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كل انواع الهربس والجرب - Coggle Diagram
كل انواع الهربس والجرب
impetigo
فيروس معدي للغايه
صور ليه
صوره
Causes
Spots that involves skin to skin contact
Contaminated surface, objects and clothes
Infection by streptococcus or staphylococcus
Direct contact with infected persons sores
Pharmacological effect
Topical antibiotics; Creams and ointments
Systemic antibiotics: includes dicloxacillin, erythromycin
مش بيحتاج بقي acyclovir ولا zovirax كريم ولا بتاع
Shingles: (herpes zoster)
Prescribing
Immunocompromised:Aciclovir: 800 mg five times a day for 7 days. Continue for 2 days after the lesions have crusted.
Renal impaired: egfr 10–25 mL/minute/1.73 m2, reduce the dosage to 800 mg every eight hours.
eGFR is less than 10 mL/minute/1.73 m2, reduce the dosage to 800 mg every twelve hours.
Common Adverse effects: gastrointestinal adverse effects, such as nausea, vomiting, diarrhoea, and abdominal pain. Headache, dizziness, fever, fatigue, and skin rashes (including photosensitivity and urticaria)
immunocompetent: Aciclovir: 800 mg five times a day for 7 days at 4-hourly intervals, omitting the night time dose
Management
Seek advice on pregnant woman and immunocompromised children
Pain-offer a trial of paracetamol alone or in combination with codeine or a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen.
oral antiviral treatment (aciclovir, valaciclovir, or famciclovir) within 72 hours of onset of rash for all people over 50 years of age. If not possible consider starting treatment up to 7 days after rash
Consider oral corticosteroids in the first 2 weeks following rash onset in immunocompetent adults with localized shingles if pain is severe, but only in combination with antiviral treatment.
If this is not effective, or the person presents with severe pain, consider offering amitriptyline (off-label use), duloxetine (off-label use), gabapentin, or pregabalin.
Admit to hospital if serious complications
assess symptoms e.g. pain, rash, any complications e.g. infection, ocular involvement. Risk Factors
Risk Factors
Skin conditions- atopic eczema
Increasing age — Occurs at any age, the incidence of the disease (and the risk of complications) increases with age. This is thought to result from an age-related decline in virus-specific, cell-mediated immune responses
Immunocompromise — other conditions that change cell-mediated immunity can increase the risk of shingles
Race/ethnicity-white people more at risk
Comorbidities- RA, Asthma, COPD, Depression, CKD
Sex- women at greater risk
Psychological factors
بعد دور برد
صور ليه
للوقايه خد اللقاح بتاعه
اكياس مليانه سايل حول الفم
herpes simpex حبوب مليان سوايل حول الفم
zosterحبوب مليانه سوايل برضو لكن ف الجذع واماكن تانيه
Virus: Chickenpox
المرض دا بيبدا بنقط منتشره ثم تتجمع وفي اخر مرحله تكون crusts
Chickenpox requires no medical treatment. A doctor might prescribe an antihistamine to relive the itching. For the most part, it is left to run its course. If someone has a high risk for complications, a doctor might prescribe some medication to prevent infection from spreading further.
Taking Care of the Rash:
Calamine lotion dabbed on the spots
A cool bath with added baking soda or uncooked oatmeal
A soft, bland diet if chicken pox sores develop in mouth
Antihistamines such as diphenhydramine (Benadryl, others) for itching. (Ask a doctor to make sure children can take these medications)
Chickenpox vaccine isn't approved for:
People who are allergic to gelatin or the antibiotic neomycin
Pregnant Women
People with weakened immunity
Doctors estimate that each year 3.5 to 4 million people, mostly children, get chickenpox. Ninety percent of cases are in people under 15 years of age. The U.S. Centers for Disease Control and Prevention (CDC) reports that there are approximately 100 deaths and 9,300 hospitalizations due to the complications of chickenpox each year.
خطورته ع الحامل بيعمل تشوهات للجنين وفي نفس الوقت الحامل لاتستطيع اخد اللقاح وممكن يسبب اجهاض
recommendations
لا يستحمي باللفيه ولا يهرش وياخد العلاج ويرتاح ف البيت ولا يختلط باي حامل ولا باي حد عنده نقص مناعه او بياخد ادوية سرطان ولا بالاطفال الصغيرين ع مناعتهم ضعيفه وبيلقطوه كتير جدا ,,ويقص الاظافر
صور ليه
ممكن نزود k permengenate بس طبعا مش ع الوجه بس مش محبذه لكنىالافضل كالامين لوشن فقط
فرق بين صور herpes simplex and impetigo
scabies الجرب
معدي جدا وهتلاقيه عند ناس تانيه في ااالاسره بنسيبه كبيره
صور
الحساسيه وهي اسمها ف الجلديه dermatitis ودي اشهر مرض ف الجلديه
العلاج
anti histaminic as tavegyl or allergyl syrup or tabs دا بينيم
cotraindicated in cardiac patients because it causes brady cardia
or non sedating as zyrtec or mosedin
but they are contraindicated in hepatic and renal patients so you can use
fexon or telfast
and cortico steriod cream
but not more than one weak and not in the face or folds or infants because high absorbion rate
cortisone skinn atrophy
do not forget to use keratolytic cream as cabamide
but accompanies by soothing agents because its burning sensation
in infants lower than two years use fenistil drops on syrup only
الاعراض
itching and redness at the site of contacts
ال DD
scabies طبعا
herpes
هامه
ttt includes
oral anti histaminic
topical cream
keeratolytic cream
حاجتين ياكدولك المرض دا
