Patients present with pain swelling redness and the

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Patients present with pain, swelling, redness, and the presence of a fluctuating massPilonidal abscesses occur in the midline upper edge of the buttockTreatmentIncision and drainageSurgical excisionPRESSURE SORESEarly ulcers have irregular, ragged borders, but chronic ulcers have smooth, well-demarcated bordersSymptoms include painful ulcerationsRASH SCABIESOccurs in flexural creases, hands, and feetS scabiei burrows into the skin and lays its eggsSymptoms include intense itch and mild burning, excoriation, and pruritic red papulesTreatmentLindanePermethrinSPIDER BITESSTEVENS-JOHNSON SYNDROMEBullous variant of EM most often secondary to medication that occurs in mucous membranes, conjunctiva, the respiratory tract, and various areas of the skin
Symptoms include a viral-like prodrome that precedes that skin and mucosal lesions, which are itchy, burning, red-pink, target-shaped lysing bullae that give way to erosionsTreatmentAntihistamines for the itchSoft-liquid dietTOXIC EPIDERMAL NECROLYSISAn EM variant that is a true emergency from lysis of 30-100% of epidermis at the dermal junctionSymptoms include a prodrome of fever and influenza-like symptoms, classic target-like lesions symmetrically distributed on the dorsum of the hands, palms, soles, face, and knees, where the initial lesions can become confluent, erythematous, and tender with bullous formation and subsequent loss of epidermisPositive Nikolsky signSloughing of epidermis with light pressure over the lesionTreatmentNo use of steroidsHospital admission to burn unitWounds are treated as second degree burnsURTICARIAAn immunologic reaction that results in mast-cell degranulation of histamineCharacterized by wheals, an abrupt development of transient, edematous, pink papules and plaques that may be localized or generalized and are usually pruriticTreatmentPO or IV corticosteroidsObservation
AntihistaminesEpinephrine if associated airway compromiseVIRAL EXANTHEMSENDOCRINOLOGYADRENAL INSUFFICIENCYAn acute life-threatening emergency that occurs secondary to cortisol and aldosterone insufficiencySymptoms include shock, anorexia, fatigue, hyperpigmentation, confusion, and feverDiagnosisBlood draw for electrolytes, cortisol, ACTHElectrolytes show hyperkalemia and hyponatremiaLow serum cortisol level and inadequate serum cortisol response 30 or 60minutes after ACTH stimulation testEKG may show peaked, elevated T wavesTreatmentRehydrationSteroid replacement with dexamethasoneThis doesn’t impact the stimulation testLong-term glucocorticoid and mineralocorticoid replacementCUSHING DISEASE DIABETES INSIPIDUSDIABETES MELLITUSFasting plasma glucose > 126 mg/dL on two occasions in the presence of symptoms of hyperglycemia
Insulin is a major anabolic hormone with inhibitory effects on ketogenesis,

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Term
Spring
Professor
tracy
Tags
angina

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