Blisters, Pediatric
Introduction
A blister is a raised bubble of skin filled with liquid. Blisters often develop in an area of the skin that repeatedly rubs or presses against another surface (friction blister). Friction blisters can occur on any part of the body but usually develop on the hands or feet. Long-term pressure on the same area of the skin can also lead to areas of hardened skin (calluses).
What are the causes?
A blister can be caused by:
• An injury.
• A burn.
• An allergic reaction.
• An infection.
• Exposure to irritating chemicals.
• Friction, especially in an area with a lot of heat and moisture.
Friction blisters often result from:
• Sports.
• Repetitive activities.
• Using tools and doing other activities without wearing
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• Feel warm.
• Itch.
• Be painful to the touch.
How is this diagnosed?
A blister is diagnosed with a physical exam.
How is this treated?
Treatment usually involves protecting the area where the blister has formed until the skin has healed. Other treatments may include:
• A bandage (dressing) to cover the blister.
• Extra padding around and over the blister, so that it does not rub on anything.
• Antibiotic ointment.
Most blisters break open, dry up, and go away on their own within 1-2 weeks. Blisters that are very painful may be drained before they break open on their own. If the blister is large or painful, it can be drained by:
Some blisters may need to be drained by a health care provider.
Follow these instructions at home:
• Protect the area where the blister has formed as told by your child’s health care provider.
• Keep your child’s blister clean and dry. This helps prevent infection.
• Do not pop the blister. This can cause infection
If your child was prescribed an antibiotic, use it as told by your child’s health care provider. Do not stop using the antibiotic even if your child’s condition improves.
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• Have your child wear different shoes until the blister heals.
• Have your child avoid the activity that cause the blister until the blister
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
...may have the same symptoms. The symptoms are red bumps that may bleed if the sores are picked over.
In the last decade, the number of prescriptions for antibiotics has increases. Even though, antibiotics are helpful, an excess amount of antibiotics can be dangerous. Quite often antibiotics are wrongly prescribed to cure viruses when they are meant to target bacteria. Antibiotics are a type of medicine that is prone to kill microorganisms, or bacteria. By examining the PBS documentary Hunting the Nightmare Bacteria and the article “U.S. government taps GlaxoSmithKline for New Antibiotics” by Ben Hirschler as well as a few other articles can help depict the problem that is of doctors prescribing antibiotics wrongly or excessively, which can led to becoming harmful to the body.
Pemphigus vulgaris is a serious but rare autoimmune disorder of the epithelial cells and mucosal lining of the skin. The first cases were recorded by McBride in 1771 and by Whichman in 1979. McBride was to describe the first to casualties as being caused by “bloody ichor” and “putrid ulcers”. (Jordon, 2013) However, Whichman was the one who would originally name the disease as pemphigus. The word “pemphigus” is of Greek origin which means blister or bubble. (Jordon, 2013) As the name suggests, this disease causes painful blisters or bullous erosions of the squamous epithelia and mucous membranes. It can be sub-classified based on the location of the lesions in the epidermis. Pemphigus vulgaris is considered to be one of the deep forms of the disease. The lesions appear deep into the epidermis of the skin right above the basal lamina. (Zeina, 2013)
may last one to three weeks. In many cases new clusters of blisters appear as
Irritating products: These preparations often contain ingredients, such as salicylic acid or potassium hydroxide,that help dissolve the lesion over time. Others may cause a blister to form under the bump, lifting it off your skin.
The strange thing with lip blood blister on lip is that it sometimes shows up when you least expect it. You can wake up to a blister on the side of your inner lip whereas you don’t remember having bitten yourself. Try not to pop the blister or squeeze it off, as you may want to either seek clinical advice or give it sometimes to see if it will resolve.
Impetigo is a bacterial skin infection characterized by the eruptions of superficial pustules and formation of thick yellow crusty sores. It is highly contagious and can occur anywhere on the body, especially in exposed areas. The two different types of Impetigo are Bullous Impetigo, which are large blisters, and Non-Bullous Impetigo, which are crusted over blisters. Non-Bullous Impetigo is the most common type. Both types require contact precautions because they can be transmitted via physical contact with anyone who has it, sharing the same clothes, bedding, towels, etc... Because of the way young children proceed with their lifestyles, touching everything within their reach, the primary age groups targeted with this infection are, in fact, young children. It is most common on their facial area, mainly around their noses and mouths, but sometimes impetigo will appear on their arms and legs.
Cellulitis is a fairly common bacterial infection of the skin. Cellulitis actually means “inflammation of the cells”. This infection is usually caused by the bacteria Streptococcus or Staphylococcus. Cellulitis infection can occur in anyone, yet there are some risk factors and a more susceptible population. Cellulitis is an “opportunistic” infection which occurs through breaks in the skin. Redness, warmth, swelling and pain are symptoms of this infection. Seeking medical attention is a must for this infection.
Impetigo is caused mainly by staphylococcus aurues, which is a chain of globular bacteria (Cronana, Bacteria). There are three forms of Impetigo: Bullous, Non-Bullous or Contagiosa, and Ecthyma, Bullous Impetigo is causes large blisters on the skin that start out as a clear blister then normally turn cloudy, this type of blister stays intact longer on the skin then the other forms of impetigo. Non-Bullous or Contagiosa starts as tiny blisters, as time goes on these blister burst leaving a red, wet patch of skin, after fluid leaks from the blister they crust over leaving the surface a tan to yellowish color, “like it has been coated with brown sugar or honey”(Cronan). Ecthyma penetrates deeper into the skin, down to the dermis layer of skin which is the second layer. Ecthyma is very painful pus filled sores that eventually turn into deep ulcers on the skin. Once the sores break open, they scab over with a very thick hard gray-yellowish crust. Scars may remain even after the sore, or ulcers heal. Ecthyma can cause swollen lymph glands(Staff). The Non-Bullous or Contagoisa is the most common form of Impetigo (Cronan, Staff).
Our natural reaction to an itch of the skin is to scratch for relief. While this innocent scratch may provide the needed relief for many, it can aggravate the skin of others, triggering further distress. Accompanied by blisters, a burning sensation, and extremely dry patches on the skin, this condition is a form of dermatitis commonly known as eczema.
Heat and cold - either an ice pack or warm towel may alleviate pain and swelling in the affected area.
I had previously heard that Arnica, a herb, helps to reduce inflammation and swelling when applied directly to the affected area. PROcure comes in a non-greasy, fast absorbing gel form and helps to fade away discoloration and also dramatically helps to improve the appearance of spider veins on your feet and ankles. It has a gentle "no-touch" applicator so applying is a breeze. I don't have to touch it and was amazed at how easy it seems to absorb into my skin. My bruise hasn't completely gone away but I can surely see a
Moderate and severe inflammatory types of acne are the result of plugged follicles being invaded by the bacteria that normally lives on the skin. The role of the bacteria is unclear. Bacteria may act by causing chemical reactions in the sebaceous fluid, leading to the release of very irritating compounds called fatty acids. These in turn cause inflammation that increases susceptibility to infection. A pimple forms when the damaged follicle weakens and bursts open, releasing a substance (sebum, bacteria, and skin) into the surrounding tissues. Pimples that are near the skin’s surface and are inflamed are called papules. When pimples are deeper they are called pustules. This process begins an inflammatory response that sets the stage for the development of acne.
...s expressed by most treating physicians if best treatment is not possible. Most of those wound are sadly sent to a community nurse for dressing change without the patient coming back to the treating physician for assessment of "maintenance wound" treatment.