Dermatologic Issues in Acute Care Settings
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Questions and Answers

Which one of these is the most correct?

  • This one (correct)
  • This one that also sounds similar
  • This one also sounding similar
  • This one sounding similar

What is the most common cause of erythroderma?

  • Preexisting cutaneous conditions like psoriasis (correct)
  • Underlying malignancy
  • Severe bacterial skin infection
  • Allergic reaction to a new medication

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

  • Antibiotics
  • Antidepressants (correct)
  • Allopurinol
  • Antiepileptics

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

<p>Thick, leathery skin due to lichenification (A)</p> Signup and view all the answers

What symptom is present in nearly all patients with erythroderma?

<p>Pruritus (B)</p> Signup and view all the answers

Why is it crucial to identify and manage erythroderma appropriately?

<p>Erythroderma may be life-threatening (C)</p> Signup and view all the answers

Which one of these is the most correct?

<p>This one (D)</p> Signup and view all the answers

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

<p>Hyperpigmentation (C)</p> Signup and view all the answers

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

<p>Thrombocytopenia (D)</p> Signup and view all the answers

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

<p>Systemic corticosteroids (A)</p> Signup and view all the answers

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

<p>Chronic and progressive course (D)</p> Signup and view all the answers

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

<p>All of the above (D)</p> Signup and view all the answers

What is a major risk factor for developing erysipelas?

<p>Lymphatic edema (A)</p> Signup and view all the answers

What are common entry portals for erysipelas?

<p>Surgical incisions, insect bites, stasis ulcerations, and venous stasis (D)</p> Signup and view all the answers

Which symptom is NOT typically experienced by patients with erysipelas?

<p>Rash (A)</p> Signup and view all the answers

How is the location of inflammation important in diagnosing erysipelas?

<p>Redness and swelling involving a joint should raise suspicion for septic arthritis (B)</p> Signup and view all the answers

What is NOT required for the diagnosis of erysipelas?

<p>Imaging studies (B)</p> Signup and view all the answers

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

<p>Obtaining a CBC, LFT, BMP, EKG, Chest x-ray (A)</p> Signup and view all the answers

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

<p>Crystalloids (C)</p> Signup and view all the answers

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

<p>Discontinue its use (A)</p> Signup and view all the answers

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

<p>More than 30% body surface area (C)</p> Signup and view all the answers

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

<p>Systemic corticosteroids (C)</p> Signup and view all the answers

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

<p>Daily examination of skin and mucosal surfaces (D)</p> Signup and view all the answers

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

<p>Prophylactic use (D)</p> Signup and view all the answers

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

<p>Using them at high doses for the first few days of admission (A)</p> Signup and view all the answers

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

<p>Corticosteroids and immunosuppressants (B)</p> Signup and view all the answers

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

<p>More than 30% (A)</p> Signup and view all the answers

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