[NP-Clinical] help from derm experts

[Smith, Melissa]

Can I get the ppt also, thanks so much
 
Melissa 

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From: np-clinical-bounces at nurse.net on behalf of Theodore Scott
Sent: Fri 5/11/2007 12:47 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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