[NP-Clinical] help from derm experts

[VJ (Roni) Fox]

I would also like the powerpoint!!
Thank you!

Roni
FNP Student - University of AZ

____________________
VJ (Roni) Fox
vjf at fox.phoenix.az.us
  ----- Original Message ----- 
  From: Priscilla Merrill 
  To: 'NP Clinical' 
  Sent: Friday, May 11, 2007 2:53 AM
  Subject: RE: [NP-Clinical] help from derm experts


  I would really appreciate the PowerPoint, Ted.  Please send to me.  Thanks.  This was Very Helpful!

   

  Priscilla

   


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  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

   


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  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

   


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  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

   


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  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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