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Copy of COMMON SKIN DISORDERS IN SCHOOL CHILDREN

take 2.
by

Sondae Stevens

on 14 January 2016

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Transcript of Copy of COMMON SKIN DISORDERS IN SCHOOL CHILDREN

COMMON SKIN DISORDERS IN SCHOOL CHILDREN
Name that Rash!!
LET'S PLAY A GAME!
Airborne Precautions
CHICKEN POX
Very contagious. Incubation is 10 days. Child must be off school. May return to school when all lesions have crusted over. Avoid ASA: Reye's syndrome. Use tylenol, calamine lotion and prevent infection.
Chicken Pox
SKIN INFECTIONS
Bacterial, Fungal and Viral


PREVENTION IS BEST!


HOW?

WASHING YOUR HANDS WITH WARM WATER AND SOAP!


SING THE HAPPY BIRTHDAY SONG!


HAND SANITIZER IS JUST NOT ENOUGH.
BACTERIAL SKIN INFECTIONS
FEVER
Blister-like red bumps all over the body.
??

Cause

The food you eat?

Mayonnaise?

Eggs?

Cholesterol?

The phases of the moon?
BOILS
Contact Precautions
Hygiene.

STAPH INFECTION
Nasal Staphylococcal Colonization and bacterial shedding
TEACH KIDS NOT TO PICK THEIR NOSES

WASH THEIR HANDS.

KEEP FINGERNAILS CLEAN

DON'T SCRATCH THEIR SKIN
NAME THAT RASH!!
Contact Precautions
IMPETIGO!
Another staph infection.
Hygiene.
Avoid Contamination.

Topical antibiotics for impetigo.


Oral antibiotics for BOILS.
Avoid manipulation.
Use hot compresses.
TREATMENT OF STAPH INFECTIONS
Avoid "Neo" , Neosporin.

Choose Polymyxin, Polysporin. OTC.
TOPICAL ANTIBIOTICS

Which one?
FUNGAL SKIN INFECTIONS
RINGWORM

is NOT a worm.
Key point: Itchy when WET!
Standard Precautions
Dr. Jitka Lom

expresscareguam@gmail.com

477-2873


QUESTIONS????
THANK YOU FOR YOUR ATTENTION!
LONGTERM TOPICAL ANTIFUNGALS


OTC IS FINE.

Lamisil.
Clotrimazole.
Tinactin.

WIDE APPLICATION. TWICE A DAY
FOR AT LEAST 3 weeks.
TREATMENT OF RINGWORM
SLOW AND STEADY WINS THE RACE
NAME THAT RASH!!!
Tinea Versicolor.

A skin Yeast.
JAF JAF!!
Avoid Selsun Blue

Use Nizoral (ketoconazole shampoo OTC 1%).

Lather on, leave on for 5-10 min, rinse off. Repeat 3 x a week for many weeks.
TREATMENT
we already talked about chicken pox
VIRAL SKIN INFECTIONS
WARTS
TREATMENT OF WARTS
OTC.
Liquid nitrogen, burning, cutting,
injection with Candida antigen.

OR DUCT TAPE
Standard Precautions
YES, They are contagious!
NAME THAT RASH!!!
Viral exanthem.

Very contagious.

Treatment: Time,
or, if you don't want your whole class to get infected....

GO TO EXPRESSCARE!
Molluscum Contagiosum
NAME THAT RASH!!
?SKIN ASTHMA?

ITCHY, DRY, SENSITIVE SKIN.

Thinner.
ECZEMA!!
MOISTURIZE MOISTURIZE MOISTURIZE.

REcreate a Barrier.

Topical steroid ointments. (never creams)

Elidel/Protopic (non-steroidal ointments)

Avoid fragrances in soaps and detergents.

Avoid trigger foods.
TREATMENT OF ECZEMA
NAME THAT RASH!
ACNE
ACNE
ACNE IS NOT JUST COSMETIC
HORMONES HEREDITY OIL BACTERIA

Wash twice a day with warm water and mild soap.

DO NOT PICK PIMPLES.

Start with Topical Benzoyl Peroxide. 5% OTC.

Understand you have to be patient.

If not improving after 6 weeks, send to clinic for oral
antibiotics and prescription topicals.

AVOID SCARRING!!
NAME THAT RASH!!
Allergic reaction to ??

Medication.
Foods.
Heat/cold.
Viral illness.
Insect bites, stings.
creams/lotions/sunblock
URTICARIA: HIVES!
wheezing
shortness of breath
weakness


to indicate a systemic reaction
LOOK FOR
NAME THAT RASH!!
Super itchy.

Affecting fingers, toes, axillae, groin.
SCABIES
The invader.
Permethrin for the whole family.
Neck to toes.

Wash everything in HOT water,
or put it in the dryer to kill the eggs.
Treatment of Scabies
YOU MAKE A BIG DIFFERENCE TO OUR CHILDREN
BY RECOGNIZING THEIR RASHES
GUIDING THEM TO CARE FOR THEMSELVES
AND ALERTING THEIR PARENTS TO SEEK FURTHER CARE!

THANK YOU SCHOOL NURSES!!

OUR UNSUNG HEROES!
conclusion
AND IF ECZEMA IS NOT GETTING BETTER?

It's probably infected.
SECONDARY BACTERIAL INFECTIONS

SECONDARY VIRAL INFECTIONS (Herpetic)

SECONDARY YEAST INFECTIONS
CUTS AND SCRAPES!!
LAST BUT NOT LEAST......
AVOID HYDROGEN PEROXIDE PLEASE!!
WASH WITH WARM WATER AND SOAP!!
Standard precautions
Standard precautions
Contact Precautions
Full transcript