corticosteroids

What is a common requirement for the care of patients with SJS and TEN regarding skincare?

Daily examination of skin and mucosal surfaces

What is an approach that should be avoided concerning antibiotics in the treatment of SJS and TEN?

Prophylactic use

What is recommended regarding systemic corticosteroids in the treatment of SJS?

Using them at high doses for the first few days of admission

What are some of the systemic drugs reported effective for both SJS and TEN?

Corticosteroids and immunosuppressants

In patients with TEN, what percentage of body surface area detachment differentiates it from SJS?

More than 30%

Explore dermatologic issues commonly seen in acute care settings, including exfoliative erythroderma and its characteristics. Learn about clinical findings, causes, and treatments for skin conditions observed in the acute care environment.

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