Herpes Zoster (Shingles) - Clinical Pearls
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 29 August 2017
⏱️ 9 minutes
🧾️ Download transcript
Summary
Today, we're going to be sharing great clinical pearls for herpes zoster. From patient presentation to management. Here's a quick, high yield review, for all those in practice.
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Transcript
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| 0:00.0 | Hi everyone this is Matt coming to you from the PA boards community and if you guys are wondering who the heck is this I actually am pretty new to PA boards working with Andrew Reed and Gray Phelps and I came out with a quick introductory video just last week |
| 0:14.3 | letting you guys know a little bit more about who I am. So if you have some time please |
| 0:18.2 | refer back to that but in review I am a primary care PA practicing in Connecticut. |
| 0:24.5 | And today, let's start talking about Herpy Zoster. Now I was thinking about this and you guys |
| 0:29.1 | might be like, what's the point in listening to this about Herpies Oster? |
| 0:33.6 | In a dermatome, I give Valtrex, how much is there to know, right? |
| 0:37.7 | Well, I want to give you guys some pearls |
| 0:39.2 | and let you guys know a little bit more about the patients |
| 0:41.1 | that I see in my primary care setting. So first we'll talk about |
| 0:44.8 | Veracelizoster virus. This is what we typically know is the cause of chicken pox. Now chicken pox |
| 0:51.9 | is described as vesicular lesions in various stages of |
| 0:54.7 | development on the chest, on the abdomen, on the extremities, and it's often described as dewdrops on a rose pedal. |
| 1:03.2 | At least that's how I heard of it in PA school, |
| 1:05.0 | you might have as well. |
| 1:06.8 | Various stages of development just |
| 1:08.3 | means that you might see some lesions that are maculopapular, |
| 1:10.8 | some vesicles, some open lesions, some ruptured, crusted, etc. |
| 1:15.9 | Now, herpesoster results from reactivation |
| 1:18.5 | of the veriselazoster virus in neurons. |
| 1:22.2 | Herpy'soster is characterized textbook by the cicular lesions that occur within |
| 1:26.8 | a dermatomal distribution. Now it's often described as sharp shooting pain or burning nerve pain. Now it does not always present |
| 1:36.0 | this way and so I want to tell you guys a little bit more about the patients I see in my |
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