---DERM---HEENT--- Flashcards

1
Q

Recent shaving
erythema, Edema
papules/pustules
rash over follicle

A

folliculitis

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2
Q

usually on face/extremities
multiple lesions
nonbollous-crusty yellow
bullous-brown crusty (trunk kids)

A

Impetigo

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3
Q

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

A

Cellulitis

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4
Q

Pain out of proportion to physical findings
Mainly in lower extremities, Erythema, edema, fever, cellulitis/abscess
blisters, discoloration , visual ulceration, bullae

A

Necrotizing fasciitis

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5
Q

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

A

Furuncle

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6
Q

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

A

Carbuncle

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7
Q

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

A

Paronychia

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8
Q

Trauma distal end of finger (splinter, needle prick)
Severe pain, TTP,
erythema, edema, necrosis
Pain distal pulp of finger

A

Felon

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9
Q

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

A

Candidiasis

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10
Q

Yellowish nail
thick
caused by trauma, tight fitting shoes

A

Onychomycosis

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11
Q

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

A

Scabies

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12
Q

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

A

Pityriasis Rosea

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13
Q

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

A

Herpes Zoster

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14
Q

2-5mm diameter papules, itchy, dome shaped with shiny surface and central indentation or umbilication

A

Molluscum contagiosum

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15
Q

usually on hands,
erythema, dryness, painful cracking, fissuring and scaling are typical , possible vesicles, tenderness, burning

hurts more than it itches

A

Irritant dermatitis

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16
Q

common on hands, forearms, and face
Vesicle, edema, erythema, Extreme pruritus

Itches more than it hurts

possible delayed reaction

A

allergic contact dermatitis

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17
Q

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

A

Atopic dermatitis

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18
Q

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

A

Seborrheic Dermatitis (dandruff)

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19
Q

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

A

Dyshidrosis

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20
Q

Acute- sudden onset, mild to severe pain, erythema, edema
Tender swollen fluctuant nodule located along superior gluteal fold.
Possible infected sinus tract with drainage

A

Pilonidal Abscess

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21
Q

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

A

Urticaria

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22
Q

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

A

Inflamed /ruptured epidermal cyst

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23
Q

half moon shaped plaques in crural folds spread to medial thighs
well defined borders
lesions are usually bilateral and do not include Scutum/penis
hyperpigmented
may migrate to perianal, gluteal cleft

A

Tinea Cruris

24
Q

Webs of toes and soles of feet
Male>Female
Itching, burning, stinging of interdigital webs and plantar surfaces, may progress to fissuring or macerations in toe web spaces.

A

Tinea Pedis

25
Q

Pruritis with excoriation
hair: head, eyebrow, eyelashes
nits hairs that fluorescent

A

Pediculus humanus capitus

26
Q

Scaling round/oval pruritic plaques sharply defined annular pattern
Papules/pustules vesicles at border

A

Tinea Corpus -Ring worm

27
Q

predominately ages 3-9
males >females
round patches on scal
scaled with little/marked inflammation or alopecia, florescence

A

Tinea Capitis

28
Q

Central, upper back, chest and proximal arms
Asymptomatic
Color is uniform, velvety tan, pink or white macules that do not TAN

A

Tinea Versicolor

29
Q

Pruritus with excoriation

occasionally sky blue macules on the inner thighs or lower abdomen.

A

Pediculosis pubis

30
Q

another name for hair loss due to disorders of hair cycling, inflammatory conditions that damage hair follicles, or inherited or acquired abnormalities in hair shafts

A

Alopecia

31
Q

Inflammation, irritation of the eye lid, Tears may be frothy or abnormally greasy,
itching/burning, Foreign body sensation, tearing
erythema, edema, discharge
CRUSTING WHEN AWAKENING
eye lid rolled outward

A

Blepharitis

32
Q

EYE—erythema, edema, purulent discharge in morning, LESS itchy,
Yellow/White discharge.

A

bacterial conjunctivitis

33
Q

EYE—-Swollen conjunctiva, erythema, edema eyelids, periocular hyper pigmentation,
itching, watery discharge bilateral, history of allergies

A

Allergic Conjunctivitis

34
Q

EYE—Itching, burning, tearing gritty foreign body sensation, URI,
Watery discharge, Erythema, edema, pinpoint conjunctival hemorrhage, critical tender periauricular lymph

A

Viral conjunctivitis

35
Q

EYE–Severe discharge, HYPER ACUTE onset 12-24 hrs.

Conjunctival papillae, marked chemosis, preauricular adenopathy eyelid swelling

A

gonococcal conjunctivitis

36
Q

EYE– erythema, edema, watery discharge, ocular pain, foreign body sensation, photophobia, blurred vision

Extended use of soft contacts

A

Corneal Ulcer

37
Q

EYE– Severe pain , tearing photo phobia

POS fluorescein stain due to trauma

A

Corneal Abrasion

38
Q

Localized eyelid tenderness, erythema, edema, foreign body sensation
well defined SubQ nodule on eyelid
Infection of sweat gland

A

Hordeolum

39
Q

Hard nodule , nontender, usually farther back on eyelid, erythema/edema on upper or lower lid,
blockage of MEIBOBIAN GLAND (Oil gland)

A

Chalazion

40
Q

Defined by:
Granulomatous-anterior- blurred vision mildly inflamed eye
Nongranulomatous- pain redness, photophobia and vision loss

A

Uveitis/Iritis

41
Q

Trauma
red eye Foreign body sensation, blurred vision/double, swelling of eyelid, nasal congestion/discharge, sinus pressure,
HA, tooth pain
CRITICAL-RESTRICTED EXTRAOCULAR MOVEMENT

A

Orbital Cellulitis

42
Q

Accumulation of blood in the subperichondrial space-secondary to trauma.
Commonly associated with boxers/wrestlers

Result deformed auricle referred to as CAULIFLOWER EAR

A

Auricular Hematoma

43
Q

Post Auricular pain and erythema accompanied by spiking Fever
Complication of Otitis Media
Edema, tenderness, protrusion of auricle and obliteration of the post auricular crease

A

Mastoiditis

44
Q
Painful erythema, edema of ear canal skin, purulent exudate
Recent water Exposure: submersion AKA
SWIMMERS EAR
or
Mechanical trauma (scratching with CTA)
A

Otitis External

45
Q

Precipitated by URI
Otalgia, aural pressure, decreased hearing, Fever and history of Upper respiratory tract infection
ERYTHEMA/HYPOMOBILITY of TM
TM bulging, mastoid tenderness

A

Otitis Media

46
Q

Secondary to middle ear infection or barotrauma, blunt, penetrating, acoustic, lightening strikes
Pain, hearing loss, vertigo, tinnitus, N/V,
Visible TM perforation-blood/pus/clear fluid

A

Tympanic Membrane Perforation

47
Q

TM perforation exudes keratin debris or granulation tissue

PROLONGED EUSTACHIAN TUBE DYSFUNCTION

A

Cholesteatoma

48
Q

Acute onset-4 weeks Purulent yellow green nasal discharge, facial pain/pressure obstruction
cough, malaise,
fever, HA

A

Sinusitis

49
Q

Severe sore throat, odynophagia, inferior and medial displacement of infected tonsil
Moist /translucent contralateral deflection OF SWOLLEN UVULA
Tender cervical lymphadenopathy
drooling and dehydration

A

Peritonsillar Abscess

50
Q
Centor Criteria:
1. FEVER over 38c
2. Tender Cervical lymphadenopathy
3. Lack of cough
Pharygotonsillar exudates
Viral- vesicular and petechial pattern on soft palate and tonsils with rhinorrhea no exudate
fungal- whit cheesy can be scraped off
A

Pharyngitis/ tonsillitis

51
Q

Acute swelling of salivary gland
Pain increases during meals,
tenderness and erythema of duct opening
Pus may be massaged from duct

A

Sialadentitis

52
Q
Putrid/ bad breaths
Foreign body sensation in throat
pain when swallowing
increased pain and swelling with meals
white debris
bad taste (metallic)
earache
dysphasia
chronic tonsillitis
A

Tonsilloliths

53
Q

Flashes of light, floaters, CURTAIN OR SHADOW MOVING OVER FIELD OF VISION
Peripheral/central vision loss
vision may change based on head position due to fluid movement

A

Retinal detachment

54
Q

Seasonal
Nose: Clear nasals discharge, pruritis, sneezing, nasal polyps
Eyes: Irritation, pruritis, conjunctival erythema, excessive tearing
cough, bronchospasm, wheezing, eczematous dermatitis

A

Allergic Rhinitis

55
Q

red papules or pustules, pruritic/painful,
scalp, posterior neck, groin legs
scarring hyper pigmentation may occur
usually AFRICAN/HISPANIC thick coarse hair
condition caused by ingrown hairs

A

PFB

56
Q

Red scaling, CRUSTY PATCH ON NIPPLES AND AREOLA and surrounding, skin eczematous and unilateral

A

Pagets Disease