Genital Herpes
- Herpes Simplex Virus 1 and 2 (HSV)
- May Be Asymptomatic
- Oral or Genital Lesions
- Vesicles in Clusters
- Pain
- Flu-like Symptoms
- Acyclovir
- Valacyclovir
- Famciclovir
- Infectious During Recurrences
Herpes Simplex Virus (HSV)
- Enveloped
- Double Stranded DNA
- Linear
- Type 1 HSV
- Gingivostomatitis
- Keratoconjunctivitis
- Encephalitis of Temporal Lobes
- Latent in Trigeminal Ganglia
- Type 2 HSV
- Genital Vesicles
- Neonatal Herpes
- TORCHES
- Latent in Sacral Ganglia
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusions
- Acyclovir
Pox Virus
- Enveloped
- Double-Stranded DNA
- Linear
- Non-Icosahedral
- Smallpox
- Cowpox
- Molluscum Contagiosum
- Umbilicated Flesh-Colored Domed Lesions
Varicella Zoster Virus (VZV)
- Herpesvirus 3
- Enveloped
- Double Stranded DNA
- Chickenpox
- Pneumonia
- Encephalitis
- Trigeminal and Dorsal Root Ganglia
- Shingles
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusion
- Acyclovir
Necrotizing Fasciitis Pathophysiology and Characteristics
- Bacterial Infection of Muscle Fascia and Subcutaneous Fat
- Polymicrobial or Monomicrobial
- Polymicrobial: Anaerobe + Gram Negative Enterobacteriaceae
- Monomicrobial: Group A Streptococcus or Staph Aureus
- Edema Extending Beyond Erythema
- Crepitus
- Pain Out of Proportion (POOP)
- Anesthesia Over Affected Area (Late Finding)
Necrotizing Fasciitis Diagnosis and Treatment
- Usually a Clinical Diagnosis
- Soft Tissue Gas On CT
- Emergent Surgical Debridement
- Vasopressors and Fluids
- IV Immune Globulin If Strep Toxic Shock Syndrome
- Carbapenem Or Piperacillin-Tazobactam
- PLUS Clindamycin
- PLUS MRSA Coverage