Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SMUPASPG19-MED 1 > DERM-Eczema, others > Flashcards

DERM-Eczema, others Flashcards

1
Q

What is high sebum production of hair and neck greasy, scaly macules/papules, may be thick sticky crusts,?

Malassezia yeast

A

Seborrheic Dermatitis

TX-Scalp: antifungal shampoos

Face: low potency topical steroid for a few days, then antifungal cream wk. If Massezia yeast.

Body: mid-potency topical steroids or topical antifungal or combo of the two

All: emollients, regular washing, UV light

EX- dandruff, cradle cap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What has horn cyst, dark keratin plug, warty w/ scale?

A

Seborrheic Keratosis

>50 y/o,

BCC or GI or lung cancers (if appears suddenly),

horn cysts, dark keratin plugs, warty appearance w/ scale, hyperpigmented, trunk, face, upper extremities

TX -None necessary, cryotherapy, curettage/shave excision, electrodessication, or laser therapy

Biopsy prn cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is linked to external agents with Pruritis, burning?

A

Contact Dermatitis

All ages

Acute: irregular well-demarcated patches of erythema, edema, or vesicles w/ crusting or serum

Subacute: patches of mild erythema, small dry scales, small firm red papules

Chronic: patches of lichenification, small firm rounded/flat-topped pauples, excoriations, pigment changes.

TX-Topical steroid cream

ID/avoid causative agent

none

Dark skin less susceptible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What require Topical steroids (high potency) w/ occlusive dressings?

A

Lichen Planus

30-60 yo, F

oral, genitalia, scalpwrist flexor, lumbar, eyelid, shin: violaceous papules w/ white lines (Wichkham’s striae). Flat top, shiny

4P-Purple, Polygonal, Pruritic, Papule

TX-PUVA -eruptions, Steroid HIGH- INJ, No response -> refer to derm

Cutaneous on own resolve in 1-2 years

Biopsy and immunofluorescence- dx

May cause scarring alopecia, destruction of nail beds with longitudinal splintering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What occur with hives and wheals w/ idiopathic cause?

A

Urticaria

IGE

Food, drugs, heat, cold, stress, infection, exercise, allergies, wax and wane, hives, wheals

Acute: lasting mins to hours

Chronic: >6 weeks

TX-Antihistamines (H1 or H2 blocker), may require steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is autoimmune related with Hypopigment/Depigmented macules?

A

Vitiligo

idiopathic, thyroid dz, pernicious anemia, DM, Addison’s dz, lupus

melanocytes destroyed

FH 30%

DX- Wood’s lamp

TX- Steroids, PUVA, tacrolimus or pimecrolimus- Cost but effective.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is treatment for lipoma?What should be checked?

A

Lipoma

Adipose tumors/growth

benign, superficial, asx, freely mobile, no growth

TX- Excision; Biopsy indicate if sx, rapidly growing, hard/firm

Cholesterol monitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hemangioma

Cherry red, Bleeding with trauma, vary from tiny blebs to large and multiple tumor-like growths

No tx necessary, may be surgically removed

Babies are left untreated!!! They can regress on their own by 2 y/o

None

A

Hemangioma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What occurs in the triad where itch from soap, wool is endless?

A

Atopic Dermitatis

Path-onset in first 2 mos of life and by first year in 60% of patient. resolve by age 3-6. If NOT by age 6- for life.

50% develop asthma

CP-face, neck, arms, inner fold of elbows and knees, toes Pruritis- wools, detergents, soaps, change in temp, stress

Erythema, papules, scaling, excoriations (usually in peds), crusting, lichenification, confluent and well-defined.

LAB- Increased IgE, C&S for 2ndary bacterial infection, herpes culture if indicated

TX- Pt education is paramount. Hydration of skin followed by emollient.

Topical steroids- short term exacerbations

Topical anti-itch agents may be helpful

Oral antihistamines may help (Atarax – be careful for sedation)

2nd line- tacrolimus or pimecrolimus

Dilute bleach baths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is disc like/coin like with with grouped small plagues?

A

Nummular Eczema

WHO- 50-80M, 20-40F

CP-Chronic, pruritic (intense), inflammatory, shaped plaques composed grouped small plaques/vesicles on erythematous base, lower legs, older males, winter

Lesions lasts weks, relapse, recur

TX Keep skin hydrated and lubricated

Topical steroids for acute exacerbations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

Dyshidrotic Eczema (aka acute palmoplantar eczema)

WHO-<40, M=F, atopic hx

CP-Hot humid weather, stress, hands, feet, small vesicles in clusters to large bullae, intense itching, last several weeks, recurrent, desquamate

TX-Avoid triggers; Topical steroids for acute stage (high potency)

Oral steroids for sever episode

PUVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is common in ASIANs and needs covering with topical steroids. cirmcusized, hard, itching lesion?

A

Lichen Simplex Chronicus (LSC)

WHO >20, W, Asians

CP-Circumscribed area, lichenification, solid plaque, brown or black hyperpigmentation, repeat rubbing/scratching, nuchal areas, arms, legs, feet, ankles, anogenital regions, unconscious rubbing, lesions for weeks to months, pruritis, paroxysms, like erogenous zone

TX-Difficult to treat.Avoid rubbing and scratching

Topical steroids, Cover lesions; Hydrate skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to care for skin?

A
  1. gentle cleanser, lukewarm, fingertimps.
  2. wash face wakling and bed time, sweating
  3. apply meds
  4. apply moisturizer/suncreen
  5. exfoliate as need
  6. give produce months to work. 1 at a time
  7. oil free makeup
  8. Hot water is drying
  9. HIGH potency- emollent, ointment stays on
  10. MID potency- cream
  11. Low potency lotion
    12.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pt has scaling plagues trun and extremities. 2-5mm wiht a h/o URI 2wks prior to lesions?

A

Guttate Psoriasis

CP- tear drop

DX- throat culture

TX- Amoxcillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pt has tiny pustuls and erythema. Many on the botton of the foot? What is the risk?

A

PUSTULAR PSORIASIS

pregnancy, infx, w/d of topical/systmeic steroids

CP- sterile pustules, erythematous base lakes of pus

LaB- Toxic / leukocyctosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What involes erythema and scal from head to toe?

A

Erythrodermic

Sepsis risk, fluid loss, Na/K imbalance

INpatinet managment-ED

17
Q

Pt has asymmetic swelling in knee, swollen finger, Patella tendon has enthsisis. And a swollen Achilles

A

Psoriatic Arthritis

chronic inflammatory arthropathy

DDx- spondylyitis, arthtiis multans, enthesitis, dactylitis

DX- Pencil in cup deformity

Xray- penicil in cup deformity

NEG. ANA and RF

TX-REF

secukimumab (Consentyx) is KEY

18
Q

BEST TX for psoriasis

A

TREATMENT

Topical Steroid for inflammatin and itchng

  1. TOPICAL Steroid STC + Vitamin D- BID X2WK
    1. Then steroid 2-3/w w/ Vit D daily-Remission
  2. methotrexate-PO (PANCE). RARE by Derms.
  3. secukinmab- t-cell mediated immuce
  4. Oinment w/ dressing
  5. Topical Vitamin D
19
Q

Wha to refer to DERM?

A
  1. new mole appearing after onset of pubert, changing shape, color, size
  2. longstanding changing size
  3. 3+ colors
  4. Itching bleeding
  5. new persistent if growing, pigmented, vascular appearance
  6. DX unclear
  7. Pigmented line in nail, esp w/ damage
  8. lesoin in nail

SMUPASPG19-MED 1 (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions