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Clin Med > Derm 1 Photos > Flashcards

Derm 1 Photos Flashcards

1
Q
A

diaper dermatitis

tx: fungal, then barrier

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2
Q

what 3 pathologies can cause this?

A

BLT

Birth Control, Lupus, Tuberculosis

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3
Q
A

contact dermatitis

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4
Q
A

DxL: atopic dermatitis

Tx: emollient

AT RISK FOR: MRSA and Eczema Herpeticum

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5
Q
A

Eczema Herpeticum

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6
Q
A

Eczema Herpeticum

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7
Q
A

Seborrheic Dermatitis

CHICKEN VS EGG

(FUNGUS VS INFLAMMATION)

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8
Q
A

Cradle Cap

Seborrheic Dermatitis in peds

(lightly shampoo and clean w/ toothbrush)

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9
Q
A

Dyshidrotic Eczema

streoid cream

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10
Q
A

Venous Stasis Dermatitis

Dx: Bilateral, afebrile, varicosities, erythmatic

Tx: unna boot, elevation, mild steroid

DO NOT GIVE ABX

DO NOT CONFUSE WITH CELLULITIS

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11
Q
A

lichen planus

Polygona, pruritic, papule, purple

STEROIDS

HAS WICKAMS STRIAE AND KOEBNER PHENOM

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12
Q
A

Koebner Phenomenon in Lichen Planus

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13
Q
A

wickams striae in Lichen Planus

DOES NOT EXIST IN LICHENOID DRUG REACTION

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14
Q
A

Lichen Simplex Chronicus

SCRATCH ITCH CYCLE

induced by stress/emotions

SOAK IN WATER, SEAL IN WITH STEROIDS

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15
Q
A

Nummular Dermatitis

Trunk and Lower Extremities

Tx: Steroid, and emollient after bathing

DD: Tinea

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16
Q
A

Nummular Dermatitis

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17
Q

No Image, derm manifestation from gluten sensetivity

A

Dermatitis Herpetiformis

GI LYMPHOMA

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18
Q
A

plaque psoriasis

most common, joint locations

MED INDUCED? Lithium/BBlockers

MANY TREATMENTS, TOPICAL and SYSTEMIC STEROIDS

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19
Q
A

Guttate Psoriasis

FROM STRESS OR

PRIOR INFECTIONS LIKE STREP

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20
Q
A

Inverse Psoriasis

Not extensor surfaces, no scales

armpit/groin (Intertringous Areas)

21
Q
A

Nail Psoriasis

Pitting and oil drop sign

(with psoriasis, lichen planus is in the differential, but there is no nail pitting in lichen planus)

Tx: Physical Maneuvers (whatever that means)

22
Q
A

Erythema Multiform Minor

Usually involves the palms, arms, legs, appendages

DD: Herpetic Flair and Mycoplasma

Any with any palm lesions…include Syphillis in DD

Tx: Self limiting

23
Q
A

Erythema Multiform Minor

still DD for: mycoplasma and Herpes

24
Q
A

Erythema Multiform Major

(major is drug reaction related)

3 Categories:

1) Steven Jonson (SJS)
2) Toxic Epidermal Necrosis (TEN)
3) Combo SJS/TEN

25
Steven Johnson Syndrome covers upto 10% BSA DISCONTINUE THE DRUG, REFER TO BURN UNIT
26
TEN (Toxic Epidermal Necrosis) Covers over 30% Tangent: nurse calls, you he's red all over, afebrile, thats erythroderma, may be beginning of Erythema Multiform Major (drug rxn)
27
TEN | (goes to burn unit)
28
Morbilliform (3 M's...Macular, measly, med induced) REMEMBER: KID WITH MONO, YOU THROUGH STREP SO YOU TX'd WITH Amp/Amox/Penicillin's and caused a Morbilliform rash
29
Urticaria (Hives) can be ACUTE or CHRONIC reaction to food, drugs, etc. Sporadic hives is no big deal, but if near face...GIVE A STEROID!! watch for facial swelling, anaphylaxis. DD: Parasite (R/O w/ CXR, CBC w. diff, Stool)
30
Fixed Drug Eruption Rxn to NON-CHRONIC meds Shows up in same spot. DD: spider bite
31
Photosensitivity (HTN drugs, and Tetracycline can cause this) Stop the offending medication, or stay out of light
32
Tangent slide: what does FLAP stand for in the diagnosis of Srep!
Fever Lack of cough Adenopathy Pharyngeal exudates
33
Cutaneous Necrosis drug rxn, self limiting, usually occurs with associated infections
34
Pityriasis Rosea LINEAR XMAS TREE DISTRIBUTION and HERALD PATCH to trunk DD: Seconday Syphillus, Guttate Psoriasis, Tinea Corporis This is LIKELY VIRAL and gonna last a while Can give steroids for the itch, and Acyclovir
35
What are we pointing to?
The herald patch of Pityriasis Rosea
36
Pityriasis Rosea in a dark skinned person
37
Pityriasis Rosea This is why you DD secondary syphillus
38
No Image: Since acne is more prevalent in males, and you see heavy female acne, what should you check for?
androgen abnormalities | (excess hair and hair distribution)
39
Type A/1 Comedome Acne Tx: Benzol Peroxide
40
Type B/2 Pustular Acne Tx: Benzol Peroxide, good to double an antimicrobial with benzol. Each of those meds by themselves are not favorable.
41
Type 3/C Cystic/Nodular Acne Consider Acutaine...VERY STRONG TERATOGENIC, WATCH CHOLESTEROL, TRIGLYCERIDES WILL GO UP This stage can scar later on WITH ALL ACNE USED WATER BASED PRODUCTS
42
Perioral Dermatitis common in young women, no good slide info on this one
43
Rosacea pink papules, telangiectasia (blanching), flushing light skinned women MOST affected men more SEVERELY affected including a LARGE NOSE Tx: Topical Flagyl, PO ABX DD: Lupus (malar rash), Acne
44
Staph Folliculitis red, raised, itchy, may have white pustular center
45
Hot Tub Folliculitis pseudomonas - 24hrs after hot tub Involves only follicles, red, raised, itchy, may be pustular at the center
46
An staphylococcal inflammed and infected hair follicle that grows large and can drain
Furuncle
47
Several inflammed & infected follicles coalescing into an ABCESS
Carbuncle
48
Think BRCA gene in what circumstances?
Male with breast cancer First degree relatives with breast/ovarian cancer Jewish Ancestry Family history of breast cancer under 50

Clin Med (14 decks)

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