BIOL 4010 Lecture Notes - Lecture 3: Talc, Itraconazole, Ketoconazole
30 Dec 2020
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Patient assessment: think about issues that need to be identified that are important. Fungal species involved are: trichophyton rubrum, trichophyton mentagrophytes and epidermophyton. 70% of population acquire infection at some point. Occurs commonly in teenage & adult males. Q- quality, quality: quality (description & name, quantity. R- region & radiation: region of involvement & distribution. Initial site of infection is the toe webs, sole of foot, toenails affected. Infections spreads to groin, underarms by touching the infected foot then other parts of body: develop into an ulcer if infections spread under dermis, may result in secondary bacterial infections cellulitis, lymphangitis. Hyperhidrosis contributes to presence of tinea pedis. Warm, dark, poorly ventilated, moist environments between toes promote fungal growth. Wearing shoes w/o socks creates ideal conditions for fungal infections. Occluded skin poor hygiene, obesity & trauma. Indirect transmission via contaminated surfaces (swimming pool decks, gym change rooms) Saphenous vein grafts for coronary artery bypass are prone to secondary bacterial infections.
