RESUMO
GENERAL PURPOSE: Forthcoming. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: Forthcoming. ABSTRACT: This review article focuses on the pathogenesis, clinical features, and diagnostic testing of the common pathologies that can manifest as chilblains-like lesions. These differentials include COVID toes, Raynaud phenomenon, acrocyanosis, critical limb ischemia, thromboangiitis obliterans, chilblains associated with lupus erythematosus, and idiopathic chilblains. The authors present a helpful mnemonic, ARCTIC, to assist clinicians in recognition and diagnosis.
RESUMO
GENERAL PURPOSE: To familiarize wound care practitioners with the differential diagnoses of chilblains-like lesions that could be associated with the complications of COVID-19. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:1. Identify the population most often affected by COVID toes.2. Select the assessments that help differentiate the various conditions that cause chilblains-like lesions.3. Choose appropriate treatment options for the various conditions that cause chilblains-like lesions.
This review article focuses on the pathogenesis, clinical features, and diagnostic testing of the common pathologies that can manifest as chilblains-like lesions. These differentials include "COVID toes," Raynaud phenomenon, acrocyanosis, critical limb ischemia, thromboangiitis obliterans, chilblains associated with lupus erythematosus, and idiopathic chilblains. The authors present a helpful mnemonic, ARCTIC, to assist clinicians in recognition and diagnosis.
Assuntos
COVID-19/diagnóstico , Pérnio/diagnóstico , Dermatopatias/diagnóstico , COVID-19/complicações , Pérnio/patologia , Pérnio/virologia , Diagnóstico Diferencial , Dedos/patologia , Humanos , Dermatopatias/patologia , Dermatopatias/virologia , Avaliação de Sintomas , Dedos do Pé/patologiaRESUMO
GENERAL PURPOSE: To provide an overview of osteomyelitis. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1. Distinguish the pathogenesis of osteomyelitis in children and adults.2. Identify practical considerations for diagnosis and evidence-based treatment of osteomyelitis. ABSTRACT: This educational activity reviews the pathogenesis of osteomyelitis and discusses practical considerations for diagnosis, treatment, and functional rehabilitation of pediatric and adult patients with osteomyelitic wounds. Antibiotic, surgical, and adjunctive treatments will be addressed. Emphasis is placed on consulting with infectious disease specialists and using evidence-based guidelines for antibiotic prescribing.
Assuntos
Osteomielite , Adulto , Criança , Humanos , Osteomielite/diagnóstico , Osteomielite/etiologia , Osteomielite/fisiopatologia , Osteomielite/terapia , Cicatrização , Ferimentos e Lesões/terapiaAssuntos
Pé Diabético/diagnóstico , Neuropatias Diabéticas/diagnóstico , Anamnese , Abscesso/diagnóstico , Abscesso/etiologia , Competência Clínica , Pé Diabético/complicações , Neuropatias Diabéticas/etiologia , Diagnóstico Diferencial , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/etiologia , Feminino , Humanos , Masculino , Músculo Esquelético/patologiaAssuntos
Antibacterianos/uso terapêutico , Desbridamento/métodos , Infecções dos Tecidos Moles/patologia , Infecções dos Tecidos Moles/terapia , Terapia Combinada , Educação Médica Continuada , Feminino , Humanos , Incidência , Masculino , Necrose/patologia , Necrose/terapia , Medição de Risco , Infecções dos Tecidos Moles/epidemiologia , Taxa de SobrevidaAssuntos
Antifúngicos/administração & dosagem , Candida/patogenicidade , Candidíase/tratamento farmacológico , Antifúngicos/farmacologia , Candida/efeitos dos fármacos , Candida/isolamento & purificação , Candidíase/diagnóstico , Candidíase/epidemiologia , Centers for Disease Control and Prevention, U.S. , Doenças Transmissíveis Emergentes/prevenção & controle , Humanos , Incidência , Testes de Sensibilidade Microbiana , Estados Unidos , VirulênciaRESUMO
Recently, 4 separate human controlled trials reported that honey appeared to protect from the effects of radiation-induced oral mucositis formation, a complication of radiation therapy that is responsible for pain and overall reduction in quality of life. In this systematic review and meta-analysis, the authors examined 3 of these controlled trials (n = 120) that met the inclusion and exclusion criteria to determine whether honey had protective effects against radiation-induced oral mucositis. The meta-analysis demonstrated an overall relative risk reduction of 80% in the honey treatment group compared with the control. Although favorable, the data must be approached with caution because of lack of description of the method of randomization and potential bias in all 3 of the individual studies included in the meta-analysis. The results are promising, and further studies are needed to strengthen the current evidence prior to a firm clinical recommendation being given.
Assuntos
Mel , Radioterapia/efeitos adversos , Estomatite/etiologia , Estomatite/prevenção & controle , Cicatrização , Humanos , Fatores de Risco , Comportamento de Redução do RiscoRESUMO
Sickle cell disease is a genetic disorder of hemoglobin synthesis leading to a deformation of the red blood cell. This disorder is associated with painful, slow-to-heal leg ulcers. This article discusses the wound bed preparation paradigm as a guide to the treatment of sickle cell-associated leg ulcers.