Derm Flashcards

1
Q

flat spot on skin

A
  • macule < 1 cm

- patch > 1 cm

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2
Q

nonpustular, nonvesicular elevated lesion on skin

A
  • papule < 1 cm

- nodule > 1 cm

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3
Q

small blisters

A
  • vesicle < 1 cm

- bulla > 1 cm

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4
Q

collection of leukocytes in epidermis

A

-pustule

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5
Q

broad, elevated flat lesions

A

-plaque > 1 cm

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6
Q

Atopic dermatitis- lesions?

A
  • erythematous papular/patch
  • areas of scaling
  • pruritic
  • patchy, dry, scaly eruptions
  • facial rash on cheeks
  • trunk and extremities, sparing diaper area
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7
Q

Atopic dermatitis- in who?

A
  • 10% of all children

- eruption distribution changes w infant vs toddler vs adult

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8
Q

Atopic dermatitis- complications

A
  • infection (from itching)
  • exfoliative erythroderma
  • mental and emotional anguish w growth disturbance
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9
Q

Atopic dermatitis- pathogenesis

A
  • T-cell
  • food allergy
  • aeroallergens
  • irritant contactants
  • histology- spongiosis, eos, LSC
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10
Q

Atopic dermatitis- tx?

A
  • moisturize
  • avoid irritants
  • avoid known food allergies
  • antipruritic agents
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11
Q

Cellulitis

A
  • acute, rapidly spreading nonsuppurative infection of skin and soft tissue
  • tender, warm poorly demarcated boggy plaque
  • extremity
  • trauma
  • fever, ill-appearing
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12
Q

Cellulitis- pathogenesis

A
  • trauma to extremity
  • concurrent ulcer
  • risk factors- stasis dermatitis, lymphedema
  • staph aureus or strep pyogenes
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13
Q

Cellulitis- tx

A
  • 1st gen cephalosporin, macrolide, or clindamycin

- elevation

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14
Q

Cellulitis- in who?

A
  • young to old

- anywhere on body

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15
Q

erythema nodosum- clinical findings

A
  • 20-30 yo
  • symmetric erythematous nodules and plaques on ant LE’s
  • tender nodules and plaques on b/l knees, ankles, and shins
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16
Q

erythema nodosum- pathogenesis

A

-hypersensitivity response- infection, medicine, herbs, vitamins

17
Q

Psoriasis- clinical

A
  • slightly elevated, scaly plaques w silvery surface on an erythematous base
  • Koebner- scratch/trauma recreates it
  • Auspitz-peel scale, pinpoint bleeding
  • Woronoff’s ring- after, stain is left behind
18
Q

psoriasis- histology

A
  • acanthotic epidermis w club shaped rete ridges

- absent granular layer!!

19
Q

Psoriasis- common types

A
  • plaque
  • pustular
  • guttate
20
Q

psoriasis- plaque type

A
  • well demarcated scaly plaque
  • elbows, knees, belly button
  • coin shaped
21
Q

Seborrheic dermatitis

A

see picture

22
Q

Nummular eczema

A

(coin shaped)

-occurs in ppl who dont moisturize

23
Q

lichen planus

A

see picture

24
Q

psoriasis- pustular type

A
  • sterile sheets of pustules on an erythematous base

- painful w fever

25
Q

AGEP

A

(Acute generalized exanthematous pustulosis)

26
Q

pustular drug eruption

A

see picture

27
Q

Psoriasis- guttate type

A
  • children, young adults
  • post streptococcal infection
  • trunk w sparing of palms and soles
28
Q

Herpes zoster- in who

A
  • children and adults > 55-60 most common
  • react varicella zoster virus
  • local radicular pain 2-3 days prior to eruption
29
Q

Herpes zoster- pathology

A

-steel gray nuclei multinucleated giant cells w eosinophilic intranuclear inclusions