Derm/Rheum

Question 1

A _ is a benign nodular growth of the conjunctiva that does not extend onto the cornea, while a _ is similar but often larger with growth onto the cornea. They develop due to actinic damage from wind/sand/sun exposure. First line treatment is _

Answer 1

pinguecula; pterygium; observation and lubrication, with surgical excision in more symptomatic cases

Question 2

Systemic sclerosis includes scleroderma aka _ or CREST aka _. Skin changes in both include induration, thickening, and soft tissue fibrosis.

Answer 2

diffuse cutaneous systemic sclerosis; limited cutaneous systemic sclerosis; Diffuse cutaneous systemic sclerosis includes organ involvement such as diffuse parenchymal lung disease, pulmonary HTN, renal-vascular disease (significant HTN), scleroderma renal crisis, GERD, Raynaud’s, diffuse skin involvement

Question 3

_ aka _ limited cutaneous systemic sclerosis stands for _.

Answer 3

CREST: calcinosis, Raynaud’s phenomenon, esophageal dysmotility (GERD), sclerodactyly, and telangectasias. Don’t need all of these to be diagnosed.