Ashley Smith Fraser – Making Rash Decisions in Pediatrics: The Common and Not So Common

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Exploring the Essential Features of “Ashley Smith Fraser – Making Rash Decisions in Pediatrics: The Common and Not So Common”

Speaker: Ashley Smith Fraser, MSN, CPNP-PC

Duration: 2 Hours 01 Minutes

Format: Audio and Video

Copyright: Jul 13, 2023 

Media Type: Digital Seminar

Description

Rashes of all sorts are some of the most common chief complaints presenting in pediatric settings. The evaluation of rashes in pediatric patients includes a broad differential diagnosis and use of a detailed history, review of symptoms, and physical examination to differentiate between many possible causes. This session reviews characteristics of common rashes as well as some uncommon rashes, (including those that need immediate attention!) to guide management and treatment and improve patient outcomes.

Speaker

Ashley Smith Fraser, MSN, CPNP-PC

 
Ashley Smith Fraser, MSN, CPNP-PC, is a pediatric dermatology nurse practitioner at Children’s National Hospital in Washington, DC. She earned her BSN and MSN from The Johns Hopkins University School of Nursing. She was a nurse in the emergency department at Children’s National and has been a pediatric nurse practitioner in the dermatology department in Children’s National for over 5 years. She specializes in acne, atopic dermatitis and biologic therapies.

Speaker Disclosures:
Financial: Ashley Smith Fraser has an employment relationship with Children’s National Hospital and receives a speaking honorarium from Regeneron and PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Ashley Smith Fraser has no relevant non-financial relationships.

Objectives

1. Obtain dermatologic history and physical exam on children presenting with rashes.
2. Determine differences in rashes in darkly pigmented skin.
3. Identifies management options for common dermatologic conditions seen in children.
4. Prescribe appropriate topical and systemic medications for various pediatric rashes.

Outline

Dermatologic History and Exam

• Basic Anatomy of the skin
• How to describe a rash
• Important questions
• Cultural considerations

Acne

• How to design a treatment plan
• Scarring vs PIH and considerations for darker skinned patients

Eczema

• Types of eczema- based on age and variations (nummular, dyshidrotic, pityriasis alba, etc)
• The overlap with irritant and contact dermatitis – common irritants
• Everyday skin care
• Topical steroids- myths and facts about side effects- how to use
• Other treatment options and when to refer- dupilumab, topical JAKs, oral JAKs

Bacterial, viral and fungal Infections of the skin

• Tinea
• Impetigo
• Warts and Molluscum
• HFM
• Eczema herpeticum
• Hidradenitis Suppurativa vs Folliculitis
• Viral exanthems

Newborn Rashes

• Toxic erythema of newborn
• Transient neonatal pustular melanosis
• Miliaria vs Milia
• Neonatal cephalic pustulosis
• Diaper dermatitis
• Cradle cap

Birthmarks

• Hemangiomas
• Port Wine Stains
• Café au Lait Macules and NF1
• Ash Leaf Macules and TS
• Nevus simplex
• Nevus sebaceous

Sample Cases

• Acne
• Eczema
• Tinea
• Hemangioma

Target Audience

• Nurses
• NPs
• APRNs
• Physician Assistants
• Physicians

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