dermatology

Question 1

eczema

Answer 1

chronic, recurrent puritic skin eruption that generally begins in infancy
genetic component of family atopy

Question 2

ssx of exzema infants

Answer 2

cheeks,

extensor surfaces of arms and legs

Question 3

eczema age 2

Answer 3

flexural involvement neck, antecubital, popliteal

Question 4

eczema lesions

Answer 4

erythema, edema, papules, vesicles, lichenification
oozing crusting weeping
waxing and waning

Question 5

eczema diagnosis

Answer 5

clinical symptoms
elevated igE levels
distribution
dx of exclusion sometimes

Question 6

recommendations for eczema

Answer 6

mild or no soap

use emolients immediately after bath

Question 7

allopathic treatment

Answer 7

corticosteroids,
oral antibitics for superinfections
anthhistamines for itching
topical immunosupressantes

Question 8

ND treatment

Answer 8

food sensitivities, probiotics, EFA's 
prevent scratcing
yogurt bath,
bleachbath
probiotic, fish oil, vit d
vit C

Question 9

seborrheic derm

Answer 9

YELLOW ERYTHEMATOUS SCALY GREASY LESIONS LONCATED on scalp, face etc. places with lots of sebaceous glands.

Question 10

what is causative factore of seborrheic derm

Answer 10

pityrosoporum ovale/malassezia,
hormones,
low grade inflammation

Question 11

who gets seborrheic derm /cradle cap

Answer 11

infants, it resolves within first year then may return in adolecence

Question 12

treatment for seborrheic derm

Answer 12

• sulfur or salicylic acid shampoo
• warm oil scalp scrub
• EFA

Question 13

Diaper rash

Answer 13

collection of skin rashes grouped together by location
fricttion shiny, red rash,
red, hot and shiney.

Question 14

what types of diaper ash

Answer 14

Irritaiton
allergic
atopic: itchy
seborrhea: yellow-salmon greasy rash
candidal: beefy read rash, sharp margin, sattelight lesion,
bacterial: bullus and pustules
food sensitivity: bulls eye
second to diarrhea

Question 15

what can cause kids to refuse to poop from pain?

Answer 15

Perianal strep cellulitis
bullseye rash around anus that is bright red.
use a strep test.

Question 16

how to treat yeast?

Answer 16

miconazole: allopathic
boric acid salve
vinegar rinse
yogurt path

Question 17

treat bacteria

Answer 17

Mupirocin: allopathic
goldenseal powder
prebiotics

Question 18

how should diapers be treated to prevent diaper rash

Answer 18

cloth diabers should be washed in hot water, double rinse and then cleaned in vinegar every few washes.

Question 19

impetigo

Answer 19

superficial skin infection

often staff and they ususally self resolve within 2 weeks

Question 20

how is impetigo transmitted

Answer 20

fomites or direct contact

Question 21

PE for impetego

Answer 21

rare fever
possible LA
honey crusted red papule

Question 22

diagnosis impetigo

Answer 22

clinical

Question 23

complications of impetigo

Answer 23

may progress to cellulitis
scarlet fever
post strep glomerulonephritis
septicemia

Question 24

impetigo treatment

Answer 24

clean, remove crust,
topical mupirocin
topical pultices
culture and sensitivity if it lingers.

Question 25

molluscum contagiosum

Answer 25

skin colored smooth, waxy, imbilicated papules 2-10 mm in dameter
spread by direct contact

Question 26

treatment for molluscum contagiosum

Answer 26

leave them alone, make take 6 most

can pop them

Question 27

lice types

Answer 27

Head: fomites, direct contact, schools

pubic: direct contact spread,
body: live on clothing: fomites of clthing, crowded conditions and poor hygine

Question 28

PE for lice

Answer 28

look for nits, perianal region, seams of clothing, remove along entire hair shaft

Question 29

treatment for lice

Answer 29

permethrin 1% cream: nix, ovocidal
pyrethrins rid, less ovocidal
malathion - ovocide
lindane 1% lotion ; Kwell: not recommended.

Question 30

how to remove lice

Answer 30

soak hair with vinegar for 30-60 minutes followed by combing with nit comb.

Question 31

scabies

Answer 31

scarcopetes scabei

females burrow in skin and lay eggs.

Question 32

scabies PE

Answer 32

hands, foot and heel, wrist,
serpiginous burrow with brown dot at paths edge.
crusted papules
secondary infections, impetigo

Question 33

lab for scabies

Answer 33

skin scraping after moistening burrow with alcohol, place on slide with KOH and ID female, egg, larva or feces

Question 34

treatment for scabies

Answer 34

permethrin creaam 5% if over 2 months old
lindame 1% : leeave on for 8-12 hours before washing off.
wash all bedding, treat all family memebers

Question 35

Urticaria

Answer 35

transiet pink wheals

Question 36

management urticaria

Answer 36

epinephrine, antihistamines, apis
bioflavinoids, quercitin
claritin, syrtec

Question 37

strawberry hemangiomas

Answer 37

reassure they are not a concern

raised bright red lesion that developes within 1st months, most resolve spontaneously by 7years,

Question 38

treatment for strawberry hemangiomas

Answer 38

prednisone 10mg BID

propanonl

Question 39

port wine stain - nevus flamus

Answer 39

flat, pink red or purpulish lesion present at birth.
permanent***
can try to remove with lazer

Question 40

port wine stains may be assoicated with what sydrome

Answer 40

sturge weber syndrome.

Question 41

mongolian spots

Answer 41

don’t mistake for a injury or bruise
macular blue gray pigmentation on sacral ara of infants.
most disappear by 4 years but can persist forever

Question 42

insect bit treatment

Answer 42

potato pultice