13.09.13 Passmedicine revision

Lichen

  • Planus

    • Purple, Pruritic, Papular, Polygonal rash

    • On flexor surfaces

    • Wickham's striae over surface

    • Oral involvement common

  • Sclerosus

    • Itchy white spots typically seen on the vulva of elderly women

Septic six

  • Blood cultures

    • Before antibioitics are administered

  • Antibiotics

    • Mortality is reduced by 50% in severe sepsis if these are given within an hour of diagnosis

  • Oxygen -

    • Even if they are not desaturating

    • If they are severe sepsis, give 100% at 15L/m via a non-rebreath mask

  • Fluids

    • They are highly likely to develop hypovoloemia

    • Lactate

    • A lactate above 2 means ITU involvement

    • Catheterise

    • You need to monitor urine output

Childhood infections