DERM 2 Flashcards
Tx for seborrheic keratosis?
- Scissor biopsy
- Electrosurgery/Freezing
“I have warts or moles that are growing”
Seborrheic keratosis
What skin condition is characterized by the following: small, rough, pink or brown macules, papules, or plaques on sun-exposed areas?
Actinic keratosis
Tx for lice?
- Permethrin, malathion, lindane, benzyl alcohol
- Innoculate close contacts
- Wash bedding/clothes in hot water
Tx for scabies?
- Permethrin
- Treat close contacts
What skin condition is characterized by inflammatory, erythematous, itchy papules found on flexor surfaces of wrists, elbows, genitalia, feet, and finger webs?
Scabies
What spider bite is characterized by the following: burning pain 1-24 hours after bite, fever, chills, malaise, nausea, possible necrosis, and a wound that may be asymptomatic for up to 3 days?
Brown recluse spider
What spider bite is characterized by the following: burning within minutes of bite that resolves within hours, systemic onset within 30 minutes: cramps, dyspnea, sweating, N/V, restlessness, or sense of impending death?
Black widow spider
Test for brown recluse?
UA for hemolysis
Which spider bite requires cool compresses?
Brown recluse
What skin condition is characterized by the following: pink pearly papules, sometimes with telangiectasias, rolled margins, possibly ulcerated center, on face and neck?
Basal cell carcinoma
Where is the superficial form of BCC found?
Trunk or extremities
What kind of biopsy would you use for BCC?
Shave, but punch can assess depth
Tx for BCC?
- Meds: 5-flurouracil, imiquimod
- Radiation, phototherapy
- Surgical excision preferred if tolerable (Mohs, excision)
What is the acral form of malignant melanoma?
Nails
How big of an excision is necessary for a malignant lesion 1-2 mm thick?
1-2 cm
How big of an excision is necessary for a malignant lesion around 1 mm thick?
1 cm
What skin condition is characterized by the following: slow-growing, hyperkeratotic lesions, possible ulceration, crusting in sun-exposed areas?
SCC
Where does SCC most commonly metastasize to?
The lungs
From where does SCC most commonly metastasize?
Ears and vermilion border (lips)
Tx for SCC?
- Total excision
- Electrosurgery
- Mohs
What is alopecia totalis?
Hair loss of the entire scalp
What is alopecia universalis?
Hair loss of entire body
What two conditions are associated with hair loss?
- Lupus
- Thyroid issues