Drugs, especially sulfa drugs, antiseizure drugs, and antibiotics, are the most common read more and some autoimmune bullous diseases Introduction to Bullous Diseases Bullae are elevated, fluid-filled blisters 10 mm in diameter. The disease has three phases, and the second phase involves skin induration. Laboratory testing may be required to confirm an uncertain diagnosis, evaluate for deep infections or sepsis, determine the need for inpatient care, and evaluate and treat comorbidities. The search included systematic reviews, meta-analyses, reviews of clinical trials and other primary sources, and evidence-based guidelines. Hidradenitis suppurativa Hidradenitis Suppurativa Hidradenitis suppurativa is a chronic, scarring, acnelike inflammatory process that occurs in the axillae, groin, and around the nipples and anus. Pityriasis rosea most commonly occurs between read more and chronic dermatitis of any type may be scaly. Diagnosis read more , physical trauma with or without vascular compromise (eg, caused by decubitus ulcers Pressure Injuries Pressure injuries are areas of necrosis and often ulceration (also called pressure ulcers) where soft tissues are compressed between bony prominences and external hard surfaces. The immune system works to fight off the bacteria and old, spent white blood cells collect in the skin. DermNet NZ. It is considered to be an autoimmune disease, in which the immune system attacks healthy tissues, but what triggers it isn't clear. PDF Wound Care Basics for the Primary Care Physician - Baylor College of Physical Exam Terms Flashcards | Chegg.com Koebner phenomenon describes the development of lesions within areas of trauma (eg, caused by scratching, rubbing, or injury). Clinicians recorded whether fluctuance was present for each subject initially and after 48 hours. It can occur in classic, AIDS-associated, endemic (in Africa), and iatrogenic (eg, after organ transplantation) read more and hemangiomas, can appear purple. https://www.aafp.org/afp/2014/0815/p239.html. Predisposing factors for SSTIs include reduced tissue vascularity and oxygenation, increased peripheral fluid stasis and risk of skin trauma, and decreased ability to combat infections. Patients with necrotizing fasciitis may have pain disproportionate to the physical findings, rapid progression of infection, cutaneous anesthesia, hemorrhage or bullous changes, and crepitus indicating gas in the soft tissues.5 Tense overlying edema and bullae, when present, help distinguish necrotizing fasciitis from non-necrotizing infections.18, The diagnosis of SSTIs is predominantly clinical. Treatment may include topical corticosteroids and phototherapy read more . NIDDM, What is the medical terms for the following past surgical history term? Diagnosis is clinical. Umbilicated lesions have a central indentation and are usually viral. dry, adherent, intact without erythema or fluctuance) on the heel or ischemic limb should not be softened or removed. Telangiectases are foci of small, permanently dilated blood vessels that may occur in areas of sun damage, rosacea Rosacea Rosacea is a chronic inflammatory disorder characterized by facial flushing, telangiectasias, erythema, papules, pustules, and, in severe cases, rhinophyma. Medical Definition of Induration - MedicineNet Symptoms are high fever, severe headache, and rash. -1+ = hypoactive. Moving in waves. Reflexes 2+ and symmetric vs. -0 = absent. VCRT Quizzes Flashcards | Quizlet COVID Arm: Delayed Hypersensitivity Reactions to SARS-CoV-2 Vaccines Your antibiotic may need to be changed to a different type of medication. Purpura is a larger area of hemorrhage that may be palpable. As can be seen, each of these tissue types is distinct, with identifiable characteristics and treatment considerations. The American Heritage Medical Dictionary Copyright 2007, 2004 by Houghton Mifflin Company. The mTST - An mHealth approach for training and quality - PLOS Induration: Localized hardening of soft tissue of the body. it is unnecessary to await fluctuance. Common manifestations may include arthralgias and read more has characteristic lesions on sun-exposed skin of the face, especially the forehead, nose, and the conchal bowl of the ear. Treatment is read more ). Black eschars are collections of dead skin that can arise from infarction, which may be caused by infection (eg, anthrax Anthrax Anthrax is caused by the gram-positive Bacillus anthracis, which are toxin-producing, encapsulated, facultative anaerobic organisms. Identifying Types of Tissues Found in Pressure Ulcers Superficial Infections: Cellulitis and Erysipelas. The hardening of a normally soft tissue or organ, especially the skin, due to inflammation, infiltration of a neoplasm, or accumulation of blood. Lesions of psoriasis Psoriasis Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. fluctuance vs induration Induration measurement. Common severe infections include encephalitis read more . Configuration is the shape of single lesions and the arrangement of clusters of lesions. A dedicated probe cover or an exam glove can be used to cover the . PDF Venous, Arterial, and Neuropathic Lower- Extremity Wounds Indurated areas commonly appear on the hands and face but can also be found on the chest, back, abdomen, breasts, or buttocks. Elevation of the affected extremity (to help reduce any swelling). Soft . Her tetanus vaccination is up-to-date. Magnetic resonance imaging is highly sensitive (100%) for necrotizing fasciitis; specificity is lower (86%).24 Extensive involvement of the deep intermuscular fascia, fascial thickening (more than 3 mm), and partial or complete absence of signal enhancement of the thickened fasciae on postgadolinium images suggest necrotizing fasciitis.25 Adding ultrasonography to clinical examination in children and adolescents with clinically suspected SSTI increases the accuracy of diagnosing the extent and depth of infection (sensitivity = 77.6% vs. 43.7%; specificity = 61.3% vs. 42.0%, respectively).26, The management of SSTIs is determined primarily by their severity and location, and by the patient's comorbidities (Figure 5). The infection may also originate from an adjacent site or from embolic spread from a distant site. PDF Abscess: Incision and Drainage - Texas Children's Hospital induration ( 2 cm in diameter), or tenderness; and (4) evidence of lobulated fluid at time of enrollment Clinical cure: at the 1-week follow-up visit if there was resolution of the following signs and symptoms: purulent wound drainage, erythema, fluctuance, localized warmth, pain/tenderness, and edema/induration Herpetiform describes grouped papules or vesicles arranged like those of a herpes simplex infection Herpes Simplex Virus (HSV) Infections Herpes simplex viruses (human herpesviruses types 1 and 2) commonly cause recurrent infection affecting the skin, mouth, lips, eyes, and genitals. Certain chemicals given off by bacteria and white blood cells also accumulate under the skin forming pus. fluctuance: meaning, anagrams - WordSense injury will be revealed. Lesion Configuration (Secondary Morphology), Overview of Rickettsial and Related Infections, Mastocytosis and Mast Cell Activation Syndrome, Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), Amzeeq, Arestin, Dynacin, Minocin, minolira, Myrac, Solodyn, Ximino, Zilxi. Lichen planus Lichen Planus Lichen planus is a recurrent, pruritic, inflammatory eruption characterized by small, discrete, polygonal, flat-topped, violaceous papules that may coalesce into rough scaly plaques, often accompanied read more frequently arises on the wrists, forearms, genitals, and lower legs. 2005;18(4):401-404. doi:10.1080/08998280.2005.11928101. Vitiligo Vitiligo Vitiligo is a loss of skin melanocytes that causes areas of skin depigmentation of varying sizes. fluctuancee | English to Spanish | Medical (general) - ProZ.com Yellow skin is typical of jaundice Jaundice Jaundice is a yellowish discoloration of the skin and mucous membranes caused by hyperbilirubinemia. Diagnosis is based on the characteristic read more , systemic diseases (especially systemic sclerosis Systemic Sclerosis Systemic sclerosis is a rare chronic disease of unknown cause characterized by diffuse fibrosis and vascular abnormalities in the skin, joints, and internal organs (especially the esophagus read more ), or inherited diseases (eg, ataxia-telangiectasia Ataxia-Telangiectasia Ataxia-telangiectasia results from a DNA repair defect that frequently results in humoral and cellular immunodeficiency; it causes progressive cerebellar ataxia, oculocutaneous telangiectasias read more , hereditary hemorrhagic telangiectasia Hereditary Hemorrhagic Telangiectasia Hereditary hemorrhagic telangiectasia is a hereditary disorder of vascular malformation transmitted as an autosomal dominant trait affecting men and women. Causes include platelet abnormalities (eg, thrombocytopenia, platelet dysfunction Overview of Platelet Disorders Platelets are circulating cell fragments that function in the clotting system. Medical Definition of Calor, dolor, rubor, and tumor. Diagnosis of skin induration is made by palpation (feeling the area) and assessing whether the raised area has a hard, resistant feeling. Thrombopoietin helps control the number of circulating platelets by stimulating the bone marrow to produce megakaryocytes read more ), vasculitis Overview of Vasculitis Vasculitis is inflammation of blood vessels, often with ischemia, necrosis, and organ inflammation. Sherry Christiansen is a medical writer with a healthcare background. Scleroderma (systemic sclerosis) is a rare condition involving inflammation and fibrosis of the skin and internal organs. Skin and soft tissue infections (SSTIs) account for more than 14 million physician office visits each year in the United States, as well as emergency department visits and hospitalizations.1 The greatest incidence is among persons 18 to 44 years of age, men, and blacks.1,2 Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) accounts for 59% of SSTIs presenting to the emergency department.3, SSTIs are classified as simple (uncomplicated) or complicated (necrotizing or nonnecrotizing) and can involve the skin, subcutaneous fat, fascial layers, and musculotendinous structures.4 SSTIs can be purulent or nonpurulent (mild, moderate, or severe).5 To help stratify clinical interventions, SSTIs can be classified based on their severity, presence of comorbidities, and need for and nature of therapeutic intervention (Table 1).3, Simple infections confined to the skin and underlying superficial soft tissues generally respond well to outpatient management.
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