derm ID Flashcards

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1
Q

fever, cough, coryza, conjunctivis, koplik’s spots, erythematous macules and papules that start on face and spread cephalo-caudad

A

measles/rubeola

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2
Q

neuro complication assc’d with measles?

A

acute encephalitis

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3
Q

prodrome of URI sx, followed by pruritic, pink to red macules and papules that begin on face and spread to trunk/extremities over 24 hrs

A

rubella (german measles)

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4
Q

slapped red cheeks, lacelike eruption on trunk and extremities, lasting 5-9 days

A

erythema infectiosum (parvovirus B19)

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5
Q

mode of transmission of parvovirus B19

A
  1. respiratory secretions
  2. percutaneous exposure to blood
  3. vertical transmission
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6
Q

erythema infectiosum most common in what ages

A

age 4-10

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7
Q

high fever, URI sx, edema, as fever goes away a sudden rash appears

A

exanthem subitum (HHV6)

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8
Q

rash that is pink macules and papules surrounded by white halos, lasts 1-3 days

A

exanthem subitum (HHV6)

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9
Q

most common exanthem before age 2

A

exanthem subitum (HHV6)

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10
Q

erythematous erosions resembling apthae starting in mouth, then hands/feet, diaper area, buttocks, elbows

A

hand foot and mouth disease

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11
Q

hand foot and mouth disease is assocaited with which virus

A

coxsackievirus

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12
Q

hand foot and mouth disease more common in what popoulations

A

Asia; late summer and early fall

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13
Q

transmission of varicella

A

inhalation of respiratory secretions or contact with skin lesions

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14
Q

where does varicella tend to start

A

on face

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15
Q

what is molluscum contagiosum caused by

A

dsDNA pox virus

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16
Q

umbilicated dom-shaped papules that may auto-inoculate from one part of the body to another; resolve in 6-9 months

A

molluscum contagiosum

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17
Q

monomorphous pink to red-brown papules or papulovesicles; symmetric distribution, extensor surfaces of extremities and buttocks; pruritic; self limited; age 6 mon-15 yrs

A

gianotti crosti syndrome

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18
Q

Adolescents, herald patch that looks like ringworm, seen in the winter, christmas tree pattern following relaxed skin tension lines

A

pityriasis rosea

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19
Q

when HPV infects basal keratinocytes of skin and mucosa epithelia, causing hyperplasia of epithelium

A

warts

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20
Q

chronic bacterial infxn caused by corynbacterium minutissimum; often in toes, groin, axilla; red or brown sharply demarcated plaque

A

erythrasma (red spot)

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21
Q

tx of erythrasma (red spot)

A

benzoyl peroxide + topical erythromycin soln

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22
Q

most common superficial bacterial skin infx

A

impetigo

23
Q

lesions begin as papules surrounded by erythema, progress to pustules that break down to form large honey colored crusts

A

non-bullous impetigo

24
Q

ulcerative form of impetigo with lesions that extend thru epidermis into dermis

A

ecthyma

25
Q

pathogen that causes folliculitis and furunculosis

A

S. aureus

26
Q

when an obstructed hair follicle becomes tender, red, inflammatory nodule on face, neck, axilla when exposed to friction and perspiration

A

furunculosis

27
Q

tx of furunculosis

A

tx draining wound with warm compresses/soaks

28
Q

large abscess extending from an infected follicle into subcut fat; appearing at nape of neck

A

carbuncles

29
Q

chronic suppurative infxn of apocrine sweat glands; can create sinus tracts; S aureus

A

hidradenitis suppurativa

30
Q

presents as spreading, erythematous, non-fluctuant, tender plaque with poorly defined border

A

cellulitis

31
Q

most common causal pathogens of cellulitis

A

GAS, staph aureus

32
Q

tx of outpatients with non-purulent cellulitis is ____; vs tx of outpatients with purulent cellulitis is____

A

tx for GAS; tx for CA-MRSA

33
Q

tx of inpatients with cellulitis

A

tx for HA-MRSA

34
Q

superficial cellulitis with marked dermal lymphatic involvement

A

erysipelas

35
Q

erysipelas is usu caused by

A

GAS

36
Q

presents with pain, superficial erythema, plque like edema with sharply defined margin on LE or face

A

erysipelas

37
Q

pastias lines, strawberry tongue, perioral pallor; rash starts on face; rash blanches on pressure

A

scarlet fever (GAS)

38
Q

tx of scarlatina

A

PCN

39
Q

neonates; starts with fever and tender scarlatiniform rash; 24-48 hrs later large clear bullae develop that gradually shed and leave red denuded base

A

staphylococcal scalded skin syndrome

40
Q

high temp, low systolic BP, rash with subsequent, involves mulitple organ systems

A

toxic shock syndrome

41
Q

tx of necrotizing fasciitis

A
  1. widespread debridement
  2. broad spectrum systemic Abx
  3. hyperbaric O2
42
Q

poor prognostic factors for nec fasc (5)

A
  1. delay in dx
  2. age >50
  3. diabetes
  4. atherosclerosis
  5. infxn of trunk
43
Q

sharply marginated annular plaque with central clearing and scaling at the edges; dermatophytosis of trunk and limbs

A

tinea corporis

44
Q

patch of alopecia with black dots, which are hairs that have broken off at skin surface; occasionally pustules of the hair shaft–>kerion

A

tinea capitis

45
Q

main age grp affected by tinea capitis

A

age 4-14 yo

46
Q

tx of tinea capitis

A

oral griseofulvin

47
Q

tx of onychomycosis

A

oral terbinafine x 12 weeks

48
Q

appearrs as well demarcated hypo or hyper pigmeted lesions, usu on trunk; assymetric; recurs annually

A

tinea versicolor

49
Q

spaghetti and meatballs pattern on KOH prepr

A

tinea versicolor

50
Q

most common derm condition in infants

A

candidal diaper dermatitis

51
Q

incr sebaceous gland activity, inflammatory rxn to malassezia species, affects scalp or neck creases, axilla

A

seborrheic dermatitis

52
Q

tx of oral candidiasis

A

oral nystatin swish and swallow

53
Q

most common place to find nits (lice)?

A

retroauricular and occipital scalp

54
Q

caused by rickettia rickettsii; rash begins on wrists and ankle, found in those who reside near wooded areas; related to ticks

A

rocky mountain spotted fever