Skin Form for Infectious Disease - New York State Public High 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the wrestler's name and school in the designated fields at the top of the form.
  3. Fill in the date of examination, ensuring accuracy as this is crucial for tracking treatment timelines.
  4. Mark the location and number of lesions clearly on the bodygram provided. Use non-black ink to avoid confusion.
  5. Document the diagnosis and any medications used for treatment, including start dates and expected return dates.
  6. Ensure that a licensed physician, physician assistant, or nurse practitioner signs the form, providing their office phone number and printed name.

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Skin infections can result from bacterial, viral, fungal, and parasitic causes. The way they affect the body will depend on the specific pathogen.
Cellulitis. Cellulitis is usually an infection of the skin (left). But if the condition is severe or left untreated, as in the photo on the right, it can spread into tissue under the skin, the lymph nodes and the bloodstream.
Primary Infections Impetigo. Three forms of impetigo are recognized on the basis of clinical, bacteriologic, and histologic findings. Cellulitis and Erysipelas. Staphylococcal Scalded Skin Syndrome. Folliculitis. Erysipeloid. Pitted Keratolysis. Erythrasma. Trichomycosis.

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Skin Infections They are most frequently caused by Staphylococcus aureus, Streptococcus pyogenes, and coryneform bacteria. Impetigo, folliculitis, boils, and erythrasma are common examples. Systemic infections may also have skin manifestations.

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