derm

Question 1

dome shaped, flesh colored lesions with central umbilication

Answer 1

Molluscum Contagiosum (Pox Virus)

• ->self limiting 6-12 months
• ->associated with immunocompromise (HIV)
• Transmission skin-skin contact (extremities for kids, sexual for adults)

Question 2

rough, scaly nodule or nonhealing ulcer that develops in setting of a scar/chronic inflam lesion or from sun exposure

Answer 2

suspect SCC

Question 3

what is a Marjolin ulcer?

Answer 3

SCC of skin that develops in wound or burn

Question 4

3 types of patients that get hyperkeratotic, hyperpigmented plaques with velvety texture in flexural areas

Answer 4

Acanthosis Nigricans, so insulin -def state:

• DM
• PCOS
• Obesity

Question 5

What is condylomata accuminata?

Answer 5

Anogenital fleshy warts caused by HPV

Question 6

describe the features of melanoma

Answer 6

Asymmetry
Border irregularities (uneven edges, pigment fading off)
Color variation: variable mix of brown/tan/black/red
Diameter >6mm
Evolving (size/shape/color)

Question 7

how does coxsackie hand foot and mouth disease present?

Answer 7

oral lesions and bilateral macular/maculopapular/vesicular lesions on hands and feet. (vs unilateral vesicular lesion on palm more likley HSV)

Question 8

scaly papules/plaques on face, scalp, neck, dorsal surface hands from sun exposure, can progress to SCC

Answer 8

Actinic Keratosis. Tx with Cryotherapy and 5-FU

Question 9

scaly erythematous rash on nose skinfolds, ears, eyebrows, scalp. especially where theres hair

Answer 9

Subhorreic Dermatitis

Question 10

Stuck on skin lesion in old people

Answer 10

subhorreic keratosis

Question 11

most common skin cancer

Answer 11

BCC

Question 12

skin cancer on bottom lip

Answer 12

SCC!!!!!!! not bcc