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Derm 1 > Derm Images (ONLY IMAGES) > Flashcards

Derm Images (ONLY IMAGES) Flashcards

1
Q
  • Traumatized skin-usually butcher handling raw fish, shellfish, poultry, pork and beef
  • Usually on fingers, webs, can spread proximally w/in 1 week of injury,
  • distinctive elevated, violaceous indurated maculopapule lesion
  • Burning and itching, not as bad as cellulitis
A

Erysipeloid Erysipelothrix gram positive rod

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2
Q

What is this?

A

Hemangioma of infancy

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3
Q

What type of vascular malformation is this?

A

port wine stain/ nevus flammeus

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4
Q

White to yellow, single or multiple, small epidermoid cysts that occur throughout life, mostly on the face

A

milia

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5
Q

What type of psoriasis is this? What are some treatment options? And what diet would you suggest?

A

Inverse psoriasis

Vitamin A, omega-3s, digestive aids

Anti-inflammatory and gluten-free

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6
Q

This skin condition affects individuals in the 7th decade of life and has very slow radial growht primarily on the nose and cheeks

A

lentigo maligna melanoma

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7
Q

What skin condition is pictured here? It is characterized by a papule/nodule that can be pigmented/necrotic and telangectasia?

A

ulceratvie basal cell carcinoma

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8
Q

What is this dermatological presentation called?

A

erythema infectiosum

(from parvo b19, 5th disease, “slapped cheek disease”)

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9
Q

What stage of eczema/dermatitis is characterized by redness, scaling, fissuring, parched appearance, scaled appearance, slight to moderate itch, pain, stinging and burning?

A

subacute

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10
Q
  • Males>Females
  • Usually associated with hyperhidrosis and occlusive footwear

what causes it? Dx? Tx?

A

Pitted keratolysis

Caused by Micrococcus sedentarius

dx: Negtive KOH, woods lamp

Tx- Wear cotton socks (change frequently), consider agents to reduce moisture, topically antibiotic may be necessary

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11
Q

single dry, thick scaly lesion with a chronic itch-scratch cycle

A

Lichen Simplex Chronicus

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12
Q

ABCDE “red flags” of melanoma

A

Asymmetry

Borders (irregular)

Color (variation)

Diameter (>6 mm)

Elevation/enlargement/evolving

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13
Q

What is this “spaghetti and meatball” presentation?

A

Tinea versicolor

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14
Q

What are the five Ps of this condition?

A

lichen planus

5 Ps:

Pruritic (itchy)
Planar (flat-topped)
Polygonal (the shape)
Purple
Papules

2-10 mm in diameter

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15
Q

Infection of the dermis and subcutaneous tissue

A

Cellulitis/Erysipelas

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16
Q

An itchy, dyhidrotic-like vesicular eruption on the fingers, forearms, thighs, legs, trunk

A

Id reaction

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17
Q

What is acute, chronic, recurrent dermatitis of the hands and soles that affects F>M?

A

Pompholyx/dyshidrotic eczema

“Pompholyx” = bubble

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18
Q

What is this sharply demarcated rough surface, round or irregular, firm, light gray, yellow, brown or grayish black that is mildly contagious?

A

common wart or verruca vulgaris

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19
Q

What are these pearly spots in the mouth associated with rubeola?

A

Koplick’s spots

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20
Q

These are areas of alopecia with scale but no inflammation.

A

Trichophyton tonsuring, Black dot ringworm

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21
Q

Stress stimulates this condition, what is it? Also, what common treatment is a possibility?

A

herpes simplex

Drugs: acyclovir (antiviral)

Aloe Vera, rhubarb, sage, honey, lysine

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22
Q

What is this?

A

psoriasis

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23
Q

What is this DDX for tinea cruris that does cross the genital border?

A

Candidiasis

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24
Q

Mgmt/treatment for this condition that has an onset after sun exposure?

A

Condition: polymorphous light eruption

Prevention: sun block (though not always helpful)

CAM: beta-carotene, niacinamide, vit b6

Prednisone, trimcinolone

photochemotherapy (PUVA)

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25
Q
  • Pinpoint papules, Numerous papules giving a sandpaper-like texture to the skin
  • Pastia’s sign, Desquamation of the tips and toes
  • Strawberry tongue day 4-7 in untreated cases

what is the tx?

A

scarlet fever

tx- antibiotics

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26
Q

What is characterized by flaky skin and has risk factors that include moisture, warmth, contact with infected person, animal, soil, fomite and tight clothing?

What will a gram stain detect?

A

Dermatophytes infections (tinea pedis, cruris, corporis, facialis, barbae, capitis)

gram stain will detect Candida

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27
Q

What kind of secondary lesion is this?

A

scar

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28
Q

What age group and sex is most affected by this condition?

A

Condition: erythema multiforme syndrome

Greater than fifty percent are under 20 yo and M>F

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29
Q

What is this DDX for tinea cruris that is dIffuse, brown,​ scaly​ and turns coral red with Wood’s lamp?

A

Erythrasma

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30
Q
  • what is the tx for cellulitis?
A
  • if no fever, small area, and otherwise healthy adult elevation, heat, oral antibiotics; follow up in 24-48 hours, treat for 10 days
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31
Q

What is this skin condition that scales off if you scrape at it “fingernail scratch sign.” Is it communicable?

A

Tinea versicolor

No, its not communicable.

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32
Q

Early eruptive stage associated with measles is called what?

A

Morbilliform rash

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33
Q

Characterized by sudden onset of multiple scaling red papules that self-resolves in 3-4 months and does NOT benefit from antibiotics. What is this?

A

guttate psoriasis

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34
Q

What is this relatively common acute and often recurrent inflammatory condition that contains circles within circles?

A

Erythema multiforme syndrome

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35
Q

Soft skin colored to slightly pigmented, pedunculated papule

A

Skin tag

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36
Q

What is this condition? And what kind of treatment would you do for moderate-severe cases?

A

Condition: erythema multiforme syndrome

Prednisone.

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37
Q

soft cystic mass filled with clear gelatinous mucin produced by fibroblasts

* often communicates with tendon or joint capsule

A

ganglion cyst

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38
Q

What is this nail bed lesion called and what does it suggest?

A

Oil spot lesion; psoriasis show up in 1/3 of patients

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39
Q

What kind of secondary lesion is this?

A

erosion

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40
Q

If you press on this laterally it will increase or cause pain, what is it?

A

Plantar wart

because they are growing inward toward the body

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41
Q

Characterized by the presentation of vesicles, papules, erythematous macules, urticaria plaques. Pink to red in color. Onset after sun exposure.

A

Polymorphous light eruption

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42
Q

Salmon-pink papules and plaques, sharply marginated with silvery-white scales. Removal of scales-reveals punctate bleeding called ________

A

Auspitz’s sign (suggestive of psoriasis)

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43
Q

What are A and B?

A

A. Venous lake will blanch with pressure

B. Melanoma will not blanch

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44
Q

dermatitis at site of contact (watchband, earrings) that appears 24-48 hours after contact

A

allergic contact dermatitis

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45
Q

slow growing yellow-brown macule, papule, plaque or nodule of lipid deposts in the skin and tendons

A

xanthoma

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46
Q

What skin condition is characterized by irregular, asymmetric raised nodules that are often multicolored?

A

melanoma

(Acral lentiginous melanoma pictured here)

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47
Q

Photo is early and later stage. Macule, papules, painful, itchy vesicles, crusts within 8-12 hours (multiple crops). Crusts 1-3 wks, can leave scar

Highly contagious

A

chicken poxi

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48
Q

non invasive, benign tumor originating in the epidermis and affecting individuals after age 30

A

seborrheic keratosis

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49
Q

What is this?

A

lichen planus

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50
Q

What is characterized by yellowish oily patches near nose and scalp?

A

Seborrheic dermatitis

More images: Left is cradle cap and Right is periorbital S.D.

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51
Q

What type of HPV is this? (Most common)

A

6, 11

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52
Q

What skin condition is pictured here? It is characterized by threadlike borders and central crust, often with superficial plaques?

A

superficial basal cell carcinoma

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53
Q

diffuse, yellowish oily patches near nose or scalp that are less itchy

A

seborrheic dermatitis (AKA dandruff)

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54
Q

What is this fungal infection of the body that is characterized by scaling, redness, itchiness with a lesion that gradually expands in a red ring with raised margin?

(why isn’t it nummular eczema)

A

Tinea corporis

DDX: nummular eczema is a group of coin-shaped lesions while tinea corporis/ring worm is one expanding ring that will start to heal at the original starting point.

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55
Q

well demarcated dermal nodule filled with keratin and lipid debris (can smell) that may have thin walled central punctum

A

Sebaceous (Epidermoid) cyst

AKA sebaceous, infundibular or epidermal inclusion cyst

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56
Q

Delayed abnormal reaction to UV light.

A

Polymorphous light eruption

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57
Q

What is this epidemic disease that happens more in the summer months? Incubation 3-6 days, prodrome 12-24 hours with low fever, malaise, abdominal pain or respiratory symptoms

A

Hand-foot-and-mouth disease

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58
Q

granulomatous enlargement of lid with edema and initial irritation that then become painless as it grows

A

meibomian cyst

AKA chalazion, tarsal cyst

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59
Q

acute, recurring, pruritic, weeping vesicles on hands and feet

A

pompholyx/ dyshidrosis eczema

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60
Q

What are some tx for tinea versicolor?

A

Anti inflammatory diet.

bar soap or something that is hydrating

selenium sulfide OTC will eradicate the yeast

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61
Q
  • Infection of the dermis and subcutaneous tissue
  • Most often legs or face.
  • Typically follows a crack, abrasion, bite or other wound to skin.
  • Warm, tender, swollen, red area Possible fever, enlarged nodes, red streak

What causes it?

A

Cellulitis/ Erysipelas

Group A streptococcus and S. aureus - adults

Haemophilus influenzae B - kids

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62
Q

smooth firm dome-shaped nodule, filled with keratin and often calcified cholesterol

A

trichilemmal cyst

AKA pilar cyst, wen, isthmus-catagen cyst

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63
Q

What kind of primary lesion is this?

A

macule

* flat

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64
Q
  • An acute, deep-seated, red, hot tender nodule or abscess
  • Axilla, groin, buttocks & neck common locations.
  • Avoid local massage. Bench likely infectious.

What causes it? Tx?

A

Boils Furuncles

from Staph infection of follicle or oil gland

tx: warm, moist compress, referral for incision/drainage. Lifestyle modification, nasal mupirocin, vit c

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65
Q

Associated with chronic venous insufficiency from venous return failure and increased capillary pressure.

Mgmt/tx = improve venous return

A
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66
Q

What is this?

A

rhynophoma as seen in rosacea

Note: Chronic rosacea of the nose has caused irreversible hypertrophy. More common in men.

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67
Q

What hyperproliferative skin condition is this that occurs in genetically predisposed individuals usually by age 40?

A

psoriasis

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68
Q
  • Superficial bacterial infection of the hair follicles
  • Caused by friction, blockage of follicle, shaving.
  • Papule or pustule confined to hair follicle, often surrounded by erythematous halo
  • No scarring

What causes it?

A

folliculitis

Most common S. aureus

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69
Q

What is this condition that is characterized by erythema, single or grouped uniform vesicles, often umbilicated that evolve to pustules then erode and ulcerate and then crust over?

What are ways to test for this?

A

Herpes Simplex

Test: visual, viral or under microscope you’ll see giant cells

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70
Q

Infection extends into dermis Heals with scar

what causes it?

A

Ecthyma (Ulcerative Impetigo)

Group A beta-hemolytic streptococci

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71
Q

What kind of primary lesion is this if the collections of free fluid are more than 0.5 cm in diameter?

A

bulla

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72
Q

painful papule/macule that ulcerates in the oropharyngeal region however can also occur anywhere in GI

A

aphthous ulcer

AKA canker sore

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73
Q

Sudden, fixed, symmetrical or generalized skin eruption occurring after starting a new drug or OTC

A

Drug dermatitis (Drug-related eczema)

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74
Q

What skin condition is this?

A

dermal nevus

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75
Q

What kind of secondary lesion is this?

A

ulcer

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76
Q

Koebner’s phenomenon is associated with lichen planus. If someone shows up with Wickman’s striae on their wrist, where else will you look?

A

Mouth.

Also common to see on forearm, ankles, anterior legs, lumbar regions, genitals.

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77
Q

What is the 1-10 cm lesion that pre-dates the remainder of the lesions by hours to 14 days?

A

Condition: pityriasis rosa

First lesion called: Herald Patch

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78
Q

What is this with “spotty” satellite irritations?

A

Candidiasis

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79
Q

What skin condition is this?

A

compound nevus

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80
Q

What is this and what is the concern?

A

a pigmented band that is normal in 90% of black individuals but if suddenly appears, could suggest acral lentiginous melanoma

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81
Q
  • Sexually transmitted
  • Treponema pallidum (spirochete)
  • Primary-painless chancre (contagious)
  • Secondary (contagious) disseminated maculopapular lesions, condylomata lata
  • Latent cutaneous, vascular, neurologic
A

syphilis

tx: antibiotics

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82
Q

central arteriole with radiating telagectasia

A

spider angioma

AKA: spide nevus, spider telangectasia, vascular spider

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83
Q

What stage of eczema/dermatitis is characterized by well demarcated plaques of erythema and edema with vesicles, blisters and intense itch?

A

acute

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84
Q

What is the name of the yeast that causes tinea versicolor?

A

malassezia furfur - hyphal form

note: tinea versicolor can be hyper- or hypo-pigmented

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85
Q

This skin condition has telangectasia, is soft, small and shows central umbilication. What is it and what is the DDX?

A

sebaceous hyperplasia

DDX = basal cell carcinoma which would be firmer on palpation

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86
Q

What is this condition characterized by acute inflammatory/immunologic subcutaneous fat leading to red swollen nodules on the extensor aspect of the extremities?

A

Erythema nodosum

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87
Q

Dark blue to violet soft papule with dilated venule

A

venous lake

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88
Q

What is this?

A

telangectasia

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89
Q

What is this?

A

tinea barbae

fungal infection of the beard hair

90
Q

What are these fungal infections?

B’s fungal infection is causing a tender, swollen abscess that can ulcerate and leave a scare that is called what?

A

A. Non-inflammatory tinea capitis

B. Inflammatory tinea capitis with kerion

91
Q
  • Develops a few hours to 2 days after using tub.
  • Often more prominent under swimsuit.

What causes it? What is tx?

A

Hot tub folliculitis

Caused by Pseudomonas bacteria in contaminated tub.

Tx: Usually clears in 7-10 days without treatment, if not, do culture/sensitivity and tx with 5% acetic acid (white vinegar) compresses bid to qid

92
Q

1-3 mm macules of local proliferation of melanocytes due to chronic sun exposure

A

solar lentigo

AKA liver spots, senile freckles

93
Q

What are some reasons people end up with this skin condition?

A

Condition: tinea versicolor

Causes: soaps, humidity, heat, deceased immunity, sun

94
Q

What is this asymptomatic and self-limiting skin thing? (Can you see the Harold Patch?)

A

pityriasis rosea

(forearm of pediatric patient, larger mark on the other patient)

95
Q

What is this with an initial pustule and a red center?

A

Candidiasis in the interdigital area

96
Q

What is this characterized as scaling, redness, itchiness, burning and often presents as a unilateral half-moon shaped plaque that does not extend onto the scrotum

A

Tinea cruris

Note: candidiasis DOES cross the genital border

97
Q

This skin condition affects ages 30-50 and is characterized by radial growth with nodular formation when 2.5 cm or more

A

superficial spreading melanoma

98
Q

What skin condition is pictured here? It is characterized by a papule/nodule, telangectasia and often described as pearly?

A

nodular basal cell carcioma

99
Q

What are some treatments you might suggest for this condition?

A

Condition: lichen planus

Treatment: natural sunlight, vitamin A

100
Q

pruritic papulovesicular or scaly coin-shaped lesions

A

nummular eczema

101
Q

What is this characterized by larger several cm in diameter?

A

Plaque psoriasis

guttate psoriasis is characterized by being smaller

102
Q

What is Hutchinson’s sign?

A

periungual spread from nail as seen in acral lentiginous melanoma

103
Q

The fingernail scratch test shows up positive. Is this vitiligo or tinea versicolor?

A

Tinea versicolor

Vitiligo is very sharply demarcated and the fingernail scratch test would be negative.

104
Q

What asymptomatic skin condition is often characterized by accentuated “pebbling”?

A

atypical/Clark’s malnocytic/dysplastic nevus

105
Q

rapidly developing hemangioma with recurrent bleeding, often at site of trauma

A

pyogenic granuloma

106
Q

What is this chronic toe web and dorsal foot fungal infection that can become secondarily infected with ____________? And what web of the foot is most common?

A

Tinea pedis

2˚ Infection: staphylococci

4th web is most commonly involved web space

107
Q

What are treatment options for this highly contagious virus

A

chicken pox

tx: vaccine 80% effective. Calamine lotion, oatmeal bath. Acyclovir within 24 hours

108
Q

What presentation is this that is epidemic every 3 years especially in the warmer months

A

hand - foot - and - mouth disease

109
Q

What kind of secondary lesion is this?

A

striae

110
Q

What is this that is erythematous and possibly oozing and often covering the genitals (as in this photo)

A

candidiasis

recall that tinea cruris does not cross the genitals

111
Q

What kind of secondary lesion is this?

A

crust

112
Q

What is this highly contagious condition?

3 Cs: Cough, coryza, conjunctivitis and koplik’s spot on the mouth

A

Rubeola (measles)

113
Q

What is this?

A

Plaque psoriasis

114
Q

What is characterized by sudden deep-seated pruritic, clear “tapioca-like” vesicles on palms and sides of fingers that later lead to scaling fissures and lichenification?

A

Pompholyx/dyshidrotic eczema

Define: lichenified skin means skin that has become thickened and leathery. This often results from continuously rubbing or scratching the skin.

Photo: 2-4 weeks complications may occur with 2˚ infections

115
Q

Chronic, suppuration, often fibrous tissue disease of the apocrine gland on the skin of axilla and anogenital region that can result in tender lesions, scarring and contractures

A

hidradenitis suppurativa

116
Q

This skin condition affects individuals in the 6th decade of life, usually on the head, neck or trunk and has no radial growth

A

nodular melanoma

117
Q

Prodrome 3-5 days intense dermatomal pain with paresthesia

Eruptive stage 7-10 days with a linear patch of group vesicles on an erythematous base

What are Dx and Tx?

A

Shingles

zoster virus

Dx: tzanck smear

Tx: bed rest, NSAIDs, sleep aids, acyclovir

118
Q

Condylomata acuminata. Sexual contact (60% transmission rate), skin-to-skin contact, autoinoculation; vertical and fomite transmission have been reported as causative agents.

A

Genital warts

119
Q

What is this characterized by bright red macular rash on cheese 1-4 days, followed by lacy, reticulated rash on arms.

A

erythema infectiosum

“Slapped cheek disease” - 5th disease - parvo b19

120
Q
  • Consist of clustered, interconnected boils (furuncles)
  • Multiple sinuses
  • Same precautions as furuncles
A

carbuncles

121
Q

What is this fungal infection?

How do you treat a fungal infection?

A

Tinea capitis, scalp/head ringworm

Treatment: OTC anti-fungal (if it was bacterial, you’d give it an antibiotic)

122
Q

type of eczema that can be acute or chronic and is often vesicular and oozing with positive history of contact

A

contact dermatitis

123
Q

What skin condition primarily affects Asians and dark skinned people on the palms, soles and subungual regions?

A

Acral lentiginous melanoma

124
Q

What kind of inflammatory condition might you see in the folds of skin?

A

Candidiasis

125
Q

What skin condition has a posible viral etiology, is characterized by a dome shoped papule or nodule with central keratin plug and shows rapid growth?

A

keratocanthoma

126
Q

What is the treatment for pyogenic granuloma?

A
  • excision/biopsy (to rule out melanoma if suspicious - see image)
  • electrodesiccation of base to prevent recurrence
127
Q
  • results from host response to infection
  • begins as single red macule or papule
  • vesicle develops erosion follows vesicle rupture
  • characteristic honey-colored crust forms from exudate

What is tx?

A

non- bullous impetigo

Tx: self resolves, Mupirocin (pseudomonic acid)

128
Q

A physical trauma triggered _________ phenomenon. The injury and bandage being removed triggered their underlying chronic disease which is what?

A

Koebner’s phenomenon; psoriasis

129
Q

What condition is characterized by common, chronic, coin-shaped plaques?

A

Nummular eczema (or numular dermatitis)

“Nummular” = coin-shaped

130
Q

What kind of primary lesion is this?

A

pustule

* collection of leukocytes and free fluid

131
Q

What is this condition and what kind of dietary recommendations might you make?

A
132
Q

What are these fungal infections?

A

dermatophytes infections: tinea manus and pedis

133
Q

Why is this NOT hand, food and mouth disease?

A

This is usually more flatter. This is erythema multiforme syndrome and usually has circles within circles.

134
Q

Fever, pharyngitis followed by nausea, vomiting, headache, and abdominal pain

Ages 1-10 Incubation 2-4 days

What causes it?

A

Scarlet fever

Uncommon Streptococcal erythrogenic toxin

135
Q

What kind of primary lesion is this?

A

plaque

* elevated and more than 0.5 cm in diameter

* often formed by confluence of papules

136
Q

What is this?

A

tinea facialis

137
Q

soft, subcutaneous nodule of fat that occurs mostly on neck, trunk, arms and buttock

A

lipoma

138
Q

What is the condition that is characterized by an initial onset of closely grouped, small vesicles and papules that coalesce into plaques where the itching is moderate to severe?

A

Nummular eczema

139
Q

What is this viral skin issue that can also show up genitally?

A

Herpes simplex virus

140
Q

What is this that can show up orally or on the genitals?

A

Herpes simplex

141
Q

What kind of primary lesion is this?

A

papule

* elevated and must be 0.5 cm in diameter or less

142
Q

bright red, dome-shaped to polypoid papule with dilated, congested capillaries

A

cherry angioma

143
Q
  • most commonly effects neonates
  • superficial vesicles rapidly enlarge and become flaccid, sharply defined bullae
  • bullae NOT surrounded by erythema
  • ruptured bullae result in yellow crusts and oozing

what causes this?

A

Bullous impetigo: staph aureus

144
Q

What is this fungal infectino?

A

Tinea manus

145
Q

What kind of primary lesion is this if the collections of free fluid are less than 0.5 cm in diameter?

A

vesicle

146
Q

What is the treatment for this condition that affects females more than males and is characterized by thick plaques (usually 1 lesion) with severe pruritus and lasts indefinitely and recurs frequently?

A
147
Q

What is this virus, characterized by fleshcolored bumps with a hole in the middle?

A

Molluscum contagiosum

148
Q

What is this fungal infection?

A

Tinea capitis: scalp/head ringworm

Note: on the final exam pay attention to if she is asking for Kerion or Tinea Capitis as an answer. A kerion is an abscess caused by the fungal infection.

149
Q

soft nodule with mucous filled cavity that arises from ruptured salivary gland. sometimes has a bluish hue and tastes slaty when it pops

A

mucocele

150
Q

what is this?

A

Plaque psoriasis

151
Q

inflammation of the dermis and epidermis with unknown cause

A

atopic dermatitis

152
Q

Tender nodule on the pinnae that is usually unilateral and occurs over 50 years of age

A

chondrodermatitis nodularis chronica helicis

*early stages present with a central crust at apex of nodule

*long standing presents with dense rolled edges

153
Q

What stage of eczema/dermatitis is characterized by thickened skin, skin lines accentuated (lichenified), excoriations, fissuring and moderate to intense itch

A

chronic

154
Q

What is this cream-colored part that adheres to mucosa and bleeds when you scrape it off?

A

Candidiasis in the mouth - thrush.

different from lichen planus (photo) which cannot be scraped off and has Wickham’s striae.

155
Q

What kind of treatment would you do for this wart?

A

antiviral

156
Q

What is this highly contagious disease with an incubation period of 9-21 days

A

varicella - chicken pox

157
Q

What is this non-inflammatory fungal infection?

Caused by a normal fungus found on the skin converting into a parasitic form

Caused by Malassezia furfur - hyphal form

A

(Pityriasis) tinea versicolor

158
Q

What is this?

A

candidiasis

159
Q

Nonhealing shallow painful ulcer in LE above ankle or at malleolus. Sharply demarcated ulcer surrounded by atrophied Blanche. Pale plaques of scar tissue surrounded by stasis dermatitis

A

Venous leg ulcers

160
Q

What skin condition is this?

A

junctional nevus

161
Q

What is this condition?

What sex/age range is affected?

What is the prodrome:

How would you treat this?

A

Erythema nodosum

F > M and 18-34 yo

Prodrome: fever, malaise, arthralgias, arthritis

Tx: NSAID’s or herbs, elevate legs, compression

162
Q

Characterized by progressive complication of CVI (chronic venous insufficiency). Non-healing shallow painful ulcer in the lower extremities above the ankle or at the malleolus.

A

Venous leg ulcers

163
Q

What kind of secondary lesion is this?

A

fissure

164
Q

This lesion is associated with condylomata acuminata, what is the dermatological presentation?

A

Genital warts

(condylomata lata is associated with syphilis)

165
Q

What kind of primary lesion is this?

A

nodule

* elevated and more than 0.5 cm in diameter

* large nodule = tumor

166
Q

What is this?

A

Tinea axilla

167
Q

What’s another name for 6th disease and what are symptoms

A

roseola infantum, human herpes virus 6 (HHV6)

symptoms: high fever 3-5 days, post auricular and cervical lymph nodes

168
Q

sensitization and dermatitis 7-10 days after exposure fo toxicodendron haptens

A

allergic contact dermatitis due to plants (APD)

* poison oak/ivy

169
Q

What time of year does this condition that is typically characterized by a plaque decrease in symptoms?

A

with natural sunlight - so during the summer months

170
Q

What is this condition? And what is it called when you apply a basic oil you notice surface scales that are lacy fine white lines called ________

A

lichen planus

wickham’s striae

171
Q

What kind of secondary lesion is this?

A

scales

* produced by abnormal keratinization and shedding

172
Q

What kind of secondary lesion is this?

A

atrophy

173
Q

What is the differential diagnosis for solar lentigo?

A

melanoma (B)

* monitor if there are multiple shades and border changes and refer or biopsy

(A) is solar lentigo

174
Q

What kind of primary lesion is this?

A

Wheal (hives)

175
Q

What kind of diet would you suggest for plaque psoriasis?

A

Anti-inflammatatory diet

176
Q

Characterized by macule, papules, painful, itchy vesicles, crusts within 8-12 hours (multiple crops). Can leave scar

A

chicken pox

177
Q

What condition is this characterized by dull red, iris or targetlike lesions, macules to papules, localized or generalized, often symmetric.

A

Erythema multiforme syndrome

178
Q

What technique is done for is not specific for testing for genital warts, also seen with candida, psoriasis, lichen planus, or eczema? (Photo: cervix)

A

Acetowhitening technique

179
Q

solitary, translucent, viscous fluid filled cyst over DIP or nail base that occurs in middle aged and elderly

A

digital mucous cyst

AKA myxoid cyst, synovial cyst, myxoid pseudocyst

180
Q

What is this unilateral hand infection?

A

tinea manus

181
Q

Infection of hair follicle

_______ vs ______

A

Folliculitis

superficial hair follicle vs. Deep aka sycosis barbae

182
Q

What is this characterized by scaling, redness, itchiness, burning?

A

Tinea pedis

183
Q

This is benefited by vitamin D3 and sunlight. What is it?

A

psoriasis

184
Q

Sudden onset

tapioca-like vesicles

unknown etiology

A
185
Q

A) _______ is a precursor to B) __________

A

A) Nevi - Atypical/Dysplastic/Clark

B) Melanoma - Superficial Spreading

186
Q

Dermal nodule with positive “dimple sign”.

A

dermatofibroma

187
Q

What phenomenon is associated with trauma that shows up in the mouth? And what is this condition called?

A

Koebner’s phenomenon

Condition: Lichen planus

188
Q

What is this?

A

Tinea barbae, fungal infection of the beard hair

189
Q

Condition that occurs from venous return failure and increased presssure of capillaries where multiple progressive dermatological changes occur

A

Stasis Dermatitis

190
Q

What is this?

A

psoriasis

191
Q

Common papulosquamous disease of the skin, hair, nails and mucous membrane

A

lichen planus

192
Q

Exanthem of rose pink macules with cephalocaudad spread that fades in 3 days. Major complications to fetus in utero

A

Rubella, german measles

193
Q

Facial dermatosis characterized by papulopustules on erythematous base

A

perioral dermatitis

194
Q

What is this epidemic disease that happens more in the summer months and is very painful with refusal to eat?

A

hand-foot-and-mouth disease

195
Q

What are the risk factors for cellulitis?

A
  • trauma, peripheral edema, tinea pedis
  • lymphedema and skin breakdown
  • intertrigo may result in secondary bacterial or fungal infections
196
Q

Characterized by cracked porcelain pattern. Erythema, inflammation and scaling with pruritus.

A

Asteatotic dermatitis

197
Q

acute, dry, scaly, itchy skin at joints

typically has allergic or family history

A

atopic dermatitis

198
Q

What is this harmless fleshcolored bump with a hole in the middle?

Treatment?

A

Molluscum contagiosum

Tx: calcarea carbonica (homeopathic), beetle juice

199
Q
  • Diffuse brown, scaly plaque resembles tinea cruris
  • 3rd an 4th toe web m.c., also genital- crural region

What causes it, dx, tx?

A

Erythrasma

cause: Bacterial infection (Corynebacterium minutissimum). Gram-positive rod

Dx: Bacteria produces porphyrin, fluoresces bright orange-pink (coral red with woods light)

Tx- erythromycin, clarithromycin

200
Q

What type of vascular malformation is this?

A

stork bite/ salmon patch lesion

201
Q

What skin condition (pictured here) is often described as the “sore that won’t heal” and is more common in males than females?

A

actinic keratosis (AK)

202
Q

What is this and what is it suggestive of?

A

splinter hemorrhages could suggest acral lentiginous melanoma

203
Q

What is this dermatological presentation that is contagious and is a reactivation of a latent virus?

A

shingles

herpes zoster virus

204
Q

What skin condition pictured here is often tender, ulcerates and bleeds?

A

squamous cell carcinoma

205
Q
  • Usually spread by skin to skin contact, but mite can live longer than 2 days on clothing, bedding, sleeping bags, etc.

What is it? What causes it?

A

Scabies

Mite-Sarcoptes scabiei

206
Q

Severe, persistent pruritus, worse after bathing, worse at night in bed

What is it? Where can it be located?

A

Scabies

Common sites: lower abdomen, back, pubic area, penis, scrotum, anterior axillary fold, finger webs and sides, flexor of wrist, points of elbows and knee, legs, and areola in women (rarely above neck)

207
Q

What is this issue caused by mites? When do symptoms begin?

A

Scabies

Symptoms begin 2-6 week after 1st exposure • 1-4 days if previous exposure dt antibodies

208
Q

What is this? What causes the itching

A

Scabies

Itching is due to autoimmunization from scabies feces and body parts
- might have 100s of itching papules, but fewer than 12 mites at any time

209
Q

Female mite inhabit burrow in stratum corneum, lays her eggs and dies

What is this? How is it tx?

A

Scabies

Tx: hot bath then 5% permethrin, wash all clothes and linen with hot water

*itching may continue after treatment

210
Q

What is this? What technique was used to make the issue visible?

A

Scabies

Ink drop test: Felt-tipped ink pen has penetrated and highlighted a burrow. The ink is retained after the surface is wiped clean with an alcohol swab

211
Q

WHat are these?

A

Crab louse and body louse

212
Q

What is this?

A

Louse egg (nit) is cemented to a hair shaft

213
Q

These are secondary infections from what?

A

Pediculosis- Lice, Crab, Cooties

214
Q

This is an eyelash infestation of what?

A

Pediculosis- Lice, Crab, Cooties

215
Q

What is it called when you have lice in the hair? How is this tx?

A

Pediculosis capitis

  • Pomades (petrolatum, mayonnaise and pomades) for 10 minutes to kill lice, but not eggs (nit),
  • Nit combing daily, neem (Koodies shampoo), 1% permethrin (Nix), pyrethrins (Rid), lindane, malathion
  • Fomite control-clean and vacuumed
  • tea tree and lavender
216
Q

What is it called when you get lice in the groin area?

A

Pediculosis Pubis

217
Q
  • a spirochetal infection, Borrelia burgdorferi (identified in 1982)
  • The spirochete can burrow into tendons, muscles, ligaments, and directly into organs

WHat is this? What causes it?

A

Lyme disease

deer tick

218
Q

WHat does this deer tick cause? What are the three stages is the disease?

A

Lyme disease

Disease onset is 3-28 days after tick bite

stage 1 –flu-like symptoms (fever, headache, arthralgias), local spread in skin

stage 2 - skin, heart, joints, lymphatics, eyes, liver, respiratory system, kidney, CNS, follows stage 1 by days to months

stage 3 - joints, skin, CNS, eye, persistent infection, follows stage 2 by months to years

219
Q

What is this mark called and what disease can it signify?

How do you test for it?

A

macular dermatitis, also called erythema chronicum migrans “Bull’s eye”

Lyme disease

  • (ELISA)-CDC recommended
  • indirect fluorescent antibody (IFA)
  • Western blot - confirmatory, or if indeterminate ELISA/IFA
  • polymerase chain reaction (PCR) for DNA detection skin,
    blood, cerebrospinal fluid, synovial fluid (not routinely
    recommended )
  • Warthin-Starry
220
Q

What is the treatment for this disease?

A

Lyme disease

  • empiric antibiotics without serological testing is recommended for patient with rash resembling erythema migrans and high probability of having Lyme disease
  • doxycycline 100 mg PO twice daily for 10-21 days or amoxicillin 500 mg PO 3 times daily for 14-21 days
  • Anti inflammatory/elimination diet, probiotic, samento (ts w) nms
221
Q

What is this spider with yellow chevron markings on the abdomen? What are the sx from it’s bite? How is it tx?

A

Tegenaria (hobo spiders)

Symptoms: 24 hrs warmth & edema at bite develops into blister then 1-2 days ruptures
to ulceration that becomes necrotic and may take weeks to months to recover RE- scars

Tx: pain reliever, cold compress, remove venom if bite is observed, steroids & antibiotics

222
Q

What type of insects cause this?

What is the response? What are allergic systemic symptoms?

A

Hymenoptera (bees, wasps, hornets, ants and other stinging insects)

The females sting venom and lay their eggs

Response: histamine wheal & pruritus, Rare risk fatal anaphylactic shock

Allergic: development of petechial hemorrhages, malaise, weakness, nausea, vomiting, abdominal cramps, dyspnea, vascular collapse, and death.

Derm 1 (8 decks)

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