[NP-Clinical] help from derm experts

[Rhoda Friend]

This was a _great post_.  Is there a way you could put the PowerPoint on 
the list so all of us "me toos" can get it?  Thanks, Ted. 

Rhoda Friend

Priscilla Merrill wrote:
>
> I would really appreciate the PowerPoint, Ted.  Please send to me.  
> Thanks.  This was Very Helpful!
>
>  
>
> Priscilla
>
>  
>
> ------------------------------------------------------------------------
>
> *From:* np-clinical-bounces at nurse.net 
> [mailto:np-clinical-bounces at nurse.net] *On Behalf Of *Theodore Scott
> *Sent:* Friday, May 11, 2007 1:48 AM
> *To:* 'NP Clinical'
> *Subject:* RE: [NP-Clinical] help from derm experts
>
>  
>
> Well the easiest way to think of the most common pathogens we see is 
> to classify them into three groups based on shape when you do the KOH 
> prep.
>
> Hyphae, the long thin branching forms, are usually dermatophytes, 
> typically seen in Tinea pedis, cruris, or corporis. Budding yeast 
> forms are usually Candida and this can be found in thrush, vaginitis, 
> intertrigo etc…  When you have Hyphae and spores “Spaghetti and 
> Meatballs”, you are looking at Pityrosporum ovale aka Malassezia 
> furfur which causes Tinea versicolor and probably seborrheic 
> dermatitis.  If you have a large inbox I can sen you a POWERPoint I 
> presented to our NP/PA group on the subject (about 4 MB). 
>
>  
>
> Ted Scott NP-C
>
>  
>
> ------------------------------------------------------------------------
>
> *From:* np-clinical-bounces at nurse.net 
> [mailto:np-clinical-bounces at nurse.net] *On Behalf Of *Priscilla Merrill
> *Sent:* Thursday, May 10, 2007 3:18 AM
> *To:* 'NP Clinical'
> *Subject:* RE: [NP-Clinical] help from derm experts
>
>  
>
> Fungal culture query.  I did one the other day and it had many buds 
> but no hyphae.  Like the “meatballs without the spaghetti”
>
> Can you give us some pearls (or meatballs, or buds?) on interpreting 
> fungal cultures.  I’ve been to microscopy for GYN but we never really 
> did fungal cultures in schools and have learned along the way but 
> still don’t feel totally competent.
>
> Thanks, Ted!  We’re so lucky to have you on the listserve.
>
>  
>
> Priscilla Merrill FNP
>
>  
>
> ------------------------------------------------------------------------
>
> *From:* np-clinical-bounces at nurse.net 
> [mailto:np-clinical-bounces at nurse.net] *On Behalf Of *Theodore Scott
> *Sent:* Wednesday, May 09, 2007 11:10 PM
> *To:* 'NP Clinical'
> *Subject:* RE: [NP-Clinical] help from derm experts
>
>  
>
> Fluconazole is OK, Itraconazole is a little better.  But before any 
> oral meds (usually expensive) please do a KOH prep.  Lots of 
> conditions mimic tinea.
>
>  
>
> Ted Scott NP-C
>
>  
>
> ------------------------------------------------------------------------
>
> *From:* np-clinical-bounces at nurse.net 
> [mailto:np-clinical-bounces at nurse.net] *On Behalf Of *April Anthony
> *Sent:* Wednesday, May 09, 2007 3:28 PM
> *To:* np-clinical at nurse.net
> *Subject:* [NP-Clinical] help from derm experts
>
>  
>
> How do you treat tinea corporis with fluconazole? Or what is the best 
> way to treat? I have tried the topicals and it improves but returns. I 
> haven't actually done a scraping but it looks very fungal. What are 
> your thoughts?
>
>  
>
> April Anthony CRNP
>
>  
>
>  
>
> ------------------------------------------------------------------------
>
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