Dermatology Flashcards

1
Q

Medication that can exacerbate psoriasis.

A

ACEi (-prils)

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2
Q

Auspitz’ Sign:

A

Superficial scraping of the lesion causes pinpoint bleed

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3
Q

Treatment of Psoriasis:

A

First Line:
- Topical Corticosteroid
- Emollients
- Vitamin D Analogues

Second Line:
- Phototherapy (PUVA)

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4
Q

Psoriatic Arthritis:

A
  • Symmetric Polyarthritis
  • Rheumatoid Arthritis pattern, but RF NEGATIVE
  • DIP most involved
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5
Q

Treatment of Psoriatic Arthritis:

A

NSAIDS
DMARDs (Methotrexate, Sulfasalazine and Leflunomide)

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6
Q

Aspect of Plaque Psoriasis:

A

Plaques, covered in Silver scales

Most common type of Psoriasis

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7
Q

Aspect of Guttate Psoriasis:

A

Small (less than 1 cm), drop-shaped lesions

Usually dissapears completely after a few weeks. Some may go on to develop plaque psoriasis

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8
Q

What are the presentations of Liquen Planus?

A

Cutaneous Liquen Planus and Oral Liquen Planus

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9
Q

What is Erosive Liquen Planus?

A

A type of Oral Liquen Planus where, along with the striae, the patient develops painful ulcers that can last weeks or years

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10
Q

What is the presentation of Cutaneous Liquen Planus?

A

Purple
Pruritic
Papular
Polygonal Rash

Commonly seen on Flexor Surfaces

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11
Q

Management of Liquen Planus:

A

Symptomatic:
- Itching = Topical Steroids and Antihistamines

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12
Q

What is the presentation of Oral Liquen Planus?

A

White lacy pattern on buccal mucosa and sides of the tongue - Wickham Striae

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13
Q

What is Cellulitis?

A

An infection of the dermis and subcutaneous tissues, that has POORLY DEMARCATED BORDERS

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14
Q

Presentation of Cellulitis:

A
  • Erythema
  • Warmth
  • Swelling and pain on the affected limb

Most common in the Lower Limb

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15
Q

Risk Factors for Cellulitis:

A

Diabetes and Immunodeficiency

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16
Q

Cellulitis is commonly caused by which microorganism(s)?

A

Streptococcus and Staphylococcus

17
Q

Management of Cellulitis

A
  • Firts Line: Flucloxacilin 500 mg QDS
  • Penicilin allergy: Clarithromycin 500 BD
  • MRSA+: Vancomycin
  • Analgesics and limb elevation
18
Q

What is Erysipela

A

An infection of the upper dermis and upper subcutaneous tissues, with sharply demarcated borders

Common affected areas = Face - Leg - Arm

19
Q

What is the presentation of Erysipela?

A

Fiery-red, indurated, tense and shiny plaque
Burning sensation over the affected area

Commonly caused by: Streptococcus

20
Q

Management of Erysipela:

Treatment

A
  • First Line: Flucloxacilin 500mg QDS
  • Penicillin allergy: Erythomycin or Clarithromycin
  • Analgesics and Limb Elevation
21
Q

Presentation of Urticaria:

Urticaria = Hives

A

Skin rash with red, raised and itchy bumps

22
Q

Triggers for Urticaria

A
  • Allergies: food, drugs, bee sting
  • Skin contact with latex or metals
  • Rubbing the place
23
Q

Management of Urticaria

Treatment

A
  • Antihistamines: Ceterizine or Loratadine (non-sedating)
  • Calamine lotion
  • Oral Prednisolone (severe cases)
24
Q

Presentation of Malignant Melanoma:

Malignant Melanoma = Cancerous growth of melanocytes

A

A: Asymmetry
B: Border Irregularity
C: Colour Irregularity
D: Diameter >/= 7 mm
E: Evolving

Risk Factors: Sun exposure; fair skin
Melanomas can be raised of flat
Melanomas sometimes are itchy and can bleed
Can occur anywhere, including areas not exposed to sun

25
Management of Malignant Melanoma
If presenting to GP Clinic: Refer Urgently to Dermatology Early Stages: Surgical Excision Late Stages: Radiation and Palliative Care
26
When diagnosing a Malignant Melanoma, what parameter is most strongly correlated with prognosis?
Depth of Invasion (Breslow Thickness)
27
What's the most common skin cancer?
Basal Cell Carcinoma ## Footnote - Head and Neck are most commonly involved - Least aggressive form of skin cancer - Often has tiny blood vessels (Telangectasias) - Can develop a central depression - Sometimes itchy and can bleed - Commonly located on sun-exposed areas: face, ears, neck
28
Presentation of Basal Cell Carcinoma
Initially: **Pearly** Lesion Later: **Rodent Ulcer** with an **indurated and rolled edge** and **ulcerated center** ## Footnote Sun exposure is a risk factor
29
Management of Basal Cell Carcinoma:
Surgical Excision Mohs' Micrographic Surgery
30
Druga
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