Dermatology Flashcards

1
Q

What are 1st degree burns?

A

Red (epidermis)

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2
Q

What are 2nd degree burns?

A

Blisters (hypodermis)

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3
Q

What are 3rd degree burns?

A

Painless neuropathy (dermis)

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4
Q

What disease have palm and sole rash?

A
"TRiCKSSS" 
Toxic Shock Syndrome
Rocky mountain spotted fever
Coxsackie A: Hand-Foot-Mouth disease
Kawasaki
Scarlet fever
Staph Scaled Skin
Syphilis
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5
Q

What is Erythema Multiforme?

A

Target lesions (viral, drugs)

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6
Q

What is Stevens Johnson syndrome?

A

Erythema Multiforme Major (mouth, eye, vagina)

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7
Q

What is Toxic Epidermal Necrolysis?

A

Stevens Johnson w/skin sloughing

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8
Q

What is Pemphigus Vulgaris?

A

Ab against desmosones=> circular immunofluoresence, in epidermis, oral lesions, + Nikolsky sign

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9
Q

What is Bullous Pemphigoid?

A

Ab against hemidesmosomes => linear immunofluorescence, subepidermal, “floating” keratinocyytes, eosinophils

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10
Q

What is Eczema?

A

Dry flaky dermatitis in flexor creases “itch that rashes”

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11
Q

What is Nummular dermatitis?

A

Circular eczema

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12
Q

What is Spongiotic eczema?

A

Weeping eczema: scratching causes oozing “like a sponge”

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13
Q

What is Lichenification?

A

Scratching => thick leathery skin

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14
Q

What is Pityriasis Rosea?

A

Herald patch that follows skin lines (Tx: sunlight) “C mass tree pattern”

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15
Q

What is Lichen Planus?

A

Polygonal pruritic purple papules

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16
Q

What is Scabies?

A

Linear excoriation “burrows” in webs of fingers, toes, belt line (Sarcoptes feces)

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17
Q

What does UV-A cause?

A

Aging

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18
Q

What does UV-B cause?

A

Burns and cancer

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19
Q

What are the ABCD’s that indicate worse prognosis of skin cancer?

A

Assmetric
Irregular Borders
Color differences
> 4mm Diameter

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20
Q

What does the Clark level tell you?

A

Invasion of melanoma

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21
Q

What does Breslow’s classification tell you?

A

Depth of melanoma

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22
Q

Where are Malignant Melanomas usually found?

A

Males: back
Females: leg

23
Q

What is the precursor od a Malgnant Melanoma?

A

Hutchison’s freckle

24
Q

What are the types of Malignant Melanomas?

A

Superficial spreading: most common, flat brown
Nodular: worst prognosis, black, dome shape
Lentigo maligna melanoma: elderly pts, fair-skin
Acral lentigous: AIDS pts, dark skin

25
Where are Squamous cell carcnomas usually found?
Flat flaky stuff on lower face, keratin pearls
26
What is the precursor of Squamous Cell carcinoma?
Actinic keratosis (red scaly plaque)
27
What are the types of Squamous Cell carcinoma?
Bowen's disease: SCC in situ on uncircumcised penis dorsum | Verrucous carcinoma: wart on foot
28
Where are Basal Cell carcinomas usually found?
Pearly papules on upper face, palisading nuclei, good prognosis
29
What are the types of Basal Cell carcinomas?
Nodular: waxy nodule w/ central necrosis Superficial: red scaly plaques,mlike eczema Pigmented: looks like melanoma Sclerosing: yellow waxy plaques
30
What is Acne Rosacea?
Blush all the time, worse w/ stress/ alcohol
31
What is a Brown Recluse Spider Bite?
Painful black necrotic lesion
32
What is Cellulitis?
Warm red leg
33
What is a Cutaneous Anthrax?
Painless black necrotic lesion
34
What is a Decubitus Ulcer?
Bedsore
35
What is a DVT?
Blood clot in veins, associated w/ hypercoagulable state
36
What is Erysipelas?
Shiny red, raised, does not blanch, usually on face, associated w/Strep pyogenes
37
What is Icthyosis?
Gradual lizard skin
38
What is Miliaria?
"Heat rash": burning, itching papules on trunk
39
What is Molluscum Contagiosum?
Fleshy papules w/ central dimple, pox virus (STD)
40
What is Psoriasis?
Silver scales on extensors, nail pitting, differentiated too fast, worse w/ stress - Auspitz sign: remove scale => pinpoint bleeding - Koebner's phenomenon: lesions at sites of skin trauma
41
What is a pyogenic granuloma?
Vascular nodule at site of previous injury
42
What is a Seborrheic Dermatitis?
Dandruff in eyebrows, nose, behind ears
43
What is Seborrheic Keratosis?
Rubbery warts with aging, greasy
44
What is Thrombophlebitis?
Vein inflammation w/ thrombus
45
What is Vitiligo?
White patches, anti melanocyte Ab
46
What is Xeroderma Pigmentosa?
Bad DNA repair
47
What is Erythema Chronic Migrans?
Lyme disease (solitary lesion that spreads)
48
Whatbis Erythema Infectiosum?
Fifth disease "slaped cheeks" due to Parvovirus B19
49
What is Erythema Marginatum?
Rheumatic fever (red margins)
50
What is Erythema Multiforme?
Target lesions due to HSV, Phenytoin, Barbs, Sulfas
51
What is Erythema Multiforme Major?
Stevens Johnson syndrome (>1 mucosal surface)
52
What is Erythema Nodosum?
Fat inflammation (painful red nodules on legs), sarcoidosis
53
What is Erythema Toxicum?
Newborn benign rash (looks like flea bites w/ eosinophils)