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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
Q
A

Steven Johnson Syndrome

covers upto 10% BSA

DISCONTINUE THE DRUG, REFER TO BURN UNIT

26
Q
A

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
Q
A

TEN

(goes to burn unit)

28
Q
A

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
Q
A

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
Q
A

Fixed Drug Eruption

Rxn to NON-CHRONIC meds

Shows up in same spot.

DD: spider bite

31
Q
A

Photosensitivity

(HTN drugs, and Tetracycline can cause this)

Stop the offending medication, or stay out of light

32
Q

Tangent slide:

what does FLAP stand for in the diagnosis of Srep!

A

Fever

Lack of cough

Adenopathy

Pharyngeal exudates

33
Q
A

Cutaneous Necrosis

drug rxn, self limiting, usually occurs with associated infections

34
Q
A

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
Q

What are we pointing to?

A

The herald patch of Pityriasis Rosea

36
Q
A

Pityriasis Rosea in a dark skinned person

37
Q
A

Pityriasis Rosea

This is why you DD secondary syphillus

38
Q

No Image:

Since acne is more prevalent in males, and you see heavy female acne, what should you check for?

A

androgen abnormalities

(excess hair and hair distribution)

39
Q
A

Type A/1 Comedome Acne

Tx: Benzol Peroxide

40
Q
A

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
Q
A

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
Q
A

Perioral Dermatitis

common in young women, no good slide info on this one

43
Q
A

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
Q
A

Staph Folliculitis

red, raised, itchy, may have white pustular center

45
Q
A

Hot Tub Folliculitis

pseudomonas - 24hrs after hot tub

Involves only follicles, red, raised, itchy, may be pustular at the center

46
Q

An staphylococcal inflammed and infected hair follicle that grows large and can drain

A

Furuncle

47
Q

Several inflammed & infected follicles coalescing into an ABCESS

A

Carbuncle

48
Q

Think BRCA gene in what circumstances?

A

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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