---DERM---HEENT--- Flashcards
Recent shaving
erythema, Edema
papules/pustules
rash over follicle
folliculitis
usually on face/extremities
multiple lesions
nonbollous-crusty yellow
bullous-brown crusty (trunk kids)
Impetigo
Typically caused by break in skin
4 signs :Erythema, edema, TTP, Elevated skin temp
regional lymphadenopathy
Fever, chills, malaise, pain, itching, burning at site
Drainage- abscess
Cellulitis
Pain out of proportion to physical findings
Mainly in lower extremities, Erythema, edema, fever, cellulitis/abscess
blisters, discoloration , visual ulceration, bullae
Necrotizing fasciitis
Deep SubQ erythematous papule can be stable or fluctuant, most common on back, neck,
tender perifollicular swelling discharge of pus and necrotic plug
SINGLE FOLLICLE
Furuncle
Deep SubQ erythematous papule can be stable or fluctuant, most common on back, neck,
tender perifollicular swelling discharge of pus and necrotic plug
MANY FOLLICLES
Carbuncle
erythema, edema, localized pain, tenderness, abscess in the nail bed, purulent discharge behind the cuticle
inflammation W/O abscess formation involving proximal/lateral nail folds
Paronychia
Trauma distal end of finger (splinter, needle prick)
Severe pain, TTP,
erythema, edema, necrosis
Pain distal pulp of finger
Felon
Primary lesion is a pustule, the contents which dissect horizontally under the strum corneum and then peel away
Glistening surface with long cigarette paper-like scaling and advancing border
Candidiasis
Yellowish nail
thick
caused by trauma, tight fitting shoes
Onychomycosis
Intense itching worse at night
rash for 2-6 weeks
eczema and impetigo appear as secondary lesion
Webs of toes, fingers, in folds of skin
lesions are linear, curved or s shaped elevated vesicle or papule
Scabies
2-5 cm round oval patch
sharply delineated pink salmon colored lesion on chest, neck, back
‘multiple lesions become scaly usually alone lines of CLEAVAGE
7-21 days “FIR TREE” Present on back
Pityriasis Rosea
Deep burning, throbbing, stabbing sensation,
malaise, fever, HA, periorbital burning/itching
Unilateral erythematous papules typically in a singular dermatome or several contiguous dermatomes, vesicle/bullae form become pustular and crust over
Herpes Zoster
2-5mm diameter papules, itchy, dome shaped with shiny surface and central indentation or umbilication
Molluscum contagiosum
usually on hands,
erythema, dryness, painful cracking, fissuring and scaling are typical , possible vesicles, tenderness, burning
hurts more than it itches
Irritant dermatitis
common on hands, forearms, and face
Vesicle, edema, erythema, Extreme pruritus
Itches more than it hurts
possible delayed reaction
allergic contact dermatitis
Lesions on, hands, feet, face, neck, upper chest, genitals,
Eczematous eruption that is distressingly pruritic, recurrent often flexural and symmetric.
dry skin and pruritic, rubbing leads to inflammation and lichenification
Atopic dermatitis
Males > women
Better in summer worse in winter
SCALP/eyebrows/eyelids/ears/ nasolabial folds
burning itching, red greasy/smooth/glazed, scaling rash consisting of patches and plaques
Seborrheic Dermatitis (dandruff)
Transient/recurrent symmetrical vesicular eruptions located on volar and plantar surfaces
FMHX/PMHX asthma, hay fever, atopic eczema
Intense Pruritis
(Positive Otter Sign-not really a sign)
LOOKS LIKE TAPIOCA
Dyshidrosis
Acute- sudden onset, mild to severe pain, erythema, edema
Tender swollen fluctuant nodule located along superior gluteal fold.
Possible infected sinus tract with drainage
Pilonidal Abscess
Intense pruritis, erythematous plaque, lesions may be red/pink or flesh colored with white or red halo
Triggered by food, drug, insect bites, injection, diseases, inhalants
Urticaria
On Face, neck, upper back, chest if on buttocks, palms or planter = trauma
warm, red boggy and tender to palpation lesion
may rupture with purulent material and keratin debris
Inflamed /ruptured epidermal cyst