Lesson 1Management a Complication: Cellulitis, Post-Streptococcal Glomerulonephritis Risk, an Criteria fi Urgent ReferralAddress recognition an management a impetigo complication, includin cellulitis, invasive infection, an poststreptococcal glomerulonephritis, wid emphasis pon early warnin sign an criteria fi urgent specialist referral. It teach yuh how fi know when di infection get serious an need quick help.
Recognizin an gradin cellulitis severitySign a systemic toxicity an sepsis riskPoststreptococcal glomerulonephritis overviewMonitorin urine, blood pressure, an edemaUrgent referral an hospitalization triggerLesson 2Differential Diagnosis: Herpes Simplex, Varicella, Allergic Contact Dermatitis, Bullous Impetigo vs Bullous Impetigo-Mimic — Justification fi EachDifferentiate impetigo from other pickney vesiculobullous an crusted eruption, includin herpes simplex, varicella, an allergic contact dermatitis, wid key clinical clue an justification fi each alternative diagnosis. It help yuh tell impetigo from other blister rash weh look similar.
Distinguishin impetigo from herpes simplexFeature separatin impetigo an varicellaAllergic contact dermatitis mimickin impetigoBullous impetigo versus staphylococcal scalded skinWhen fi suspect autoimmune blisterin diseaseLesson 3Microbiology an Pathogenesis: Staphylococcus Aureus an Streptococcus Pyogenes Role, Toxin-Mediated BullaeExplore di microbiology an pathogenesis a impetigo, focusin pon Staphylococcus aureus, Streptococcus pyogenes, toxin-mediated blisterin, an host factor dat influence colonization, invasion, an clinical severity. It explain how di germ cause di sore an blister pon pickney skin.
Staphylococcus aureus virulence mechanismStreptococcus pyogenes skin infection pathwayToxin-mediated bullae an epidermal splittinRole a nasal an skin colonization siteHost immunity an barrier function factorLesson 4Examination Detail: Honey-Colored Crust, Bullae, Regional Lymphadenopathy, Mucosal InvolvementDetail focused skin an mucosal examination in suspected impetigo an vesiculobullous disease, highlightin lesion morphology, distribution, systemic sign, an lymph node findin fi guide diagnosis, severity gradin, an next step. It show yuh how fi check di sore proper fi know weh fi do.
Lesion morphology an evolution over timeDistribution pattern an body site predilectionAssessment a honey-colored crust an erosionEvaluation a mucosal an periorificial involvementPalpation a regional lymph node an edemaLesson 5Typical Presentation: Non-Bullous an Bullous Impetigo, Perioral/Perinasal Distribution, Spreadin PatternDescribe classic clinical pattern a nonbullous an bullous impetigo in pickney, includin typical anatomic site, spread along traumatized skin, an distinguishin feature from other vesiculobullous pickney eruption. It describe how di impetigo usually look an spread pon child.
Nonbullous impetigo facial an extremity lesionBullous impetigo in babies an young pickneyPerioral an perinasal distribution characteristicPattern a autoinoculation an lesion spreadRecognizin atypical or extensive presentationLesson 6When fi Consider Dermatology or Infectious Disease Referral an Indication fi HospitalizationClarify when primary care management insufficient, outlinin red flag dat require dermatology or infectious disease input, criteria fi hospital admission, an coordination a multidisciplinary care in complex or unstable pickney. It help yuh know when fi send pickney fi specialist or hospital.
Red flag clinical feature requirin escalationCriteria fi dermatology subspecialty referralWhen fi involve infectious disease specialistIndication fi emergency department assessmentHospital admission criteria an monitorin needLesson 7Indication fi Diagnostic Testin: Wound Swab an Culture, PCR fi HSV, When Blood Test WarrantedExplain when diagnostic testin indicated in pickney impetigo an vesiculobullous eruption, includin swab culture, MRSA screenin, HSV PCR, an blood test, fi refine therapy an evaluate systemic involvement. It guide yuh when fi do test fi confirm di germ.
When fi obtain bacterial swab an cultureInterpretin culture an sensitivity resultIndication fi MRSA screenin procedureRole a HSV PCR in vesiculobullous lesionWhen fi order CBC, CRP, an renal testLesson 8Infection Control an Public Health: Exclusion Policy fi School, Hygiene, Decolonization Strategy, Cleanin FomiteCover infection control principle fi impetigo an related infection, includin school exclusion rule, hygiene education, decolonization strategy, an environmental cleanin fi reduce transmission in household an community settin. It teach how fi stop di infection spread round school an home.
School an daycare exclusion an return ruleHand hygiene an nail care fi pickneyHousehold contact management an screeninTopical an systemic decolonization strategyCleanin linen, toy, an shared fomiteLesson 9Counselin Family pon Contagion, Wound Care, an Return-to-School GuidanceProvide strategy fi counselin caregiver bout contagion, wound care, medication use, an safe timin fi return to school or daycare, emphasizin practical instruction dat support healin an reduce household spread. It give yuh word fi tell parent how fi care fi di sore an when pickney can go back school.
Explainin contagion an transmission routeHome wound cleansin an dressin techniqueUse a topical agent an avoidin home remedyBathin, clothin, an linen recommendationReturn-to-school timin an documentationLesson 10Topical an Systemic Treatment Regimen: Mupirocin/Fusidic Acid Topical Regimen, Oral Antibiotic (Cephalexin, Amoxicillin-Clavulanate, Consideration fi MRSA) wid Dose, Frequency, DurationReview evidence-based topical an systemic antibiotic regimen fi pickney impetigo, includin drug selection, dosin, duration, MRSA consideration, an strategy fi limit resistance while ensurin clinical cure an adherence. It explain di medicine fi use an how fi give dem proper.
Indication fi topical versus oral therapyMupirocin an fusidic acid dosin an durationFirst-line oral beta-lactam antibiotic choiceAdjustin therapy fi suspected MRSA infectionCounselin pon adherence an adverse effectLesson 11Key History: Febrile Prodrome, Timeline, Contact Exposure, School/Nursery Implication an Contagion RiskOutline key history element in suspected impetigo an vesiculobullous disease, includin symptom chronology, fever, exposure, school settin, an risk factor dat influence diagnosis, contagion counselin, an public health decision. It show yuh weh fi ask parent fi get di story straight.
Onset, progression, an prior skin conditionFever, malaise, an systemic symptom reviewHousehold, school, an sports contact historyRecent trauma, insect bite, or skin barrier breakPast MRSA, eczema, or recurrent infection history
