Student.Handout.HEENT (2)

85 hsl clinical presentation outbreaks are painful

Info icon This preview shows pages 85–92. Sign up to view the full content.

View Full Document Right Arrow Icon
85 HSL Clinical Presentation Outbreaks are painful and cosmetically unappealing Small red fluid-filled papules 1 - 3 mm wide Lesions often coalesce into clusters Crusting develops as vesicles mature and heal Sometimes accompanied by a fever, swollen lymph nodes, and malaise Lesions are often proceeded by prodromal symptoms Localized itching, tingling, numb sensations
Image of page 85

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
86 Progression of HSL Infection Lifetime infection, there is no cure The virus lies dormant in the trigeminal ganglia (latent phase) Reactivation is provoked by environmental triggers Ultraviolet radiation, stress, fatigue, cold temperatures, and windburn HSL is self-limiting and symptoms should resolve in 10 – 14 days
Image of page 86
87 Topical Treatments for HSL Docosanol 10% (Abreva ® ) Only FDA approved agent proven to decrease the severity and duration of symptoms Inhibits viral replication Directions for use Apply at first sign of an outbreak Apply 5 times per day until lesion is healed Topical anesthetics provide symptomatic relief Photo adopted from: http://www.drugstore.com/abreva-cold-sorefever-blister-treatment-pump/qxp172072?fromsrch=abreva Do NOT use debriding / cleansing agents or mucosal protectants
Image of page 87

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
88 Topical Oral Anesthetics ( RAS and HSL) Benzocaine 10% Anbesol Regular Strength Gel / Liquid ® Zilactin-B Gel ® Benzocaine 20% Kank-A Liquid ® Orabase Maximum Strength Paste / Gel ® Orajel Mouth Sore Medicine ® Camphor, menthol, phenol products Blistex ® and Carmex ® Lip Ointments Photo adopted from: http://www.drugstore.com/
Image of page 88
89 OTC Topical Anesthetic Concentrations Benzocaine 5 – 20% Benzyl alcohol 0.05 – 0.1% Butacaine sulfate 0.05 – 0.1% Dyclonine 0.05 – 0.1% Salicylic alcohol 1 – 6% Camphor 0.1 – 3% Menthol 0.04 – 2.0% Phenol 0.5 – 1.5% Recommend an oral analgesic for additional relief of oral discomfort Photo adopted from: http://www.drugstore.com/
Image of page 89

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
90 HSL Supportive Treatment Gently wash lesions with mild soap solutions Wash hands frequently Do NOT squeeze or burst lesions Keep lesions hydrated with a skin protectant Apply topical allantoin, petrolatum, or cocoa butter Do NOT use hydrocoritsone Avoid precipitating factors Stress, wind, sun exposure, local trauma, and fatigue Use a minimum SPF 15 sunscreen on lips and face
Image of page 90
91 Question Question MS is a 38 yo WM who was MS is a 38 yo WM who was outside shoveling his driveway outside shoveling his driveway yesterday during a snowstorm yesterday during a snowstorm PMH: 1 previous outbreak of PMH: 1 previous outbreak of HSL 10 months ago HSL 10 months ago Today he feels a numb tingling Today he feels a numb tingling sensation on his upper right side sensation on his upper right side of his lip. Should MS take any of his lip. Should MS take any action at this time?
Image of page 91

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 92
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern