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CPD Vocab > 5 Derm > Flashcards

5 Derm Flashcards

0
Q

Red swollen foot DDX

A

Cellulitis, DVT, gout, CPPD, stasis dermatitis, septic arthritis (must r/o)

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1
Q

PE to do with cellulitis…

A

Check lymph! Check regional lymph nodes and look for streaking (lymphangitis)

Guaranteed quiz question

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2
Q

Erythema Nodosum

A

Indurated nodules that look like bruises, slowly change color. Shins. must look for underlying disorder.
Inflammation of skin and subQ tissue (panniculitis)

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3
Q

Intertriginous

A

Creases: armpits, inguinal folds, under the breasts, between toes/fingers
(Erythasma lives here)

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4
Q

Balanitis

A

Candidiasis on penis/groin

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5
Q

Miliaria

A

Heat rash. Accumulation of sweat beneath eccrine sweat ducts –> keratin obstruction. Pruritis. Small red papules. Children/babies

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6
Q

Cellulitis

A

Acute bacterial infection of the skin. PE…

Immuno compromised. Distribution: lower leg, children–cheeks, perioribital (EMERGENCY), head, neck

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7
Q

Cutaneous abscess

A

Localized collection of pus under skin. Painful, tender, induration

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8
Q

Erysipelas

A

Superficial cellulitis with dermal lymphatic involvement (streaking). Shiny, raised, indurated, plaque like lesions. Legs (then face)

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9
Q

Erysipeloid

A

Violaceous on hands and forearms. Rare

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10
Q

Erythasma

A

Superficial intertriginous infxn with Corynebacterium. Dx: Wood’s lamp, skin scraping

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11
Q

Folliculitis

A

Inflammation of hair follicle. S aureus, fungal, trauma, corticosteroids. Pustule or inflammatory nodule. If from hot tub–pseudomonas

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12
Q

Furuncle

A

Boil. Acute tender nodules. S aureus. Drains to the surface. Culture to r/o MRSA.

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13
Q

Carbuncle

A

Cluster of furuncles with multiple draining orifices. More systemic symptoms.

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14
Q

Impetigo

A

Superficial acute skin infection with honey colored crusting. Clusters of vesicles or pustules that rupture.

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15
Q

Candidiasis

A

Intertriginous, erythematous, well-demarcated, pruritic patches. Satellite lesions.

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16
Q

Dermatophytoses

A

Fungal infxn of keratin in skin and nails. Tinea….

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17
Q

Tinea barbae

A

Beard fungus. Pruritic, painful, swollen

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18
Q

Tinea capitis

A

Fungus that can cause hair loss. More common in African and Hispanic descent

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19
Q

Tinea corporis

A

Pruritic, circular/oval, erythematous, scaling. Slightly raised, pale in middle

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20
Q

Tinea cruris

A

Jock itch. Causes: obesity, diabetes, immunodeficient. Partial central clearing, slightly elevated, erythematous active border

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21
Q

Tinea pedis

A

Athletes foot. Common. Intensely pruritic. Erythematous vesicles or bullae between toes or on soles.

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22
Q

Tinea versicolor

A

Superficial fungus infection with Melassezia furfur. Hypo/hyper pigmented macules with scaling patches. Trunk and proximal upper extremities.

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23
Q

Cutaneous larva migrans

A

Creeping eruption. Caused by hookworm larva. Intensely pruritic, erythema, serpinginous. DDX: scabies

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24
Lice
Pediculosis. Wingless, blood sucking insects. Head. Nits "glued on" shaft 1cm from scalp.m
25
Scabies
Infection of skin with mite. Burrows are pathognomic. Wavy lines with papules. Hands, arms (feet, gluteal fold, axilla, back of knees)
26
Molluscum contagiosum
2-10 lesions. Caused by pox virus in epidermal cells. Esp ages 3-9yrs. Smooth, flesh colored, umbilicated, indurated. Self-limiting
27
Warts
Verrucae vulgaris. Benign, contagious, caused by HPV.
28
Common wart
Dome, round, or irregular. 2-10mm. Usually asx. Skin lines interrupted by hyper keratosis. Black puncta when scraped with pinpoint bleeding.
29
Filiform wart
Long, narrow, soft. Eyelids, face, neck
30
Flat wart
Smooth, flat, yellow, brown, flesh colored. 2-3mm
31
Plantar wart
Soles of feet. Single or multiple. Painful and callused. Black puncta present.
32
Mosaic wart
Multiple plantar warts
33
Condylloma accuminata
Genital warts. Soft, moist papules or plaques on perineum, external genitalia, anus, vagina, cervix
34
Varicella
Chicken pox. Acute, highly contagious vesicular eruption caused by primary infxn with HHV. Papules, macules, vesicles, pustules, crusts.
35
Herpes simplex
Recurrent viral infxn w intraepidermal infxn by HSV. Herpes hurt. Ulcerated/weakling lesions. Outbreaks following stress.
36
Herpes zoster
Shingles. Latent varicella infxn. Virus remains in nerve roots and erupts along the dermatome. Systems sxs, severe pain.
37
Roseola infantum
Infxn of infants or young children. 3-5 days high fever -->rash on chest and abdomen (only for few hours)
38
Hand Foot and Mouth Disease
Febrile disorder caused by Coxsackie virus. Vesicular eruptions of skin and mucosa. Fever, myalgia, abdominal pain, loss of appetite
39
Viral exanthems
Blood borne viruses--> vascular response. Raised maculopapular rash, e.g. Rosella infantum. DDX: hives
40
Measles
One of most communicable dzs! Spread by secretions from nose, mouth, throat. Prodrome with fever, coryza, conjuctivitis, photophobia, cough, Koplik spots. Rash is morbilliform, maculopapular, blanching
41
Rubella
Mild incubation, brief prod rime of fever/malaise. Rash is pinpoint pink maculopapular, may have petechiae on soft palate. A teratogen!
42
Vitiligo
Idiopathic condition lacking in melanocytes. Sharply demarcated, patchy and irregular. Spots are white with no scale. Assoc w auto immune dzs, e.g. Thyroid, pernicious anemia, systemic lupus erythematosus, Addisons
43
Hyperpigmentation
Melasma/chloasma: macular, pregnant women or OCP. Sharply delineated patches on face. "Mask of pregnancy" Lentigines: flat, tan or brown spots dt chronic sun exposure
44
Alopecia
Male/female pattern--androgen excess ("load of hooey") Diffuse-- weight loss, nutritional def, thyroid disorder, stress, pregnancy Toxic--chemo Alopecia areata--autoimmune, toxic, drugs, infxns, severe stress
45
Scarring aplopecia
Cutaneous lupus, deep bacterial infxn, ulcers, granulomas, syphilis, tinea
46
Hirsutism
Excess hair in females. Dx by serum free testosterone
47
Onychomycosis
Fungal infxn of nail plate or bed. Caused by dermatophytes or yeast
48
Paronychial infxns
Periungual infxn. Develops along nail margin, becomes painful, warm, erythematous, swollen.
49
Dermatofibroma
Benign proliferation of fibroblasts. Epidermal thickening and hyperpigmentation, small red to brown papule
50
Epidermal cyst
Cyst w keratinous material in the dermis. Firm, flesh colored, movable nodule its central punctum
51
Keloid
Excess fibroblastic proliferation following trauma and scarring. E,elated, shiny, firm protuberant nodule. African and Asian descent prone
52
Lipoma
Subcutaneous nodules of adipocytes. More common in F. Rubbery, movable nodule, below dermis.
53
Nevi
Moles. Pigmented or flesh colored macules, papules, or nodules composed of melanocytes.
54
Lentigo
Hyper pigmented macule dt increased melanocytes. Darker, sparser, does not darken with sun
55
Junctional nevus
Light brown-black. Usu flat but can be raised. 1-10mm. Palms, soles, genitals
56
Compound nevus
Light to dark brown, smooth and dome shaped or papillomatous.
57
Intradermal nevus
Elevated, flesh colored to brown. May have speckles of brown pigmentation, 3-6mm
58
Halo nevus
Pigmented compound or intrudermal nevus, halo of depigmented skin. Immune phenomenon
59
Atypical/dysplastic nevus
Irregular, pigmented nevus from tan to dark brown. Irregular pigment. ABCDEF. Large, >6mm on covered areas
60
Seborrheic keratosis
Benign neoplasm--->pigmented superficial lesions that appear warty or smooth papules. "Stuck on", scaly.
61
Acrochordon
Pendunculated fibroma, soft. "Skin tag". Perianal common in pts with Chron's
62
Basal cell carcinoma
Superficial, slow growing papule or nodule. Small, shiny, firm translucent--> crusty, flat lesions. Nodular-60%. Papule that --> rodent ulcer Superficial-30% Morpheaform-10%
63
Malignant melanoma
Arises in melanocytes in skin and mucus membranes, eyes or CNS. ABCDEF. Usu pigmented Glasgow 7 point checklist: (1 major, or 2 minor = referral) Major: change in size/new lesion, change in shape, in color Minor: diameters >=7mm, inflammation, crusting/bleeding, sensory change
64
Lentigo-malignant melanoma
15%. Slow onset and progression on face or sun exposed areas. 2-6cm, flat, tan or brown w darker spots
65
Superficial spreading melanoma
2/3 of melanoma. Arise from preexisting lesion. Mostly on women's legs and men's torsos. Plaque
66
Nodular melanoma
Dark protuberant papule or plaque varying in color. Grows fast. May not be pigmented
67
Acrolentiginous
Arise in areas of non-hair bearing skin: soles, palms, subungual skin
68
Squamous cell carcinoma
Malignant tumor of epithelial keratinocytes that invades the dermis. Usu on sun exposed areas. Starts as red papule with scaly rough surface or is nodular. Can form horns. Eventually ulcerates/bleeds and can metastasize
69
Big lump DDX
Cutaneous abcess, ruptured epidermal cyst, lipoma, keloid
70
Small red papules DDX
Baby acne, miliaria
71
Plaques on face DDX
Herpes zoster, Rosacea, erysipelas, contact dermatitis
72
Intertriginous DDx
Erythrasma, tinea (pedis, cruris), candidiasis
73
Pustules
Acne vulgaris, Rosacea, impetigo, folliculitis, candidiasis, insect bite, furuncles, carbuncle, drug eruption
74
Crusting vesicles
Impetigo, herpes simplex, herpes zoster, atopic dermatitis
75
Scalp DDX
Tinea capitis, love, seborrheic dermatitis
76
Groin DDX
Tinea cruris, candidiasis, molloscum, erythrasma, warts
77
Body DDX
Drug eruptions, pityriasis rosea, tinea versicolor, erythema multiforme, vitiligo
78
Serpinginous DDX
Cutaneous larva migrans, scabies
79
Feet DDX
Plantar wart, tinea pedis
80
Eyelids DDX
Filiform wart, acrochordon
81
Flat brown macule DDX
Flat wart, lentigo
82
Warty thing DDX
Mosaic wart, seborrheic keratosis, actinic keratosis
83
Vesicular rash DDX
Varicella, contact dermatitis, herpes zoster, acne vulgaris, impetigo, drug eruption, herpes simplex
84
Red macular rash DDX
Roseola infantum, measles, rubella, drug eruption
85
Vesicular eruption DDX
Varicella, herpes, aphthous stomatitis
86
Hypopigmented DDX
Tinea versicolor, vitiligo, pityriasis alba
87
Hyper pigmented DDX
Pregnancy, OCP, lentigines
88
Alopecia DDX
Male pattern, female pattern, alopecia areata, tinea capitis, trichotillomania
89
Nails DDX
Onychomycosis, trauma, psoriasis
90
Red brown papules DDX
Dermatofibroma, nevi, basal cell carcinoma, keloid, acrochordons
91
Tumors DDx
Nevi, seborrheic keratosis, molloscum, scc, malignant melanoma, bcc, actinic keratosis
92
Morbilliform
Looks like measles

CPD Vocab (9 decks)

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