Derm

Question 1

Seborrheic dermatitis. clinical presentation, course, treatment.

Answer 1

inflammatory condition
pink/red plaques with yellow greasy scale on scalp, forehead, eyebrows, nasolabial folds, central chest, and axilla
relapsing remitting course
treat with topical antifungals or mild steroids

Question 2

Acne vulgaris: appearance, course, treatment

Answer 2

onflammatory
pink to red papules, pustules, and nodules. may be open or closed, may scar
course: seen inf infant, adolescent, adult forms
treat with topical antibiotics, retinoids, oral antibiotics, or oral retinoids

Question 3

Stasis dermatitis: appearance, course, treatment

Answer 3

pink to red to black to brown scaly patches and plaques in the setting of PITTING EDEMA. Affects BOTH legs. Differentiate from cellulitis
course: flares associated w/ severe swelling, pain, and pruritis
treat with topical steroids, compression, diuretic therapy, and leg elevation

Question 4

Psoriasis: appearance, course, treatment.

Answer 4

pink to red pruritic patches with adherent white scale, pits, oils spots and onycholysis (detatchment of nail from nail bed) seen on scalp, extensers, interniginous areas (where 2 things rub together), nails

course: relapsing remitting; may have progressive arthritis
treat: topical steroids, vitamin D analogues, UVB therapy, oral retinoids,methotrexate, biologics, cyclosporine

Question 5

Atopic dermatitis: presentation, course, treatment

Answer 5

pink to red pruritic patches and plaques on xerotic backround. common in infants on the extensors or in adults and kids on the flexor surfaces. associated with asthma and seasonal allergies.

course: often outgrown, but does flare and remit; worse in winter and in cold/dry climates
treat: emollients (moisturizers), bleach baths, steroids, oral immunosuppressants, UVB, topical immunodilators, bleach baths

Question 6

What is the typical presentation of basal cell carcinoma?

Answer 6

pink, pearly, telangiectatic papule that may ulcerate. May be pigmented. seen on sun exposed areas most commonly.

Question 7

What must I know about clinical course of basal cell carcinoma?

Answer 7

grows over months-years, may be locally destructive, may ulcerate and bleed, but very rarely metastasizes.

Question 8

What are the differences in treatment for various skin neoplasms?

Answer 8

all can be treated with surgical incision.
basal cell carcinoma and squamous cell carcinoma can be treated with electrodessication and curretage or imiquimod if superficial.
melanoma may require additional treatment for metastatic disease

Question 9

What does squamous cell carcinoma look like?

Answer 9

pink scaly papule or nodule. often tender. may ulcerate. may develop in areas of chronic inflammation.

Question 10

What is the clinical course of squamous cell carcinoma?

Answer 10

grows slowly over months to years, or very rapidly over weeks. may become locally destructive. has the potential to metastasize.

Question 11

What is the clinical presentation of malignant melonoma?

Answer 11

irregularly pigmented macule, papule, patch, or nodule. variations in color.

Question 12

What are the ABCDEs of melanoma?

Answer 12

asymmetry, irregular border, color, diameter (greater than 6 mm), evolving. But, some melanomas prevent without pigmentation.

Question 13

What is the presentation of intertrigo? What is the clinical course?

Answer 13

tender, malodorous, moist patches and eroded plaques in skin folds.flares and remits.

Question 14

What is the treatment for intertrigo?

Answer 14

thoroughly dry after bathing. use topical antifungals, maybe topical steroids. Cold compresses.

Question 15

What are the clinical presentations of verruca vulgaris? What is the clinical course?

Answer 15

painful or painless hyperkeratotic verrucous papules with pinpoint hemorrhage on palms soles, and periungual (around nails) regions.
usually grow slowly with time. may spontaneously regress.

Question 16

How do you treat verruca vulgaris?

Answer 16

topical salicylic acid, liquid nitrogen, intralesional candidat antigen

Question 17

What is the clinical presentation and course of molluscum contagiosum?

Answer 17

asymptomatic or pruritic skin colored dome-shaped papules with a central dell on face trunk or extremities. sometimes on adult genitalia. persist for months. may sponatenously regress or spread to other parts.

Question 18

How do you treat molluscum contagiosum?

Answer 18

usually observation

sometimes liquid nitrogen cryotherapy, cantharidin

Question 19

What is the clinical presentation of cellulits? Clinical course? Treatment?

Answer 19

painful, warm red, sharply defined patch or plaque. may have vesicles bullae, or pustules.
usually develops rapidly with other systemic fevers. Careful- may progress to sepsis.
treat with oral or IV antibiotics. INCLUDE GRAM POSITIVE COVERAGE.

Question 20

What is the clinical presentation of hand, foot, and mouth disease?

Answer 20

usually kids under 10
low grade fever
soure mouth/trhoad with tender lesions on palms and soles
erythematous macules that may progress to vesicles on an erythematous base.

Question 21

Treatment for hand, foot and mouth disease?

Answer 21

support for fever and mouth tenderness

resovles sponaneously in 5-7 days.

Question 22

What is fifth’s disease?

Answer 22

caused by parvovirus B19.
erythematous sharply defined patches on the bilateral cheeks and blanching of the erythematous lacy patches on trunk.
may also give malaise, mild fever, headache, sore throut.
resolves on its own.