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----------------------. CELLULITIS:
-----------. Cellulitis with systemic manifestations e.g. fever,rigors,chills & confusion is ttt by
I.V. NAFICILLIN or Cefazolin.
. caused by staph or strept.
. Generalized swelling which is erythematous "linear streaks", warm, tender but less
well demarcated than Erysipelas.
. An associated fungal infection may acts as a portal of entry.
. Tinea Corporis:
----------------. Ring shaped scaly patches with central clearin & scaly borders.
. Dx: KOH -----> Hyphae. . Tx: Local Terbinafine or systemic Griseofluvin.
. Tinea Versicolor:
------------------. Pale velvety pink or whitish hypopigmented macules that DON'T TAN !
. SCALE ON SCRAPING.
. Dx: KOH preparation ----> Spaghetti & meat ball appearance.
. Tx: Selenium sulfide.
. NECROTIZING FASCIITIS:
-----------------------. Severe pain & swelling.
. H/O of recent trauma.
. High fever > 39 c.
. Edematous limb with PURPLISH DISCOLORATION of the injured area "denoting
start of
gangrene!".
. Surgical debridement of all necrotic tissue.
. Empiric IV Antibiotics e.g AMPICILLIN + SULBACTAM + CLINDAMYCIN.
. Bullae & seroanguinous discharge.
. Seborrheic dermatitis:
-----------------------. Fine loose waxy scales with underlying erythema.
. On scalp, eye brows.
. Associated with HIV or parkinsonism.
. PRIMARY BILIARY CIRRHOSIS:
---------------------------. Pruritis, jaundice, steatorrhea, HSM, ++ ALP, ++ Bilirubin.
. +ve Anti-mitochondrial Antibodies.
. Immune mediated destruction of intra hepatic bile ducts ---> Bile stasis &
cirrhosis.
. Cutaneous association ---> XANTHELASMA