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Medgeeks with Andrew Reid

Herpes Zoster (Shingles) - Clinical Pearls

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8997 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

Click on a timestamp to play from that location

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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