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Derm- my own review Flashcards

1
Q

Rosacea

A

small, red, pus filled bumps

Middle aged woman (30-50)

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2
Q

Tx for Rosacea

A

Mild: Flagyl (metronidozaole)
Mod- severe: Tetracyclines
Severe: Accutane

Tx the Redness: Brimonidine “Mirvaso” causes constriction of the tiny blood vessels

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3
Q

Tx of mild Folliculitis

A

Mupirocin “Bactroban”

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4
Q

Tx of more sever Folliculitis

A

Keflex

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5
Q

Tx for Superficial ThromboPhlebitis

A

Elevation
Compress
NSAIDs
Antibiotics (sever)

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6
Q

Cause of Superficial Thrombophlebitis

A

blood clot just below surface of skin

inflammatory condition of the veins

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7
Q

What causes Stasis Dermatitis

Scaly, itchy, red-brown plaque, fine fissuring, erosions, crust

A

Venous insufficiency

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8
Q

What causes Venous insuff

A

valves of the deep veins aren’t working properly so the blood backs up into the superficial veins

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9
Q

Stasis Dermatitis can lead to —>

“inverted champagne bottle”

A

LIpodermatosclerosis

chronic inflammation and fat necrosis

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10
Q

Loss of hair
Shiny, atrophic skin
Elevating legs does NOT help
Pain/claudication at rest

A

Arterial insuff

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11
Q

Pyoderma Gangrenosum is a

A

Derm emergency

Tx with Steroid and Tacrolimus

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12
Q

Tacrolimus

A

non-steroid

treats itch and inflammation

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13
Q

What is Tacrolimus

A

an immunosuppressant

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14
Q

Tx for Tinea on the Foot

A

Terbinafine “Lamisil”

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15
Q

Lamisil is a brand name for

A

Terbinafine

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16
Q

Which one of the tinea is not caused by fungus, but actually a YEAST

A

Tinea Versicolor

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17
Q

Tx for Tinea Versicolor

Topical shampoos including:

A

Selenium sulfide
Ketoconazole
Zinc

Leave on for 10 min then rinse

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18
Q

Visible scale that is not visible until rubbed w finger

A

Tinea Versicolor

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19
Q

Low potency steroids

A

Desonide

Hydrocortisone

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20
Q

Tx for Candidal Intertrigo

A

Clotrimazole cream

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21
Q

Erythema Multiforme

A

Hypersensitivity rxn

Infection or
Meds

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22
Q

Erythema Multiforme presentation

A

Target lesions

dusky central area surrounded by pale ring of red

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23
Q

Where is Erythema Multiforme usually located?

A

Trunk and Arms/Legs

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24
Q

Nikolsky sign

A

when the skin detaches after you touch it

NOT present in Erythema Multiforme

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25
Tx for Erythema Multiforme
Steroid Lidocaine Benadryl
26
Tx for Erythema Multiforme if Mycoplasma related
Abx If HSV--> Acyclovir
27
SJS
<10 %
28
TEN
>30%
29
Most common Med Culprits of SJS/TEN
Sulfa Anticonvulsant Lamotrigine "Lamictal"
30
"Lamictal" aka Lamotrigine
Tx Seizures, Bipolar
31
Tx for SJS/TEN
Burn unit Pain control Stop offending med Fluid, electrolyte replacement
32
Common Anticonvulsants
``` Carbamazepine Lamictal (Lamotrigine) DiazePAM LorazePAM Ethosuximide ClonazePAM ```
33
Paronychia
infection around lateral and proximal nail folds
34
Tx of Paronychia
Mupirocin "Bactroban" (ointment) | Oral Keflex, Dicloxacillin (a PCN)
35
Tx of Paronychia if a/w Nail Biting
Augmentin | Clindamycin
36
Which one of the spider bites has Antivenom available?
Black Widow but only used if other stuff doesnt work, often after consult with Toxicology
37
Tx of Black Widow bite
Local sx: pain at bite site Systemic sx: muscle pain!! spasm, rigid Wound care, Pain control, NSAIDs, opioids, Muscle Relaxants
38
Classic view of Black Widow bite
Blanched circle w surrounding Red perimeter, central punctum "target lesion"
39
Black Widow bite
Muscle spasm, pain, rigid BUT usually self-resolve within 1-3 days
40
Brown Recluse bite
Nastier looking bite, but stays local Necrotic Burning and Redness "red halo" --> hemorrhagic bulla that turns eschar formation
41
Tx of Brown Recluse
Wound care, Pain control (NSAIDs) Tetanus Debridement if necrotic Abx is secondary infection
42
5th disease Erythema Infectiosium Parvovirus
Lacy, reticular | Malaise --> red rash --> "Slapped cheek"
43
Bad, bad things about Erythema Infectiosum
Fetal loss during pregnancy | Aplastic crisis in Sickle cell
44
Tx for 5th Dz, Erythema Infectiosum
Anti-inf: NSAIDs
45
Koplik spots then Brick red rash starting at forehead and --> towards toes
Rubeola (Measles)
46
3 C's
Measles: | cough, coryza (swollen nares), conjunctivitis
47
Tx options for Measles
Tylenol, Ibuprofen, hydrate Vitamin A high risk for comp: Measles immune globulin
48
Complications of Measles (Rubeola)
Diarrhea most common, but PNA most common cause of DEATH
49
Summer fall Fecal oral or oral-oral spread Painful vesicles on hand,feet,mouth
Hand foot and mouth Coxsackie Supportive tx: antipyretics, hydrate, Topical Lidocaine for the painful vesicles
50
Complications of Hand foot and mouth
Aseptic meningitis | Guillian Barre
51
Guillan Bare
starts at feet-----> spreads upwards "Ascending paralysis" plasma therapy and immune globulin can help
52
TRAb antibodies
Grave's dz
53
TPO and TgAb antibodies
Hashimoto's
54
Main cause of Cellulitis and Erysipelas
Strep, (GAS)
55
Tx for Cellulitis
Keflex | Dicloxacillin (a PCN)
56
Tx for Cellulitis if caused by Cat, dog, or human bite
Augmentin
57
If you suspect MRSA for Cellulitis
Oral: Doxy, Clinda IV: Vanco
58
Erysipelas
sharply demarcated borders | often a/w SYSTEMIC MANIFESTATIONS (fever, chills, elevated wbc)
59
Oral tx for Erysipelas
Keflex, PCN, Amoxicillin
60
A safe grab to treat Cellulitis, Erysipelas, and Lymphangitis
Keflex (oral)
61
Lymphangitis
the red streaks that can come from cellulitis site
62
Treatment for MRSA
Doxy, Clinda
63
What is the most common type of Impetigo? "honey crusted"
Nonbullous papules, vesicles, and pustules with weeping --> honey crusted
64
Most common cause of Impetigo
Staph
65
Tx for Impetigo
Mupirocin 3x/day for 10 days | "Bactroban"
66
If Impetigo becomes systemic, what can you use to treat it?
Keflex surprise surprise
67
What types of lesions are flat?
Macule (<10 mm) | Patch (>10 mm)
68
Tx for Tinea Capitis on the head
Griseofulvin
69
Tx for Tinea Cruris "Jock itch"
Topical antifungal Clotrimazole Terbinafine
70
Tx for Tinea Corporis "Ringworm" wrestlers
Topical antifungal "azoles" Clortimazole Ketoconazole
71
Intertrigo (skin folds) yeast Tx
Ketoconazole Nystatin Clotrimazole
72
Tx for Scabies and Lice
Permethrin cream
73
Highly contagious, dome shaped pearly-white waxy papules 2-5 mm wtih central umbilical
Molluscum Contagiosum
74
Tx for Molluscum Contagiosum
generally not needed, most resolved in 3-6 mo
75
Tx for severe Molluscum
Topical Retinoid
76
HPV warts "Condyloma Acuminata"
painless, soft, cauliflower like Dx: whitening of lesion with Acetic Acid application
77
Tx for HPV warts
80% have spontaneous resolution Cryotherapy Electrocauterization Surgical excision, all can lead to scarrin
78
Vaccine for HPV warts
"Gardisil 9" if younger than 15: 2 shots if older: 3 shots
79
Fair skinned old person | Velvety warty lesion, "stuck on" appearance
Seborrheic Keratosis No tx needed If cosmetic desire: Cryotherapy
80
AK | Actinic Keratosis
most common Pre-CA condition ----> Squamous cell
81
2nd most common type of skin CA
Squamous cell
82
What is the Pre-CA that can lead to Squamous cell?
AK | Actinic Keratosis
83
"sandpaper" pre-CA
Actinic Keratosis, AK
84
Bowen's Dz
Squamous cell CA that is only in the epidermis, has not invaded the dermis
85
Clinical sx of Squamous Cell CA
White scaly or crusted Nonhealing ulcer Hands, neck, head, lips
86
Tx of Squamous Cell CA
Surgical excision w clear margins
87
What is the big concern with Melanoma?
Agressive, can become systemic and METS
88
Most common type of Melanoma
Superficial spreading Men: Trunk Women: Legs
89
Diagnosing Melanoma
Full thickness wide excision + lymph node biopsy
90
Tx for Melanoma
Get it out! wide surgical excision + don't forget to biopsy the lymph nodes
91
Most common type of skin CA
Basal cell slow growing Small, raised, rolled borders and central ulcer, overlying telangiectasia Bleeds easily
92
Tx for Basal cell ca of face
Mohs

Clinical Prep (41 decks)

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