Peds exam 4

Thin, loose epidermise, eccrine sweat glands functional, apocrine sweat glands small and nonfunctional, less melanin, suceptible to sunburn

Atopic dermatitis. Allergic tendency that runs in families, t-cell reaction immune response. Itchy, red patches, vesicles, crusting, pigment changes distributed over arms, face, back, backs of hands and feet, skin folds (warm places are the worse)

Hydrate and lubricate skin, avoid infection. Medications include emollients, oral antihistamines, antibiotics, corticosteroids, immunomodulators.

Red, itchy, vesicles in limited area of contact. D/t direct contact with allergen or irritant.

Remove irritant, use Calamine lotion, antihistamines, cool compress, oatmeal soak, topical steroids (for allergy)

Irritation-->red plaques-->fiery red raised rash/pustules. Result of reaction to urine, feces, moisture or friction. Can get yeast infection

Open air for healing, butt paste, cortisone cream, antifungal for yeast infection

Dermatitis, "cradle cap" from overactive sebaceous glands. Redness, scaling, yellow-red patches, greasy scaling

Baby oil, vigorous washing over baby's soft spots

Oral candidiasis/yeast infection. Acute in newborns (pick up from mom), chronic in immunosuppressed children. White patches look like coagulated milk in mouth.

Nystatin or other antifungal suspension

Very contagious, clean toys, pacifiers etc. Rinse mouths after steroidal asthma inhalers

Chronic inflammatory disorder or pilosebaceous hair follicles. Whiteheads, blackheads, cystic lesions.

Astringents, topical benzyl peroxide, hygiene, balanced diet. Retinase, oral antibiotics (tetracycline), Acutane (needs lab work follow up for liver toxicity)

Bacterial. Vesicle, pustule on face, yellow-green crust, can spread quickly.