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

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

A 5-year-old girl presents to the ED with a rash that started
Skin Syndrome (SSSS ... Skin #Syndrome #SSSS
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
skin syndrome (SSS ... shock syndrome (TSS
Testing for Diabetes Type II
 - 
Hemoglobin A1c test
 - Random blood sugar test
 - Fasting
Testing for Diabetes ... sugar test - Fasting ... Classification #Testing
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
Staphylococcal Scalded Skin Syndrome (SSSS) 
(aka Ritter disease) 
Nikolsky positive 
Clinical 
• Typically occurs 3 to
Skin Syndrome (SSSS ... Skin #Syndrome #SSSS
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Sinus Syndrome (SSS
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
diarrhea before testing ... and treating to ... reduce unnecessary testing ... Diarrhea #Algorithm #Testing
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
serrated lesions (SSLs ... Usually larger than SSLs