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Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease)

#Staphylococcal #Scalded #Skin #Syndrome #SSSS #Diagnosis #Pediatrics #Dermatology #Ritter
Staphylococcal Scalded Skin ... Syndrome (SSSS) ... Staphylococcal #Scalded #Skin ... #Syndrome #SSSS
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded Skin ... Syndrome (SSSS) ... Staphylococcal #Scalded #Skin ... #Syndrome #SSSS
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Shock Syndrome (STSS ... tissue necrosis STSS ... therapy in suspected STSS ... Shock #Syndrome #STSS
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
redness of the skin ... staphylococcal scalded skin ... syndrome (SSS) ... shock syndrome (TSS
Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease) 
Nikolsky positive 
Clinical 
• Typically occurs 3 to
Staphylococcal Scalded Skin ... Syndrome (SSSS) ... Staphylococcal #Scalded #Skin ... #Syndrome #SSSS
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
-10 years: 1-2 SSPs ... adenomas < 10mm, 3-4 SSPs ... adenomas, 5-10 SSPs ... 10 adenomas SSPs
Subclavian steal syndrome (SSS) 
Subclavian artery narrowing or oclussion near the proximal portion of the vertebral
steal syndrome (SSS ... presentation (SSS ... paresthesia, cool skin ... steal #syndrome #SSS
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
progressive fibrosis of skin ... LcSSc) - distal skin ... DcSSc; diffuse) - skin ... sine scleroderma (ssSSc ... changes): skin
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Sinus Syndrome (SSS
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
serrated lesions (SSLs ... Usually larger than SSLs