Derm - Cancers and Diseases

Question 1

most common type of skin cancer

Answer 1

basal cel cancer

Question 2

Basal cancer

Answer 2

appears waxy or pearly w/ raised edges and telanfiectasia ( tiny blood vessels). Easily bleeds w/ trauma

Question 3

Actinic Keratosis

Answer 3

a precurser to Squamous Cell Cancer** multiple dry scaly lesions w/ irregular borders RX: 5 -floucil cream

Question 4

Squamous Cell cell Cancer

Answer 4

chronic red scaly rough textured lesion w/ irregular borders, common in rim of ears, lips, nose, face, tops of hands tx: mohs

Question 5

risk factors for skin cancer

Answer 5

blister sunburns as child, light skin, + family history, moles

Question 6

Melanoma ABCDE

Answer 6

A ( asymmetry B ( irrgular borders) C ( color variations) D ( diamater greater than 6 mm ) E (evolving and changing

Question 7

Acral Lentinginous Melanoma most common in who?

Answer 7

dark skinned people may see longitudinal brown to black bands on nailbed

Question 8

Melanonychia

Answer 8

darkened bank under nail must be present in every nail which indicates maybe subungal melanoma

Question 9

Bacterial Meningitis

Presentation

Answer 9

Classic triad: acute onset of high feve, nuchal rigidity, change in LOC

Can see a petechhiae rash, and eccymosis purple colored lesions ( purpura) no blanching

Report

Question 10

Bacterial Mengitis Vaccine

Answer 10

MVC4 - 11-19 years old

booster at 19-21

give to HIV, SCC, people w/o spleen

Question 11

Brudzinski sign

Answer 11

tests for nuchal rigidity

think B = Brain

pt supine, raise head of neck and flex chin towards chest

+ if pt automatically raises hips

Question 12

Kernigs sign

Answer 12

testing for nuchal rigidity

think K= knees

flex pt hips and knees at right angle then slowly extend them out

+ if pt complains of pain during extension

Question 13

Rocky Mountain fever

presentation

what pathogen

TX

Answer 13

onset of fever, headache, n/v. Spot like red rash ( petechie) that start within 2-5 days of fever onset located on hands and on the feet and then spreads to the trunk

Due to deer tick infected with rickettskia ricketsii

occurs while camping

TX : Doxy BID 7-10 day

Do not wait for rash to treat

Question 14

Erythema Migrans

What is it

presentation

tx

Answer 14

early lime disease

acute onset of target rash or “ bulls eye”

may have migratory olioarthitis ( swollen red joints)

tx; Doxy BID 14-21 days

Question 15

Type of tick repellent

Answer 15

DEET = skin

permethrin = clothes

Question 16

Human bites

tx

Answer 16

highest rate of infection, do not suture infected wound or puncture wounds

TX : early = Augmentin BID x 5 days

Late : iV antibiotics

Question 17

What is the pathogen and tx for dog and cat bites?

Answer 17

P: Pasturella multicoda

90 % more dog bites

cat bites more infectious

TX: augmentin or bactrim BID 7-10 days

give tetanus booster if not in the last 5 years

Question 18

Rabies affects what type of animals

Answer 18

racoons or bats NOT rodents such as rats or squirrels

Question 19

What type of healing is best for a bite wound

Answer 19

secondary intention