Dermatology Flashcards
What are the three layers of the skin
Epidermis
Dermis
Hypodermis
Name 4 functions of the skin
Provide an anatomical barrier
Main method of heat regulation
Sensory input form the body
Storage for lipids and water
What is commensal flora
Commensal flora is the normal colonisation that inhibits pathogens in a heathy host
Normal skin has 50 million organisms whereas oily skin has about 500 million organisms.
What re some features of oily skin
They have more secretion from the sebaceous glands
The skin tends to become heavier and thicker
They are more at risk of pore blockages and therefore ‘spots and pimples’
What is a comedone
A comedone is essentially a blackhead.
It is a feature of acne vulgaris.
It is a build up of keratin and sebum and it turns’ black’ when the blocked pores oxide
What is a furuncle and what organism is it caused by
It is an infection of the skin, pockets filled with pus.
The organism involved is staphylococcus aures
If furuncles are grouped together what is this called
Carbuncles
Folliculitis is what
Furuncle in the hair follicle
What percentage of teenagers aged from 13-18 are affected by acne?
80%
What are some causes of acne?
Follicular sensitivity to testosterone ( increase around puberty)
Propionibacterium acnes overgrows and leads to infections and cysts
What are some things that can are acne worse
Certain contraceptive pills
Greasy skin cleaners
Some anticonvulsant drugs
Squeezing the spots
Acne can be managed locally, how?
Reducing excess skin oil - cleanser
Antibacterial agents
- benzoyl peroxide
- antibiotic lotions
If the local treatment of acne fails what other method can be used.
Antibiotics can be given - minocylin
Hormone manipulation can be used - anti-androgens
What is erysipelas and what bacteria is it caused by
It is a skin infection involving the dermis layer of the skin, defined by a sharp raised border.
Caused by streptococcus pygenes
Erysipelas is managed with systemic antibiotics ( oral or IV)
If this consditon is not managed what can it lead to ?
Necrotising fasciitis
Septic shock
Guess the disease
Highly infectious skin disease
Staphylococcal or streptococcal
Crusty red booster appearance
Often associated with eczema
Impetigo
How is impetigo treated
Often with topical antibiotics (can be systemic)
Antibiotic found from culture
Name 4 bacteria infections of the skin
Furuncles
Acne
Erysipelas
Impetigo
Name 4 viral skin infections
Herpes simplex
Shingles
Molluscum Contagiosm
Warts
Herpes simplex infection affects single dermatome or adjacent dermatome. How is this infection activated and how is it treated
It is activatated by ‘trauma’
- physical, chemical, UV light, run down
It is treated with aciclovir
Shingles is also known as…
Herpes zoster infection