3: Derm Assessment Flashcards
Name this rash (1):
Manifests in the same areas as cushing syndrome and acne vulgaris.
Acneiform rash
Name these rashes (2):
Distribution commonly on sun-exposed areas.
Actinic keratosis
Phototoxic reactions
Diagnostics for rashes (5)?
- Scrape lesions for hyphae/spores.
- Fungal/bacterial culture.
- Use Woods lamp (bacterial, fungal, discoloration).
- Viral culture.
- CBC, UA, or specific organism test.
What are the key elements of the HISTORY to consider when interviewing the patient with a rash (7)?
- How long?
- Any systemic complaints?
- Any close contacts have symptoms (scabies, lice, tinea)?
- Pets (tinea, flea bites, lyme dz)?
- Recent insect bite?
- Traveled recently?
- New exposures (detergent, medications, vaccinations, jewelry)?
Name these rashes (2):
Distribution favors clothing-covered areas.
Contact dermatitis
Psoriasis
What should drive the extent of your history and physical exam with rashes?
All rashes are assumed to be a systemic condition until proven otherwise.
Even when 100% sure rash is not systemic, check the following 4 areas:
- Oral mucosa
- Cardiac and respiratory
- Abdominal (spleen/liver)
- Nails
Name this rash (1):
Manifests in the same areas as guttate psoriasis.
Pityriasis rosea
What are the key elements of the RASH to consider (7)?
- Itchy, painful, burning?
- Worse at certain times?
- What makes it better/worse?
- Have you applied anything to it?
- Anything similar before?
- Has it spread?
- What was previous treatment?
Name this rash (1):
Manifests in the same areas as tinea or dyshidrotic eczema.
Acrodermatitis
Name these rashes (2):
Distribution commonly on inner surfaces of arms and legs.
Atopic dermatitis
Intertrigo