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Skin Conditions.

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Presentation on theme: "Skin Conditions."— Presentation transcript:

1 Skin Conditions

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3 Functions of Skin Protection: Sensation Endocrine: UV Infection
Heat Regulation Injury Fluid/Electrolytes Loss Due to tight packing of cells in upper epidermis Also helps avoid absorption of excessive environmental fluids (i.e. swimming) Sensation Endocrine: Helps produce Vitamin D To make vitamin D, your skin needs adequate exposure to the sun. Your skin contains a cholesterol substance called provitamin D3 that reacts with the ultraviolet-B (or UVB) rays in sunlight to form vitamin D3. From there, the body takes over, first passing the vitamin D through the liver and then through the kidneys, converting it along the way into the form that the body needs.

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5 Blisters Leave blister intact as long as possible
Protection and infection If removal is necessary, clean skin and sharp object thoroughly Leave top layer of blister for protection, if possible Cover and pad with donut, if necessary Keep clean and check for signs of infection!

6 Ingrown Toenail Painful condition Nail grows into lateral nail fold
Caused by: Poorly fitting shoes Improper nail trimming Trauma Treatment: Soak in warm water and epson salt or betadine Place cotton under nail to lift nail Cut ‘V’ in the middle of the nail Surgery??? Prevention: Keep nail trimmed straight across (not too long, not too short)

7 Contused Nail Pressure and pain under nail
May need to “drill” to relieve pressure Needle, sharp knife, or small drill bit Make sure surface and device are cleaned Go slowly so you don’t hit the nail bed Don’t allow athlete to rip off nail, it may not grow back!

8 Impetigo Bacterial skin infection caused by strep or staph
Can occur anywhere…most common around nose/mouth Contagious & spread through close contact or sharing towels/clothing/etc Treated w/ antibiotics (oral or topical) ~3-7days Signs/Symptoms: Red sores Ooze fluid Yellow-brown crust Can be itchy One of the most common skin infections in children, but also seen in adults

9 Eczema Inflammatory skin disease with red, itchy skin

10 Folliculitis Infection in the hair follicle
Most common on face/scalp & areas rubbed by clothing, such as the thighs & groin Usually caused by bacteria Can occur from damage caused by shaving or wearing clothes that rub the skin OR when blocked or irritated (sweat, oil, makeup) Self limiting w/ proper cleansing Signs/Symptoms: “Red pimples” w/ a hair in the center May drain pus, blood or both May itch or burn Each hair on your body grows out of a tiny pouch called a follicle. It also can be caused by yeast or another type of fungus.

11 Tetanus Infection (Lock Jaw)
Caused by Clostridium bacteria Bacteria live in soil, saliva, dust & enter body through deep cut (i.e. stepping on nail) Causes painful tightening of the muscles, usually all over the body It can lead to "locking" of the jaw Impossible to open your mouth or swallow Potentially life-threatening…requires immediate tx in hospital Regular vaccines can prevent tetanus Children get shot as a part of their routine immunizations Adults should get booster every 10 years and/or after a bad cut/burn

12 Ringworm Tinea Corpus Fungal infection of skin
Characterized by round patches w/ scaly raised boarder & central healing zone Refer for correct Dx & appropriate Tx: OTC: Lamisil, Lotrimin, Tinactin CANNOT participate in wrestling unless cleared & under treatment for 72hrs DO NOT just cover Keep mats and body clean Must be on treatment for 3 days.

13 Athletes Foot Tinea Pedis Fungal infection of the foot Sx’s:
Red scaly rash Peeling or cracking skin Burning Itching Keep feet dry/clean! Tx: OTC: Lamisil, Lotrimin, Tinactin

14 Jock Itch Tinea Cruris Sx’s: Keep area dry/clean Tx: Burning/Itching
Red, scaly patches of skin Keep area dry/clean Tx: OTC: Lamisil, Lotrimin, Tinactin

15 Herpes Simplex - (Cold Sores/Fever Blisters)
Type 1: Oral Herpes - causes sores around mouth/lips Transmitted via oral secretions or sores on skin Kissing or sharing toothbrushes/eating utensils Causes painful blisters No cure - Remains in body & lies inactive in nerve cells until triggered by: Sun exposure, fever, fatigue, stress Drugs can lessen severity Type 2: Genital Herpes Sexually transmitted

16 Warts Caused by HPV General Tx: Common Wart: Plantar Wart:
Salicylic Acid, Duck Tape, Liquid Nitrogen Common Wart: Small, round elevated lesion Rough, dry surface Usually go away on their own within 18-24mo Plantar Wart: Found on bottom of foot Painful Wear sandals in locker rooms/community showers Duck tape, freezing off

17 Cold Sensitivity/Reaction
Cold Urticaria - Allergic Reaction w/ Hives Can be life-threatening Redness, hives & itching Can affect some areas and not others Can be hypersensitive without allergy Redness & pain

18 Poison Oak/Ivy/Sumac Causes: Sx’s: Within 12-48 hrs
Direct contact with plant Inhalation or skin exposure to airborne oil particles of burning plant Contact with contaminated materials Sx’s: Within hrs Burning, itching, redness, rash, swelling blisters, high fever Avoid scratching, ice, cold water? Cannot play with signs of serious infection May need to be cleared by physician for wrestling

19 Poison Ivy

20 Poison Oak/Sumac

21 Methicillin-resistant Staphylococcus aureas

22 What is MRSA Staph Infection
Bacteria that is resistant to certain antibiotics Methicillin, Penicillin, & Amoxicillin Became increasingly common in hospital setting in 1970’s MRSA-CA (Community Acquired): emerged in 1990’s May cause more serious infections: Blood Pneumonia

23 How bad is CA-MRSA? Most are minor infections and can be treated with an antibiotic cream Some may require treatment w/ oral antibiotics A small percentage can be LIFE THREATENING All MRSA infections should be evaluated by a healthcare provider If the condition worsens you need to seek immediate treatment

24 Who Gets MRSA Heathcare workers: 1:3 College & HS athletes Inmates
Military recruits Daycare kids People in crowded conditions

25 CA-MRSA Breakdown Skin infections 1,266 (77%)
Wound (traumatic) (10%) Urinary tract infection 64 (4%) Sinusitis (4%) Bacteremia (3%) Pneumonia (2%) -Mostly skin infections

26 MRSA Infections Statistics
86% Healthcare Associated 14% Community Associated In 2005: 94,350 serious infections ~18,650 people died Mostly older persons (>65 y/o)

27 How is MRSA Spread Bacteria is commonly carried on the skin or in the nose of healthy individuals 25% to 30% of the population are “colonized” Skin to skin contact Crowed living conditions Skin openings (cuts/abrasions) Infected items (sports gear and clothing) Contaminated surfaces (weight room equipment) Poor hygiene

28 What does MRSA look like?
Skin can be: Red or swollen Painful Pus or other drainage

29 MRSA MRSA can live for months on surfaces and fabrics:
Up to 7 months on dust Up to 8 weeks on a mop head Up to 9 weeks on cotton (towel) Up to 203 days (over 6 months) on a blanket MRSA can live on the skin of otherwise healthy individuals, with no symptoms indefinitely

30 How do I prevent MRSA? Wash your hands Don’t share gear/clothing
Clean sports gear often Tell ATC about skin wounds Keep cuts clean and covered Don’t touch someone else’s wounds/bandages Use a moisturizer to prevent cracking if the skin is dry

31 Athlete’s With MRSA Wound should be completely covered
Cannot participate if the wound drainage cannot be contained Do not share equipment/clothing/towels Clean off equipment after use If athlete is unable to maintain good personal hygiene, they should be removed from participation until the infection clears


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