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Practice Exams > 8/12/21: GPA Webinar 13 > Flashcards

8/12/21: GPA Webinar 13 Flashcards

1
Q

Clinical Features of Paget’s Disease

A
  • Sabre sign - bowing of Tibia
  • joint pain, stiffness, bone pain, headache and deafness
  • bone pain- worse at night
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2
Q

Pretibial Myxoedema - associated with?

A

Graves Disease

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3
Q

Clinical Features of Lipodermatosclerosis

A

Skin induration, increased pigmentation, swelling, redness, inverted champagne bottle appearance

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4
Q

Triad for erythromelalgia

A

burning pain, redness, warmth of extremities

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5
Q

Clinical Features of Pyoderma Gangrenosum

A

Non-healing painful ulcers

purplish undermined edges

on lower limbs usually

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6
Q

Management of Pyoderma Gangrenosum

A
  • immunosuppression - prednisolone

- NOT for debridement

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7
Q

How is molluscum contagiosum transmitted?

A

Transmitted by direct skin contact but fomites (bath towels or sponges) or swimming pools can also be a source of infection. Can also be sexually transmitted and is associated with genital molluscum lesions.

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8
Q

how to treat molluscum contagiousum?

A
  • Picking out the soft white core - could lead to autoinoculation
  • Cryotherapy - can leave white marks → useful in patient with only a few small lesions
  • Gentle Curettage - can scar → → useful in patient with only a few small lesions
    • children may need local anaesthetic → lidocaine + prilocaine
  • Laser Ablation - can scar
  • as per eTG → an occlusive tape can be left on lesions for 24 hours and then pulled off rapidly!!
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9
Q

Management of keratosis pilaris?

A
  • reassurance

- urea 10% topically if needed

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10
Q

Treatment for paronychia?

A
  • consider ring block → 1-2ml lidocaine (no adrenaline) into proxmial crease of finger
  • Incise the abscess with a 21G needle → immediate relief
  • No need for ABx unless surrounding cellulitis
    • dicloxacillin or flucloxacillin 500mg PO Q6H for 5/7
    • cefalexin 1g BD for 5/7
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11
Q

Management of Herptic Gingiostomatitis?

A
  • hydration
  • topical anaesthetic - benzydamine 1% gel, topically to lesions, 2-3 hourly as necessary
    • can up to lidocaine 2% viscous solution
  • DO NOT NEED antiviral treatment usually
    • only in severe or immunocompromised - use antivirals
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12
Q

If suspecting dermatitis herpetiform, investigations?

A

skin biopsy (punch)

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13
Q

Management of dermatitis herptiform?

A

gluten free diet as it is always related to gluten sensitive enteropathy.
dapasone can give symptomatic relief

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14
Q

Treatment for Digital Myxoid Pseudocyst?

A
  • press firmly
  • drain cyst
  • cryotherapy
  • steroid injection
  • sclerosant injection
  • surgical removal
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Practice Exams (45 decks)

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