Derm Flashcards
This rash is described as “sandpaper” initially on face, neck, chest and axilla moving to abdomen, extremities and palmar surface and soles in 48 hours. It is accompanied by sore throat and systemic symptoms of fever, malaise?
Scarlet fever (Strep B)
This abrupt small red petechial rash initially erupting on wrist, forearms and ankles accompanied febrile illness occurs most often south central states of North Caroline, Oklahoma, Alaska, Tennessee and Missouri?
Rocky Mountain Spotted Fever (tic-borne)
This non pruritic hypopigmented macular rash is most commonly found on the upper shoulders and back? What is the treatment?
Tinea versicolor
Topical selenium sulfide or ketoconazole bid x 2 weeks
Pityriasis rosacea presents in what classic way and what is the treatment?
A oval plagues with salmon-colored areas with herald lesion is noted first, then Christmas tree pattern on back.
Self limiting- antihistamines for itching
This rash has smooth dome shaped paplues that 2-5mm centrally umbillicated with a white plug?
Molluscum contagiosum
Erythema migrants (bull’s eye rash) is a sign for what significant disorder?
Lyme disease
A 14 year old patient who presents with petechia/purpural rash on the axilla, wrists, flanks, and ankles accompanied by high fever, headache and alerted level of consciousness is suspicious for?
Meningococemia (meningitis)
A 65 year old male presents with sudden onset rash on one side of forehead, eye pain, photophobia, and blurred vision is suspected to have what emergent condition?
Shingles infection of the trigeminal nerve (CN5 V)
During an annual exam, patient complains of a new mole that is painless and has grown recently. Upon examination, you note a 6 mm firm Nevi with asymmetrical with irregular borders, brown and purplish in color. What do you suspect and what is the next intervention?
Melanoma- prompt referral to dermatology for biopsy/excision.
T/F aural lentiginous melanoma is cancer under the nail bed?
True
A skin lesion that has distinct borders, is waxy appearing with light fleshy pink to brown color containing an atrophic or ulcerated center that fails to heal and bleeds easily is suspicious for?
Basal cell carcinoma
An opaque papule found on sun-exposed skin that is without distinct borders with karototic scaling and bleeds easily is suspicious for what disorder?
Squamous cell carcinoma
Multiple dry, round, rough red lesions that do not heal found on elderly persons are most likely and what is the risk associated?
Actinic keratosis- can be precancerous squamous cell lesions
Acral means?
Hands or feet (distal portions of limb)
Annular is what shaped rash?
Ring-like (ringworm, tinea corporis)
Flexural means?
Body folds (flexor surfaces)
An area where two skin surfaces touch or rub each other are?
Intertriginous
A coin-shaped round rash is described as?
Nummular
How does a Maculopapular rash look?
Small raised colored lesions
Wartlike is described as?
Verrucous
Dry skin is described as?
Xerosis
What is the difference between a vesicle and a pustule?
Both are small raised lesions, but vesicle contains serious fluid, pustule is purulent.
T/F a wheal that is >1cm is called a bulla?
True
Observable thickening of the epidermis caused by chronic rubbing or itching is?
Litchenified
What are some of the causes of urticaria?
Medication reaction, viral/bacterial infections, insect bites and other allergies.
Painless waxy warlike fleshy growths on the trunks of middle to older aged adults are?
Suborrheic keratoses
This painless loss of epidermal melanocytes is often associated with autoimmune disorders. It creates irregular shaped areas of hypopigmentations that spreads and coalesces over time?
Vitiligo
Acrochordon is also known as?
Skin tags
Triamcinolone 1% is considered what strength of topical steroid?
Class III Medium-high
Fluocinolone 0.01% is considered what class strength?
Class VI (low)
T/F it is generally safe to use high potency topical steroids on the face and intertriginous areas?
False, lower potency are appropriate
T/F most high potency topical steroids are safe for children?
False, only lowest potency (VI or VII)
During exam, you notice multiple hypopigmented macula’s on chest, shoulders and back that worsen after patient was in the sun. What is the diagnosis and treatment?
Tinea versicolor- selenium sulfate and topical ketoconizole and lamisil bid x 2 weeks.
This rash is an inherited skin disorder presently with extremely pruritic small vesicles and lesions that become litchenfield, found commonly on cheeks, flexural folds, hands, trunk, knees and elbows affecting adults and children as well.
Eczema
What is the treatment for eczema?
Prevention, topical steroids (low to moderate potency) and moisture.
Rhus dermatitis is what?
Contact with irritant plant oil (poison ivy/oak)