Derm Flashcards
Stasis dermatitis
weight loss, compression hose, elevation of extremities topical steroids only in short term.
Skin malignancy more common in immunesuppressed
Squamous cell carcinoma
Where do venous ulcerations usually happen?
medial lower leg
Arterial ulcerations?
punched out appearance, over bony prominences (medial malleolus or tips of toes), extremely painful. decreased pulses, cool extermities, hairlessness.
Meds for candida
fluconazole, voriconazole, nystatin, DO NOT use terbinafine as this will not work.
Scarlett fever
GAS complication, sandpaper rash, strawberry tongue, skin desquamation.
Pityriasis Rosacea
acute, asymptomatic, r/o 2ndary syphillis, herald patch salmon colored oval on back, neck, or chest, may scale around periphery, xmas tree appearance, resolves w/in 8 wks without treatment.
Molluscum
Pox virus, sexual or any physical contact, treat with LN due to risk of inoculation. can try podofilix 0.5%
Dyshidrotic Eczema
pruritic, small fluid filled blisters (tapioca-like) on sides of fingers and toes. look for dermatophyte infection.
Most common congenital viral infection
CMV, round purple plaques on body
Toxic Epidermal Necrolysis
shedding of sheets of skin often with mucosal involvement, drug hypersensitivity or bact sepsis
SSSS- staph scalded skin syndrome
epidermolytic toxin driven disease, widespread desquamation, infection not usually on skin, send cultures
Basal cell cancer
pearly pink rolled borders, telangectasias
Rules of Accutane
Need form of contraception, preg testing, monitor TG, causes dry skin, decreased night vision, don’t mix with tetracycline due to risk of pseudotumor cerebri.
Urticaria/ what type of reaction?
Type I hypersensitivity reaction, also angioedema and anaphylaxis.
