these set of slides are about skin infections particularly cellulitis...they aren't complete, however they can give you clues about these infections. hope you enjoy them
Impetigo is a contagious bacterial skin infection that occurs in two main forms: bullous and non-bullous. Bullous impetigo causes large fluid-filled blisters while non-bullous impetigo causes thin-walled vesicles and yellow-brown crusts. Impetigo is generally caused by Staphylococcus aureus or streptococci bacteria and commonly affects the face and limbs, especially in children. Complications can include cellulitis, nephritis, and scarlet fever. Treatment involves topical or oral antibiotics and removing crusts to prevent spread.
1) This document discusses several dermatopathology cases with images and histology findings.
2) Case 1 is diagnosed as syringoma, characterized by cords and strands of epithelial cells with scattered lumens often lined with clear cells.
3) Case 2 is diagnosed as extramammary Paget's disease, characterized by large epidermotropic cells with bluish cytoplasm forming nests beneath a compressed basal layer.
Bullous diseases involve the formation of blisters or vesicles in the epidermis or dermis. There are several types of bullous disorders of immunological origin where autoantibodies damage skin molecules. Pemphigus is an autoimmune disease where antibodies form against desmoglein proteins, causing blistering of the skin and mucous membranes. Pemphigoid also involves autoantibodies targeting basement membrane zone proteins, resulting in tense subepidermal blisters mainly affecting the elderly. Dermatitis herpetiformis is associated with celiac disease and granular IgA deposits in the skin, causing extremely itchy grouped vesicles.
This document discusses diagnostic tests for syphilis caused by the bacterium Treponema pallidum. It describes direct detection methods like darkfield microscopy and fluorescent antibody testing to visualize the bacterium in samples. It also covers non-treponemal tests that detect non-specific reagin antibodies like VDRL and RPR, and treponemal tests that detect antibodies specific to T. pallidum like FTA-ABS. The stages of syphilis and clinical manifestations are also briefly outlined.
This document discusses various bacterial skin infections, including:
- Impetigo, which is caused by Staph aureus or Strep and presents as non-bullous or bullous sores;
- Folliculitis, which is the inflammation of hair follicles that can be caused by Staph;
- Furuncles/boils and carbuncles, which are deep Staph infections of hair follicles;
- Cellulitis, a bacterial infection of subcutaneous tissues, and erysipelas, a superficial streptococcal infection;
- Erythrasma, a chronic infection of the skin caused by Corynebacterium minutissimum.
Cysts with a lining of stratified squamous epithelium: Epidermoid cyst
Milium
Trichilemmal cyst
Vellus hair cyst
Steatocystoma
Dermoid cyst
Cysts lined with non-stratified squamous epithelium: Hidrocystoma, Eccrine or Apocrine
Cysts without an epithelial lining: Mucocele
Digital mucous cyst
Ganglion
This document summarizes several bullous diseases:
1. It describes the locations and characteristics of vesicles and bullae. Vesicles can form within or under the epidermis or between the dermis and epidermis.
2. It then focuses on three main immunobullous diseases - pemphigus, pemphigoid, and linear IgA bullous disease. Pemphigus is caused by antibodies against desmoglein proteins and features flaccid blisters. Pemphigoid features tense blisters caused by antibodies against basement membrane proteins. Linear IgA bullous disease clinically resembles pemphigoid.
3. Dermatitis herpetiformis is described
This document summarizes the histopathology findings of a skin biopsy from a 54-year-old female patient with a clinical diagnosis of bullous pemphigoid. Microscopy showed a subepidermal blister filled with neutrophils. There was a dense neutrophilic infiltrate in the papillary dermis. The impression was consistent with dermatitis herpetiformis. Further evaluation with direct immunofluorescence was advised to identify granular IgA deposits in the dermal papillae, confirming the diagnosis. Differential diagnoses including linear IgA dermatosis and bullous systemic lupus erythematosus were discussed.
Impetigo is a contagious bacterial skin infection that occurs in two main forms: bullous and non-bullous. Bullous impetigo causes large fluid-filled blisters while non-bullous impetigo causes thin-walled vesicles and yellow-brown crusts. Impetigo is generally caused by Staphylococcus aureus or streptococci bacteria and commonly affects the face and limbs, especially in children. Complications can include cellulitis, nephritis, and scarlet fever. Treatment involves topical or oral antibiotics and removing crusts to prevent spread.
1) This document discusses several dermatopathology cases with images and histology findings.
2) Case 1 is diagnosed as syringoma, characterized by cords and strands of epithelial cells with scattered lumens often lined with clear cells.
3) Case 2 is diagnosed as extramammary Paget's disease, characterized by large epidermotropic cells with bluish cytoplasm forming nests beneath a compressed basal layer.
Bullous diseases involve the formation of blisters or vesicles in the epidermis or dermis. There are several types of bullous disorders of immunological origin where autoantibodies damage skin molecules. Pemphigus is an autoimmune disease where antibodies form against desmoglein proteins, causing blistering of the skin and mucous membranes. Pemphigoid also involves autoantibodies targeting basement membrane zone proteins, resulting in tense subepidermal blisters mainly affecting the elderly. Dermatitis herpetiformis is associated with celiac disease and granular IgA deposits in the skin, causing extremely itchy grouped vesicles.
This document discusses diagnostic tests for syphilis caused by the bacterium Treponema pallidum. It describes direct detection methods like darkfield microscopy and fluorescent antibody testing to visualize the bacterium in samples. It also covers non-treponemal tests that detect non-specific reagin antibodies like VDRL and RPR, and treponemal tests that detect antibodies specific to T. pallidum like FTA-ABS. The stages of syphilis and clinical manifestations are also briefly outlined.
This document discusses various bacterial skin infections, including:
- Impetigo, which is caused by Staph aureus or Strep and presents as non-bullous or bullous sores;
- Folliculitis, which is the inflammation of hair follicles that can be caused by Staph;
- Furuncles/boils and carbuncles, which are deep Staph infections of hair follicles;
- Cellulitis, a bacterial infection of subcutaneous tissues, and erysipelas, a superficial streptococcal infection;
- Erythrasma, a chronic infection of the skin caused by Corynebacterium minutissimum.
Cysts with a lining of stratified squamous epithelium: Epidermoid cyst
Milium
Trichilemmal cyst
Vellus hair cyst
Steatocystoma
Dermoid cyst
Cysts lined with non-stratified squamous epithelium: Hidrocystoma, Eccrine or Apocrine
Cysts without an epithelial lining: Mucocele
Digital mucous cyst
Ganglion
This document summarizes several bullous diseases:
1. It describes the locations and characteristics of vesicles and bullae. Vesicles can form within or under the epidermis or between the dermis and epidermis.
2. It then focuses on three main immunobullous diseases - pemphigus, pemphigoid, and linear IgA bullous disease. Pemphigus is caused by antibodies against desmoglein proteins and features flaccid blisters. Pemphigoid features tense blisters caused by antibodies against basement membrane proteins. Linear IgA bullous disease clinically resembles pemphigoid.
3. Dermatitis herpetiformis is described
This document summarizes the histopathology findings of a skin biopsy from a 54-year-old female patient with a clinical diagnosis of bullous pemphigoid. Microscopy showed a subepidermal blister filled with neutrophils. There was a dense neutrophilic infiltrate in the papillary dermis. The impression was consistent with dermatitis herpetiformis. Further evaluation with direct immunofluorescence was advised to identify granular IgA deposits in the dermal papillae, confirming the diagnosis. Differential diagnoses including linear IgA dermatosis and bullous systemic lupus erythematosus were discussed.
Lichen planus is a chronic inflammatory disease that affects the skin and mucous membranes. Microscopically, it is characterized by a band-like lymphohistiocytic infiltrate at the dermo-epidermal junction, vacuolar alteration of basal keratinocytes, saw-toothed rete ridges, and wedge-shaped hypergranulosis. Clinically, it presents as pruritic, violaceous flat-topped papules and plaques, often with white Wickham striae. Variants include hypertrophic, atrophic, ulcerative, actinicus, and lichen planopilaris forms. It is important to differentiate lichen planus from other lichenoid
This document summarizes various immune-mediated bullous lesions of the skin. It describes the different types of blisters and levels at which they can form. The main categories discussed are pemphigus, which involves acantholysis, and subepidermal blistering diseases. Within pemphigus, it describes Pemphigus vulgaris, Pemphigus foliaceus, IgA pemphigus and Paraneoplastic pemphigus. It details the target antigens, histopathology, direct immunofluorescence findings and clinical features of each. For subepidermal blistering, it outlines the structure of the epidermal basement membrane zone and the target antigens in bullous pe
This document discusses various skin conditions and infections caused by bacteria, fungi, and viruses. It provides information on pathogens, signs and symptoms, and management for conditions like impetigo, boils, carbuncles, folliculitis, acne, ringworm, athlete's foot, candidiasis, herpes, and more. Treatment involves topical antiseptics, antibiotics, antifungals, or antivirals as appropriate for each condition. Prevention emphasizes hygiene, avoiding irritation, and not spreading infections between individuals.
Histoid leprosy is a rare form of multibacillary leprosy characterized by cutaneous or subcutaneous nodules and plaques with a unique histopathology and bacterial morphology. It occurs in patients with reduced cell-mediated immunity and irregular or inadequate treatment for leprosy. Lesions most commonly appear on the back, buttocks, face and extremities as firm, dome-shaped papules. Histopathology shows numerous thin, spindle-shaped histiocytes forming bands and whorls containing large numbers of acid-fast bacilli. Treatment involves multidrug therapy with rifampicin, clofazimine and dapsone over an extended period of at least two years.
Bulloous disorders (BSDs) are skin conditions characterized by blister formation between the epidermis and dermis layers of the skin. BSDs are mostly autoimmune in nature and can be caused by genetic factors, physical trauma, inflammation, the immune system, or drug reactions. The main types are genetic blistering diseases like epidermolysis bullosa, and immunobullous diseases like pemphigus and pemphigoid which involve antibody-mediated blistering between skin layers. Pemphigus is an intraepidermal immunobullous disease affecting the skin and mucous membranes, while bullous pemphigoid is a subepidermal immunobullous condition commonly affecting
Cutaneous tuberculosis can occur through either exogenous or endogenous infection by Mycobacterium tuberculosis or M. bovis. Clinical manifestations depend on the site of infection, inoculum type, and host immunity. Diagnosis involves demonstration of acid-fast bacilli in lesions via staining, culture, or PCR. Treatment involves a multi-drug regimen according to WHO guidelines, with surgery sometimes indicated for localized lesions. Drug-resistant tuberculosis requires customized multi-drug treatment regimens.
Bacterial infections of the skin can be either primary (caused by a single pathogen affecting normal skin) or secondary (occurring in already diseased skin). Common primary pathogens include Staphylococcus aureus, beta-hemolytic streptococci, and coryneform bacteria. S. aureus is responsible for infections like impetigo, folliculitis, furuncles, carbuncles, scalded skin syndrome, and toxic shock syndrome. Group A beta-hemolytic streptococci cause impetigo and cellulitis. Other bacterial infections include ecthyma, erysipelas, cellulitis, cutaneous abscesses, and necrotizing fasciitis. Laboratory diagnosis involves specimen collection
Viral skin diseases are common and include infections caused by herpes simplex virus, varicella zoster virus, and human papillomavirus. Herpes simplex virus causes lesions such as cold sores, genital herpes, and eczema herpeticum. Varicella zoster virus causes chickenpox and shingles. Human papillomavirus causes warts, including common warts, flat warts, plantar warts, and genital warts. These viral infections are generally self-limiting but can be treated with antivirals to reduce symptoms and duration of infection.
Dyschromatosis and Reticulate pigmentary disorderssanjay singh
This document summarizes several rare pigmentary disorders including reticulate pigmentary disorders, dyschromatosis, and related conditions. Key points include:
- Reticulate pigmentary disorders involve freckle-like macules joined at margins in a net-like pattern, while dyschromatosis involves interspersed hyperpigmented and hypopigmented macules.
- Several conditions are classified including acral, flexural, generalized types like reticulate acropigmentation of Kitamura and dyschromatosis symmetrica hereditaria.
- Genetic mutations in genes like ADAM10, DSRAD, KRT5 are associated with these conditions. Histopathology often
The document discusses various topics in dermatology including:
- Common skin lesions and their definitions.
- Side effects of topical steroids including atrophy, bruising, allergic contact dermatitis, and moon face.
- Characteristics of psoriasis such as it being inherited, common nail involvement, and methotrexate being used to treat severe cases.
- Investigations for contact dermatitis which includes patch testing.
- Patient education for contact dermatitis including avoiding allergens and wearing gloves.
- Causes of non-scarring hair loss such as alopecia areata, drugs, hypothyroidism, and trauma.
This document provides an overview of erythroderma, also known as generalized exfoliative dermatitis. It defines erythroderma as an inflammatory dermatosis involving 90% or more of the skin surface. The clinical presentation includes patchy erythema becoming universal over 24-48 hours accompanied by malaise, shivering and pyrexia, followed by scaling after 2-6 days. Erythroderma can be caused by conditions like eczema, psoriasis, malignancy, and drug reactions. Complications can include edema, lymphadenopathy, cardiac failure, metabolic disturbance, hypothermia, and cutaneous or respiratory infection. Management involves close inpatient monitoring and initially topical st
1) A newborn presents with plaques on the upper back. Serum calcium levels should be monitored as hypercalcemia can occur with subcutaneous fat necrosis of the newborn.
2) Trichoblastoma is the most common tumor arising within nevus sebaceous.
3) Cutis verticis gyrata is associated with pachydermoperiostosis.
Leprosy is an infectious disease caused by Mycobacterium leprae that is most prevalent in developing countries like India, Brazil, and Indonesia. It is spread through respiratory droplets, skin-to-skin contact, and possibly the gastrointestinal route. Leprosy exists on a spectrum from tuberculoid to lepromatous forms based on immunity and bacterial load. Lepromatous leprosy specifically presents with well-demarcated skin lesions and nodules, facial disfigurement, nasal stuffiness from mucosa invasion, and nerve involvement leading to sensory loss, weakness, and deformities over time if untreated. Diagnosis involves clinical examination, skin smear tests, histology, and treatment involves
This document provides classifications and definitions for primary and secondary skin lesions. Primary lesions include macules, patches, papules, plaques, nodules, vesicles, bullae, pustules, and wheals. Secondary lesions result from primary lesions and include scales, crusts, erosions, fissures, scars, atrophy, keloids, and lichenification. The document also describes the levels of fluid collection in blistering disorders and provides examples of various skin lesion shapes and arrangements.
- The epidermis maintains homeostasis through balanced cell production and loss in the basal layer. Three cell populations exist: stem cells, transient amplifying cells, and post-mitotic cells.
- Stem cells give rise to the epidermis and reside in the basal layer and hair follicle bulge. Transient amplifying cells can undergo limited proliferation.
- Keratinocytes take 12-19 days to transit from basal layer to stratum corneum, and 14 more days to transit through the stratum corneum. A variety of growth factors regulate epidermopoiesis.
This document provides an overview of various bedside investigations in dermatology including KOH mount, Gram stain, Tzank smear, AFB stain, slit skin smear, dark ground microscopy, diascopy, Wood's lamp examination, patch testing, intradermal testing and more. Procedures, indications, interpretations and clinical significance are described for each test to aid in the diagnosis of various skin conditions.
The document discusses common bacterial infections of the skin. It begins by describing the skin and its normal bacterial flora. It then covers various pyodermas (skin infections caused by bacteria) including folliculitis, furuncles/boils, carbuncles, impetigo, periporitis, ecthyma, sycosis barbae, cellulitis, erysipelas, pyonychia, scalded skin syndrome, and erysipeloid. For each infection, it discusses causes, symptoms, and treatment. It concludes with principles of therapy for pyodermas, including good hygiene, local and systemic antibiotics, and addressing predisposing factors.
This document provides an overview of a dermatopathology course, including learning objectives, session details, sample exam questions, and study tips. It discusses key histopathological terms, classifications of skin diseases, common and rare skin conditions, and outlines the curriculum to be covered, including acute and chronic inflammatory diseases, infections, blistering diseases, and neoplastic conditions.
The skin has three main layers - the epidermis, dermis and hypodermis. The epidermis is the outer protective layer, the dermis is a lower supporting layer that gives strength and acts as a reservoir to fight infections, and the hypodermis is a layer of fatty tissue that supports the skin. The skin acts as a protective barrier and plays roles in temperature regulation, sensation, and waste excretion. Fungal infections can be superficial or deep, with superficial infections affecting the outer layers and deep infections invading living tissue. Corticosteroids are anti-inflammatory drugs that work by suppressing the immune system and inflammatory response.
Atopic eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees.
Lichen planus is a chronic inflammatory disease that affects the skin and mucous membranes. Microscopically, it is characterized by a band-like lymphohistiocytic infiltrate at the dermo-epidermal junction, vacuolar alteration of basal keratinocytes, saw-toothed rete ridges, and wedge-shaped hypergranulosis. Clinically, it presents as pruritic, violaceous flat-topped papules and plaques, often with white Wickham striae. Variants include hypertrophic, atrophic, ulcerative, actinicus, and lichen planopilaris forms. It is important to differentiate lichen planus from other lichenoid
This document summarizes various immune-mediated bullous lesions of the skin. It describes the different types of blisters and levels at which they can form. The main categories discussed are pemphigus, which involves acantholysis, and subepidermal blistering diseases. Within pemphigus, it describes Pemphigus vulgaris, Pemphigus foliaceus, IgA pemphigus and Paraneoplastic pemphigus. It details the target antigens, histopathology, direct immunofluorescence findings and clinical features of each. For subepidermal blistering, it outlines the structure of the epidermal basement membrane zone and the target antigens in bullous pe
This document discusses various skin conditions and infections caused by bacteria, fungi, and viruses. It provides information on pathogens, signs and symptoms, and management for conditions like impetigo, boils, carbuncles, folliculitis, acne, ringworm, athlete's foot, candidiasis, herpes, and more. Treatment involves topical antiseptics, antibiotics, antifungals, or antivirals as appropriate for each condition. Prevention emphasizes hygiene, avoiding irritation, and not spreading infections between individuals.
Histoid leprosy is a rare form of multibacillary leprosy characterized by cutaneous or subcutaneous nodules and plaques with a unique histopathology and bacterial morphology. It occurs in patients with reduced cell-mediated immunity and irregular or inadequate treatment for leprosy. Lesions most commonly appear on the back, buttocks, face and extremities as firm, dome-shaped papules. Histopathology shows numerous thin, spindle-shaped histiocytes forming bands and whorls containing large numbers of acid-fast bacilli. Treatment involves multidrug therapy with rifampicin, clofazimine and dapsone over an extended period of at least two years.
Bulloous disorders (BSDs) are skin conditions characterized by blister formation between the epidermis and dermis layers of the skin. BSDs are mostly autoimmune in nature and can be caused by genetic factors, physical trauma, inflammation, the immune system, or drug reactions. The main types are genetic blistering diseases like epidermolysis bullosa, and immunobullous diseases like pemphigus and pemphigoid which involve antibody-mediated blistering between skin layers. Pemphigus is an intraepidermal immunobullous disease affecting the skin and mucous membranes, while bullous pemphigoid is a subepidermal immunobullous condition commonly affecting
Cutaneous tuberculosis can occur through either exogenous or endogenous infection by Mycobacterium tuberculosis or M. bovis. Clinical manifestations depend on the site of infection, inoculum type, and host immunity. Diagnosis involves demonstration of acid-fast bacilli in lesions via staining, culture, or PCR. Treatment involves a multi-drug regimen according to WHO guidelines, with surgery sometimes indicated for localized lesions. Drug-resistant tuberculosis requires customized multi-drug treatment regimens.
Bacterial infections of the skin can be either primary (caused by a single pathogen affecting normal skin) or secondary (occurring in already diseased skin). Common primary pathogens include Staphylococcus aureus, beta-hemolytic streptococci, and coryneform bacteria. S. aureus is responsible for infections like impetigo, folliculitis, furuncles, carbuncles, scalded skin syndrome, and toxic shock syndrome. Group A beta-hemolytic streptococci cause impetigo and cellulitis. Other bacterial infections include ecthyma, erysipelas, cellulitis, cutaneous abscesses, and necrotizing fasciitis. Laboratory diagnosis involves specimen collection
Viral skin diseases are common and include infections caused by herpes simplex virus, varicella zoster virus, and human papillomavirus. Herpes simplex virus causes lesions such as cold sores, genital herpes, and eczema herpeticum. Varicella zoster virus causes chickenpox and shingles. Human papillomavirus causes warts, including common warts, flat warts, plantar warts, and genital warts. These viral infections are generally self-limiting but can be treated with antivirals to reduce symptoms and duration of infection.
Dyschromatosis and Reticulate pigmentary disorderssanjay singh
This document summarizes several rare pigmentary disorders including reticulate pigmentary disorders, dyschromatosis, and related conditions. Key points include:
- Reticulate pigmentary disorders involve freckle-like macules joined at margins in a net-like pattern, while dyschromatosis involves interspersed hyperpigmented and hypopigmented macules.
- Several conditions are classified including acral, flexural, generalized types like reticulate acropigmentation of Kitamura and dyschromatosis symmetrica hereditaria.
- Genetic mutations in genes like ADAM10, DSRAD, KRT5 are associated with these conditions. Histopathology often
The document discusses various topics in dermatology including:
- Common skin lesions and their definitions.
- Side effects of topical steroids including atrophy, bruising, allergic contact dermatitis, and moon face.
- Characteristics of psoriasis such as it being inherited, common nail involvement, and methotrexate being used to treat severe cases.
- Investigations for contact dermatitis which includes patch testing.
- Patient education for contact dermatitis including avoiding allergens and wearing gloves.
- Causes of non-scarring hair loss such as alopecia areata, drugs, hypothyroidism, and trauma.
This document provides an overview of erythroderma, also known as generalized exfoliative dermatitis. It defines erythroderma as an inflammatory dermatosis involving 90% or more of the skin surface. The clinical presentation includes patchy erythema becoming universal over 24-48 hours accompanied by malaise, shivering and pyrexia, followed by scaling after 2-6 days. Erythroderma can be caused by conditions like eczema, psoriasis, malignancy, and drug reactions. Complications can include edema, lymphadenopathy, cardiac failure, metabolic disturbance, hypothermia, and cutaneous or respiratory infection. Management involves close inpatient monitoring and initially topical st
1) A newborn presents with plaques on the upper back. Serum calcium levels should be monitored as hypercalcemia can occur with subcutaneous fat necrosis of the newborn.
2) Trichoblastoma is the most common tumor arising within nevus sebaceous.
3) Cutis verticis gyrata is associated with pachydermoperiostosis.
Leprosy is an infectious disease caused by Mycobacterium leprae that is most prevalent in developing countries like India, Brazil, and Indonesia. It is spread through respiratory droplets, skin-to-skin contact, and possibly the gastrointestinal route. Leprosy exists on a spectrum from tuberculoid to lepromatous forms based on immunity and bacterial load. Lepromatous leprosy specifically presents with well-demarcated skin lesions and nodules, facial disfigurement, nasal stuffiness from mucosa invasion, and nerve involvement leading to sensory loss, weakness, and deformities over time if untreated. Diagnosis involves clinical examination, skin smear tests, histology, and treatment involves
This document provides classifications and definitions for primary and secondary skin lesions. Primary lesions include macules, patches, papules, plaques, nodules, vesicles, bullae, pustules, and wheals. Secondary lesions result from primary lesions and include scales, crusts, erosions, fissures, scars, atrophy, keloids, and lichenification. The document also describes the levels of fluid collection in blistering disorders and provides examples of various skin lesion shapes and arrangements.
- The epidermis maintains homeostasis through balanced cell production and loss in the basal layer. Three cell populations exist: stem cells, transient amplifying cells, and post-mitotic cells.
- Stem cells give rise to the epidermis and reside in the basal layer and hair follicle bulge. Transient amplifying cells can undergo limited proliferation.
- Keratinocytes take 12-19 days to transit from basal layer to stratum corneum, and 14 more days to transit through the stratum corneum. A variety of growth factors regulate epidermopoiesis.
This document provides an overview of various bedside investigations in dermatology including KOH mount, Gram stain, Tzank smear, AFB stain, slit skin smear, dark ground microscopy, diascopy, Wood's lamp examination, patch testing, intradermal testing and more. Procedures, indications, interpretations and clinical significance are described for each test to aid in the diagnosis of various skin conditions.
The document discusses common bacterial infections of the skin. It begins by describing the skin and its normal bacterial flora. It then covers various pyodermas (skin infections caused by bacteria) including folliculitis, furuncles/boils, carbuncles, impetigo, periporitis, ecthyma, sycosis barbae, cellulitis, erysipelas, pyonychia, scalded skin syndrome, and erysipeloid. For each infection, it discusses causes, symptoms, and treatment. It concludes with principles of therapy for pyodermas, including good hygiene, local and systemic antibiotics, and addressing predisposing factors.
This document provides an overview of a dermatopathology course, including learning objectives, session details, sample exam questions, and study tips. It discusses key histopathological terms, classifications of skin diseases, common and rare skin conditions, and outlines the curriculum to be covered, including acute and chronic inflammatory diseases, infections, blistering diseases, and neoplastic conditions.
The skin has three main layers - the epidermis, dermis and hypodermis. The epidermis is the outer protective layer, the dermis is a lower supporting layer that gives strength and acts as a reservoir to fight infections, and the hypodermis is a layer of fatty tissue that supports the skin. The skin acts as a protective barrier and plays roles in temperature regulation, sensation, and waste excretion. Fungal infections can be superficial or deep, with superficial infections affecting the outer layers and deep infections invading living tissue. Corticosteroids are anti-inflammatory drugs that work by suppressing the immune system and inflammatory response.
Atopic eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees.
This document discusses antibiotic resistance and the importance of prudent antibiotic use. It notes that nearly half of hospitalized patients receive antibiotics, and inappropriate use can contribute to resistance. Examples of misuse include treating viral infections with antibiotics and prescribing antibiotics without understanding principles of use. The document emphasizes the need for antibiotic stewardship programs and policies to guide appropriate antibiotic selection and use. Education of healthcare workers is important to successfully implement antibiotic policies.
A brief presentation on the efficacy and safety of contact precautions and MRSA, given as a student at Beth Israel-Deaconess Medical Center in Boston, MA
Nuevas y futuras opciones antimicrobianas ante infecciones por MRSA - Dr. Cas...David Castelo
Este documento discute opciones antimicrobianas para infecciones por MRSA, incluyendo tendencias históricas de resistencia, recomendaciones de guías para el manejo de MRSA, y nuevas opciones como ceftarolina. Ceftarolina es una cefalosporina de quinta generación con amplio espectro contra bacterias Gram-positivas y Gram-negativas, incluyendo VRSA, MRSA y MSSA. Tiene indicaciones aprobadas para neumonía adquirida en la comunidad y infecciones bacterianas agudas de la p
This document discusses methicillin-resistant Staphylococcus aureus (MRSA) infections in the community. It notes that MRSA emerged as a cause of infection in the community in the 1990s. Initially, MRSA strains in healthcare settings differed from community-associated MRSA strains, but the predominant community-associated strain (USA300) is now also found in some healthcare settings. Community-associated MRSA often presents as skin and soft tissue infections. Treatment recommendations include drainage of purulent lesions, obtaining cultures, and consideration of empiric antimicrobial therapy based on local resistance patterns.
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium responsible for several difficult-to-treat infections in humans. It is also called Oxacillin-resistant Staphylococcus aureus (ORSA). Community-associated MRSA infections (CA-MRSA) are MRSA infections in healthy people who have not been hospitalized or had a medical procedure (such as dialysis or surgery) within the past one year.
Patogenia, etiología, impetigo, celulitis, erisipela, piomiositis, fascitis necrosante, recomendaciones de la Asociación Americana de enfermedades infecciosas.
This document provides information on bacterial skin infections (pyodermas). It classifies pyodermas as either primary (caused by underlying conditions like eczema) or secondary (caused by pathogens). Non-follicular pyodermas include impetigo, ecthyma, erysipelas, and cellulitis. Follicular pyodermas include folliculitis, furunculosis, and carbuncle. Treatment involves identifying and treating predisposing factors, supportive measures, and using topical or oral antibiotics with gram-positive coverage depending on the severity and location of the infection. Localized infections are typically treated with topical antibiotics while widespread or deep infections may require oral antibiotics.
Este documento presenta el caso de una mujer de 58 años que ingresó al hospital con celulitis en la pierna izquierda y antecedentes de hipertensión arterial y obesidad mórbida. El examen físico y los exámenes de laboratorio revelaron signos de inflamación en la pierna izquierda y parámetros anormales. El diagnóstico fue celulitis de la pierna izquierda, hipertensión arterial e obesidad mórbida. El tratamiento incluyó antibióticos, antihipertensivos y dieta. El documento también resume
This document discusses various antibiotics, their uses, and emerging issues with antibiotic resistance. It provides guidance on empiric treatment for common infections like community-acquired pneumonia and skin/soft tissue infections.
For a case of community-acquired pneumonia, the patient was initially treated empirically with Augmentin and clarithromycin per guidelines. Testing later found penicillin-resistant Streptococcus pneumoniae, requiring a change to higher dose beta-lactams, vancomycin, or fluoroquinolones.
A case of cellulitis grew methicillin-resistant Staphylococcus aureus despite initial Augmentin treatment. The drug of choice for MRSA is vancomycin,
The document discusses various infections that can affect newborns, categorized by type of pathogen. It describes bacterial infections such as those caused by Staphylococcus aureus and Streptococcus, which can cause skin conditions like impetigo, breast abscesses, and cellulitis. It also covers viral infections such as herpes simplex virus and TORCH infections that can be acquired prenatally, during delivery, or postnatally. Fungal and parasitic infections that may infect newborns are also mentioned. Treatment options are provided for some common bacterial skin infections.
Infecciones de la piel y partes blandas 2016Oscar Furlong
Este documento describe diferentes tipos de infecciones de piel y partes blandas, incluyendo erisipela, celulitis, forunculosis, piomiositis e infecciones por SAMR adquirido en la comunidad. Define cada una de estas infecciones, sus causas, síntomas, diagnóstico y tratamiento. Enfatiza la importancia de realizar un diagnóstico clínico preciso y tratar adecuadamente cada infección teniendo en cuenta factores como la gravedad de los síntomas y comorbilidades del paciente.
This document discusses various types of multi-drug resistant bacteria including MRSA, VRSA, ESBL-producing bacteria, and KPC-producing bacteria. It provides details on the mechanisms of drug resistance, epidemiology, laboratory detection methods, and treatment recommendations for infections caused by these organisms. Specific topics covered include the worldwide spread of MRSA, mechanisms of methicillin and vancomycin resistance, diagnosis of MRSA and VISA/VRSA, and treatment options. The document also discusses the various beta-lactamase enzymes that confer ESBL and carbapenemase resistance, worldwide distribution of resistance, detection methods for ESBLs and KPC, and reliable drug options for treating ESBL and KPC infections.
Infecciones de piel y partes blandas: ¿Cómo mejorar su manejo?PROANTIBIOTICOS
Este documento discute posibles problemas en el manejo de infecciones de piel y partes blandas (IPPB) en el hospital y propone soluciones. Identifica 7 problemas potenciales: 1) identificación de la gravedad, 2) anticipación de la etiología, 3) tratamiento antibiótico inicial, 4) ámbito sanitario, 5) indicación quirúrgica, 6) evolución del paciente y 7) ajuste del tratamiento antibiótico. El documento analiza cada problema y presenta evidencia de la literatura médica para mejorar los protocolos de
Management of skin and soft tissue infections with ayurveda w.s.r, rasayan ch...dr.shailesh phalle
Management of skin and soft tissue infections with ayurveda w.s.r, rasayan chikitsa by dr.shailesh phalle
Thease slides are healpful for chronic skin disorders and immunity realted diseases.
Eczema - A Case Presentation (by Dr. Julius King Kwedhi)Dr. Julius Kwedhi
Eczema: Come from the Greek name for boiling, a reference to the tiny vesicles (bubbles) that are commonly seen in the early acute stage of the disease
An immune-mediated inflammation of the skin arising from an interaction between genetic (e.g. epidermal barrier function, immune system) and environmental factors (foods, airborne allergens, Staphylococcus aureus colonization on skin due to deficiencies in endogenous antimicrobial peptides, topical products)
The eczemas are a disparate group of diseases, but unified by the presence of itch and, in the acute stages, of oedema (spongiosis) in the epidermis
This document discusses common skin infections caused by bacteria, fungi, and viruses. It begins by explaining that the skin provides defense against microorganisms. It then covers specific bacterial infections like impetigo, erysipelas, and cellulitis caused by streptococci and staphylococci. Fungal infections like dermatophytosis and candidiasis are also discussed. Finally, it examines viral skin infections including herpes simplex, varicella zoster virus, and molluscum contagiosum. The document provides details on the pathogenesis, clinical features, and types of several common infectious skin diseases.
This document discusses common skin and soft tissue infections, including their causes, symptoms, diagnosis, and treatment. It defines different types of infections such as impetigo, cellulitis, erysipelas, necrotizing fasciitis, pyomyositis, and folliculitis. For each infection, it describes the characteristic clinical manifestations and recommendations for antimicrobial therapy. The goal of treatment is to use organism-based or empirical antibiotics, along with surgical drainage if necessary, to resolve the infection.
Erythema multiforme is a skin reaction typically caused by infections like herpes simplex virus or medications. It is characterized by target-shaped lesions on the hands, feet, and oral cavity. The lesions begin as red spots or circular blisters that develop concentric rings and resolve within 2-3 weeks. Treatment focuses on treating the underlying cause, antiviral medications, corticosteroids, and relief of symptoms.
This document provides an overview and objectives of skin and soft tissue infections (SSTIs). It defines various SSTIs such as cellulitis, impetigo, erysipelas, abscesses, and necrotizing fasciitis. It then describes risk factors, symptoms, causative organisms, and treatment recommendations for various SSTIs like cellulitis, impetigo, erysipelas, animal and human bites, surgical site infections, and infections in neutropenic patients. The objectives are to classify, present case studies of, and discuss best practices for managing different types of SSTIs.
Cellulitis is a bacterial skin infection of the dermis and subcutaneous fat, most commonly caused by Staphylococcus or Streptococcus bacteria. It has an incidence rate of 24.6 per 1,000 person-years and most often affects the lower extremities. Risk factors include local skin trauma, pre-existing skin infections, and immunosuppression. Mild cases are treated with oral antibiotics while more severe cases require intravenous antibiotics and hospitalization. Complications can include blood infections, bone infections, and in rare cases, tissue death.
Impetigo is a superficial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes. It presents as vesiculopustular or crusted lesions. There are two forms: non-bullous and bullous. Treatment for limited disease involves warm compresses and topical mupirocin. Extensive disease requires oral antibiotics like cephalexin, doxycycline, or TMP/SMX depending on culture results and risk of MRSA. Furuncles are hair follicle infections causing boils, while carbuncles are clusters of infected follicles. Treatment involves incision and oral antibiotics for complicated cases. Necrotizing soft tissue infections are life-threatening invasive infections of
Getting under your skin understanding the root causes of eczemaDivine Prospect
This document discusses the root causes and treatments of eczema. It begins by providing statistics on the prevalence of eczema in the United States, noting that it affects millions of people including many children and adults. The document then explores the root causes of eczema, which can include both external factors like compromised skin barriers and internal immune responses, as well as deficiencies in vitamins, proteins, and bacteria that protect the skin. Finally, the document outlines several potential solutions for treating eczema both topically through the skin and internally through diet, supplements, probiotics and other lifestyle changes.
hanifin and rajka criteria, entymology, definition of AD, atopy, etiopathogenesis of AD, genetics in AD, filaggrin, epidermal barrier dysfunction, atopic march, hygiene hypothesis, infantile phase of AD, childhood phase of AD, adult phase of AD, pityriasis alba, denne morgan folds, dirty neck appearence, nipple dermatitis, hanifin and rajka criteria, UK refinement of hanifin and rajka criteria, millenium criteria of AD, japanese dermatological association criteria, management of AD, wet wrap therapy,
This is a lecture given at the American University of Beirut for medical students during their dermatology rotation as an elective.
It is an introductory lecture about skin inflammatory diseases.
Cellulitis is an acute bacterial skin infection that causes skin inflammation and swelling. It is usually caused by Streptococcus pyogenes or Staphylococcus aureus entering through a break in the skin. Risk factors include skin injuries, conditions like eczema, obesity, and diabetes. Signs include redness, pain, swelling and warmth in the infected area. Treatment involves antibiotics, wound care, elevation and rest. Complications can include tissue damage, gangrene and sepsis if not properly treated.
Dermatological infections can be caused by bacteria, viruses, fungi or parasites. Common bacterial infections include impetigo, cellulitis and abscesses which are usually treated with antibiotics. Viral infections like herpes simplex and zoster typically require antiviral medication. Fungal infections such as ringworm and candidiasis respond to topical antifungal creams. Parasitic infections like scabies and head lice can be treated with scabicides or pediculicides. Proper treatment aims to eliminate the infecting pathogen and relieve symptoms.
Overview of Skin infections- July 2022.pdfAdamu Mohammad
This document provides an overview of various skin infections. It discusses bacterial infections like cellulitis, erysipelas, folliculitis, impetigo and furunculosis. It also covers fungal infections such as tinea, candidiasis, pityriasis versicolor and deeper fungal infections. Viral infections including warts and herpes are mentioned. Finally, it summarizes parasitic infestations like scabies, larva migrans and head lice. For each condition, it provides details on pathogenesis, clinical features, diagnosis and treatment.
This document provides information about common skin conditions and diseases. It begins with an overview of the structure and function of skin, including its two main layers - the epidermis and dermis. It then discusses six common skin conditions in adults: acne, cellulitis, psoriasis, shingles, skin cancers, and vasculitis. Treatment options are provided for each condition. The document also summarizes six common skin conditions in children: chickenpox, eczema, Henoch–Schönlein purpura, impetigo, impetiginized eczema, and miliaria.
Eczema is a non-contagious skin condition that causes itching, inflammation, and sometimes pain. It has no cure but can be effectively treated. The main types of eczema are contact dermatitis, atopic eczema, seborrheic dermatitis, and napkin dermatitis. Treatment depends on the type and severity of eczema, and involves moisturizers, topical corticosteroids or immunomodulators, oral medications in severe cases, and managing triggers. The goal is to relieve symptoms and prevent complications like infection.
This document provides an overview of common skin and soft tissue infections, including their causes, symptoms, classifications, and treatments. It discusses infections such as impetigo, cellulitis, erysipelas, necrotizing fasciitis, and infections of the bones and joints. The key points covered include the clinical presentations and differential diagnoses of various infections, as well as empirical and organism-based antibiotic therapies.
1) The document discusses the histology and layers of skin, classification and pathophysiology of burns by depth, and treatment approaches for burns. It covers first, second, third, and fourth degree burns.
2) Treatment involves addressing airway issues, IV fluids, antibiotics, dressing changes, and skin grafting for deep burns. Local treatment aims to protect burns from infection until healing.
3) Deep dermal burns require close monitoring to prevent infection from destroying epithelial remnants and converting them to full thickness burns. Early excision and grafting can prevent contractures compared to waiting a month for natural eschar separation.
This document provides information on common skin infections, including their causes, presentations, and treatments. It discusses bacterial infections like impetigo, folliculitis, and cellulitis; viral infections like herpes, shingles, and warts; and fungal infections like ringworm and candidiasis. For each type of infection, the document describes typical signs and symptoms and recommends first-line treatment approaches, which generally involve topical or oral antibiotics, antivirals, or antifungals depending on the infecting pathogen.
The document discusses two forms of cutaneous bacterial infections: impetigo and subcutaneous tissue infections. It describes the characteristics of nonbullous and bullous impetigo, including their etiology, symptoms, diagnosis and treatment. It also discusses cellulitis and staphylococcal scalded skin syndrome as types of subcutaneous tissue infections, providing details on their clinical manifestations, causative agents, and management.
Children's skin problems span nearly two decades from birth through adolescence. Several common pediatric skin conditions will be discussed including: diaper dermatitis, atopic dermatitis, warts, and acne.
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Erythema refers to redness of the skin that blanches under pressure. It can be diffuse or localized and can be caused by drugs, infections, autoimmune diseases, or idiopathic factors. Erythema multiforme is an acute, self-limited mucocutaneous syndrome characterized by target lesions that can be caused by infections like herpes or drugs. Toxic epidermal necrolysis is a severe mucocutaneous reaction that may be drug-induced and can involve extensive skin and mucosal detachment. Urticaria refers to transient wheals and hives on the skin that are usually itchy. Chronic urticaria lasts more than 6 weeks and can be
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. Skin is one the most and is the first line agaisnt
bacterial infections.
The most common cause of skin and soft tissue
infection involves a breach in this barrier.
5. Common causes of alterations in the normal skin
flora:
Abrasions
Trauma
Insect bite
Eczema
Scabies
impetigo
Most common cause:
1- group A hemolytic streptococci
2-staphylococcus aureus
7. Good skin hygiene+ removal of crusted lesions in non
bullous type.
Topical if lesions are local (<5), if the lesions are not
local or there is fever and regional lymphadenopathy
use systemic antibiotics.
Topical: mupirocin tds for 3 to 5 days
Systemic: cephalexin 250-500 qid
Systemic mrsa: Clindamycin 300-450 qid
Management
9. Management:
Elevation if applicable
Control predisposing conditions
Hydrate the skin
Compression stocking and diuretic therapy to improve edema
Erysipelas
10. Oral therapy: amoxicillin 500mg tds
Parenteral therapy: Ceftriaxone 1g iv daily
Improvement in 24 to 72 hrs.
Erysipelas
11. Infection of
deeper dermis
and
subcutaneous
fat.
The most
common cause:
1- S aureus(50%)
2-GAS(27%)
cellulitis
12. History and exam:
Localized erythema and confluent
Blanching and swelling
Warmth
Tenderness
Lymphangitis with tender regional lymphadenopathy
cellulitis
13. History and physical exam:
Determine the extent of disease.
Search for breaches and fungal infections.
Mark the affected area.
Purulent or non purulent???
Cellulitis
And classify the severity of cellulitis: