Derm Flashcards

1
Q

Lyme Disease

A

Def: caused by B. Bugdorferi

SS:
target lesion
fatigue
myalgia

Eval:
Lyme screen

Txt:
doxycycline 100 mg po bid x 14 days

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2
Q

Rocky Mountain Spotted Fever

A

Def: Ricksetta rickettii

SS:
fever
rash
N/V
myalgia
HA

Eval:
CBC
LFT
Serology

Txt:
Doxycycline 100 mg po

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3
Q

Alopecia areata

A

Def: acute hair loss recurrent

SS:
bare areas with short/no hair

Eval:
clinical

Txt:
steroids

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4
Q

Telogen Effluvium

A

Def: loss of hair with stress

SS:
pull out more than 5 hairs

Eval:
clinical

Txt:
none

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5
Q

Folliculitis

A

Def: inflammation/infection of hair follicle

SS:
itchy
erythematous papillose

Eval:
Clinical
skin culture

Txt:
abx

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6
Q

Furuncle/Carbuncle

A

Def: deep inflammatory nodule in hair follicle

SS:
erythematous
pain
drains pus
friction and sweat areas

Eval:
clinical

Txt:
warm compress
abx
drain

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7
Q

Onychomycosis

A

Def: fungal infection of nail

SS:
thickened nail
subungual debris
discoloration of nail

Eval:
clinical
fungal culture

Txt:
antifungal

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8
Q

Paronychia

A

Def: infection of hand via nail

SS:
local pain
swelling
tenderness
purulent material

Eval:
Clinical

Txt:
warm soak
abx
incise and drain

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9
Q

Atopic dermatitis

A

Def: chronic pruritic dry skin

SS:
pruitis
flaky
dry
red

Eval:
clinical

Txt:
moisturize
steroids

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10
Q

Seborrheic Dermatitis

A

Def: cradle cap infants

SS:
itching
crusty, scaly patches

Eval:
Clinical

Txt:
shampoo

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11
Q

Acne Vulgaris

A

Def: cutaneous disorder of pores

SS:
open/closed comedones
pitting
scaring

Eval:
Clinical

Txt:
trentinoin - qhs gel 0.01%
benzoyl peroxide - 2.5 % gel bid
oral abx - doxycycline 100 mg, 50 mg qd
isotrentinoin
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12
Q

Rosacea

A

Def: facial flushing and vacularaty

SS:
facial flushing
telangiectasias
erythema

Eval:
clinical

Txt:
avoid triggers
abx

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13
Q

Hidradenitis Suppurativa

A

Def: chronic cutaneous process with inflammation of apocrine glands

SS:
intertriginous areas
painful
papules
draining

Eval:
clinical

Txt:
hygiene
warm compresses
surgical

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14
Q

Cellulitis

A

Def: inflammation of dermis and subcutaneous tissue

SS:
ill defined border
warm
erythematous
tender
fever

Eval:
culture
clinical

Txt:
cephalexin 500 mg po qid

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15
Q

Erysipelas

A

Def: infection dermis

SS:
tender
peau d' orange
sharp margins
warm

Eval:
clinical
culture

Txt:
abx

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16
Q

Impetigo

A

Def: “honey crusted lesions”

SS:
honey crusted lesions

Eval:
clinical

Txt:
abx

17
Q

Candida types

A
Balantis - penis
intertrigo - superficial
oral (thrush) - mouth and tongue
angular chelitis - angle of mouth
Tinea versicolor - hypo/hyper- pigmented skin
tinea capitis - head
tinea corporis - ring worm
tinea cruris - groin
tinea manus - hand
tinea pedis - feet

Eval:
KOH prep
wood lamp

Txt:
antifungal

18
Q

Varicella

A

Def: dew on rose petal

SS:
vesicles
erythematous
various stages

Eval:
Clinical
tzanck smear

Txt:
supportive

19
Q

Herpes Zoster

A

Def: shingles

SS:
vesicles on dermatome
painful

Eval:
clinical
tzanck smear

Txt:
antivrial

20
Q

Warts

A

Def: viral infection HPV

SS:
skin-colored papules
painful on feet

Eval:
clinical

Txt:
supportive
chemical

21
Q

Itchthyosis Vulgaris

A

Def: scaling of skin

SS:
dry
fine, white
rectangular scales

Eval:
clinical

Txt:
emollients

22
Q

Pityriasis Rosea

A

Def: viral infection

SS:
Herald patch
“christmas tree” distribution

Eval:
clinical

Txt:
supportive

23
Q

Urticaria

A

Def: immune reaction

SS:
hives/wheals
erythema

Eval:
clinical

Txt:
antihistamine

24
Q

Erythema Multiforme

A

Def: acute inflammatory disease

SS:
prodrome (fever, itch, burn, cough)
target lesions

Eval:
Clinical
biopsy

Txt:
supportive
antiviral

25
Q

Cafe au Lait spot

A

SS:
light brown patch

Txt:
supportive

26
Q

Cherry angioma

A

SS:
bright red papule

Txt:
none

27
Q

Dermatofibroma

A

SS:
firm, dense papule
dimple sign

Txt:
excise

28
Q

Epidermal Cyst

A

SS:
firm, dome-shaped nodule
mobile w/ central plug

Txt:
excise
I&D

29
Q

Keloid

A

SS:
scar from injury that overgrows area

Txt:
supportive

30
Q

Nevi

A

SS:
dark pigmented area
ABCDE

Eval:
biopsy

Txt:
none

31
Q

Seborrheic keratosis

A

SS:
stuck on appearance
flat or raised

Txt:
none
shave excision

32
Q

Basal Cell Carcinoma

A

Def: MC

SS:
pink pearly
rolled border
central depression w/crusting
won't heal

Eval:
biopsy

Txt:
excise

33
Q

Squamous Cell Carcinoma

A
SS:
red base
raised
nodular/ulcerated
scaly

Eval:
biopsy

Txt:
excise

34
Q

Melanoma

A

Def: skin cancer of melanocytes

SS:
asymmetry
border irregular
color variation
diameter > 6 mm
evolving

Txt:
Excise