✅Derm Flashcards

1
Q

Identify

________________

When does this onset and regress?

________________

Describe composition

A

Capillary Hemangioma

________________

Birth - 6 mo and regresses by 7 yo.

________________

Small Capillaries that BLANCHES on pressure

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2
Q

What causes Purulent cellulitis

A

Staph Aureus

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3
Q

What causes NONPurulent cellulitis

A

GASP

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4
Q

Between flexor and extensor, which is more involved with [Eczema Atopic Dermatitis]

A

Flexor

If superimposed with HSV –> Eczema Herpeticum which –> hemorrhagic crusting

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5
Q

Rash description: scaly, erythematous, pruritic rash with a raised border and central clearing

________________

tx?-2

A

[Tinea Corporis ringworm]

________________

Tx = [topical clotrimazole] or [topical terbinafine]

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6
Q

Rash description: scaly, erythematous, pruritic rash with a raised border and central clearing.

What is the diagnosis?

________________

how do you confirm this diagnosis?

A

[Tinea Corporis ringworm]

________________

KOH of skin scrapings

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7
Q

Diagnosis?

________________

Demographic?

Non Blanching Blue Grey Sacral patches

A

[Mongolian Spot dermal melanocytosis] (fades during childhood)

________________

Pretty much every race except white lol

  • These should be NON-Tender*
  • Often described on test as Non Blanching Blue Grey Sacral Patches*
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8
Q
A

Squamous Cell Carcinoma

Most common skin cancer in immunocompromised patients

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9
Q

How do Corticosteroids affect the skin?

A

CTS ➜ [Monomorphic papular ACNE]

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10
Q

Diagnosis?

________________

Management?

A

Basal Cell Carcinoma

________________

[Mohs surgical removal]

(since it rarely metastasizes but invades locally)

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11
Q

diagnosis?

________________

How do you confirm diagnosis for this?

A

Bullous Pemphigoid

________________

bx showing IgG and C3 deposits at basement membrane

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12
Q

diagnosis?

________________

Treatment?

A

bullous pemphigoid

________________

[high potency topical CTS]

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13
Q

Identify

A

[Epidermal Inclusion Cyst]

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14
Q

Lipomas and Epidermal inclusion cyst can both present as painless benign nodules

How do you differentiate the two? - 3

A
  1. EIC resolves spontaneously and can come back. Lipoma don’t resolve w/out surgery!
  2. EIC are FIRM vs Lipoma which is soft rubbery
  3. EIC may drain cheesey white discharge +/-
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15
Q

Describe a Dermatofibroma

A

benign fibroblast proliferation that forms hyperpigmented nodule usually on LE that causes center dimpling when pinched

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16
Q

what’s the treatment for this?

A

Topical Retinoids

________________

  • Ichthyosis Vulgaris*
  • diffuse dermal scaling resembling fish or reptile scales, MUCH WORST than eczema*
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17
Q
A

Ichthyosis Vulgaris

  • diffuse dermal scaling resembling fish or reptile scales, MUCH WORST than eczema*
  • tx = topical retinoids*
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18
Q

Which dermatologic condition is Hepatitis C associated with?

A

Porphyria cutanea tarda with skin fragility and photosensitivity

also associated with EtOH and OCPs

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19
Q

diagnosis?

A

Seborrheic Keratosis

________________

[stucK on brown benign epidermal tumors in the elderly]

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20
Q

describe this lesion

A

[stucK on brown benign epidermal tumors in the elderly]

________________

Seborrheic Keratosis

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21
Q
A

Lichen Planus

Papules flat topped, pruritic, planar, polygonal

22
Q

Which antibiotic is most associated with phototoxic drug eruptions?

A

Tetracyclines

especially in sun-exposed areas

23
Q

What type of cellular reaction is responsible for [Allergic Contact Dermatitis]?

erythematous papules and vesicles

A

[Type 4 T cell mediated hypersensitivity]

24
Q

MOD for Lentigo

________________

demographic?

A

intraepidermal melanocyte hyperplasia that –> EVEN pigmentation

________________

elderly

25
How should you work up melanoma?
excisional bx with initial margins of 1-3 mm of normal tissue also
26
What are the common triggers for Rosacea?-4
Emotion EtOH Hot drinks Heat
27
cp for Rosacea - 4
1. central face erythema 2. facial flushing 3. telangiectasia 4. burning \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ *Rosacea can --\> Permanent Flushed skin!*
28
Description of Seborrheic Dermatitis \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Tx?
erythematous plaques with an **oily** **greasy** scaling of the scalp, eyelids, nasolabial folds and postauricular areas \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ nonmedicated shampoo
29
tx for [inflammatory acne] - 2
[**B**enzoyl Peroxide] ➜ [**A**bx (topical before PO | erythromycin/clindamycin)] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ***T**reating **B**ad **A**cne **I**s vulgar*
30
tx for [**N****on**inflammatory comedonal acne]
[**T**opical Retinoids with salicylic acid] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ***T**reating **B**ad **A**cne **I**s vulgar*
31
Dx? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Tx?-2
[Tinea versicolor Malassezia] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ [selenium sulfide] or ketoconazole *salmon colored hypo or hyperpigmented macules that appears more readily after sun exposure since surrounding skin is tanned*
32
SQC is the most common Cancer of the lower lip What would microscopy show for SQC?
Squamous cells with **KERATIN PEARLS**
33
What does microscopy for Apthous Ulcer Canker Sores show?
Fibrin coated ulcerations with underlying mononuclear infiltrates
34
Contact Dermatitis or Urticaria?
Contact Dermatitis ## Footnote *Erythematous papules and vesicles*
35
Contact Dermatitis or Urticaria?
Urticaria ## Footnote Causes = infection, NSAIDs, IgE, radiocontrast *well circumscribed raised erythematous plaques with central pallor*
36
etx for Pemphigus Vulgaris \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ cp?-2
[Desmo**G**lein3 (which adhere epidermal keratinocytes)] are attacked by [Ig**G** autoantibodies] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 1. [Flaccid Bullae **with Nikolsky**] PLUS 2. Mucosal Erosions \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ***Nikolsky** sign = light rubbing of skin separates epidermis*
37
cp for Mild Drug Allergy - 2 \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ What type of hypersensitivity reaction is this?
1. Urticaria 2. Pruritus **without systemic symptoms** [Type 1 IgE Hypersensitivity reaction]
38
[Hidradenitis Suppurativa Acne Inversa] etx ; cp?
chronic recurring inflammatory occlusion of the FolliculoPiloSebaceous units --\> Painful intertriginous nodules that can --\> abscess and scarring
39
What are the risk factors for [Hidradenitis Suppurativa Acne Inversa]? - 5
1. DM 2. Obesity 3. Smoking 4. Mechanical stress (friction, pressure) 5. Fam hx ## Footnote Painful intertriginous nodules that can --\> abscess and scarring
40
What is the Diagnosis? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ What is the major risk factor for this condition?
[Actinic Solar Keratosis (precursor to SQC)] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ SUN *tx = Fluorouracil*
41
Diagnosis? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Tx?-2
[Tinea Capitis Dermatophytosis] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 1. [Griseofulvin PO] 2. [Terbinafine PO]
42
What type of hypersensitivity is Nickel allergy?
4T [Type 4 T-cell mediated Delayed hypersensitivity reaction]
43
Psoriasis
44
Describe the symptom manifestation for Pityriasis Rosea
idiopathic self-limited [initial lesion **Herald patch**] ➜ many oval plaques that follow cleaveage lines of the trunk *sometimes* into a **Christmas Tree** pattern
45
What is a Marjolin Ulcer?
SQC **that comes from wound or burn** and has higher risk for metastasis
46
Tx for Keloids
Intralesional CTS
47
What is the Diagnosis? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Tx?
[Actinic Keratosis (precursor to SQC)] \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fluorouracil \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ *(also used in Bowen SQC insitu)*
48
What is the step wise approach to treating Acne Vulgaris
"**L**osers **T**reating **B**ad **A**cne **I**s *vulgar"* 1st: **L**ifestyle ∆ (avoid chocolate, water-based makeup) 2nd: [**T**opical Retinoids with salicylic acid] = [Noninflammatory Comedonal Acne] 3rd: add **B**enzoyl peroxidePGX = Inflammatory Acne 4th: add **A**ntibiotics (Topical before Oral) - erythromycin, clindamycin = Inflammatory Acne 5th: add [**I**sotretinoin PO]PGX = Nodulocystic Acne \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ​ *PGX = PREGNANCY CONTRAINDICATED/TERATOGENIC*
49
Pityriasis Rosea
50
*Differentiate [Pemphigus vulgaris] from [Bullous pemphigoid] using:* target the autoantibodies attack
P = DESMOGLEIN 3 \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ b = hemidesmosomes
51
*Differentiate [Pemphigus vulgaris] from [Bullous pemphigoid] using:* Blister characteristics (3 each)
P*apa* = SUPERFICIAL / FLACCID / NIK+ ## Footnote \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ b*ravo* = deep / tense/ nik- \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ *Nik = Nikolsky sign*
52
*Differentiate [Pemphigus vulgaris] from [Bullous pemphigoid] using:* Demographic affected
P = YOUNG \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ b = old