Dermatology Flashcards
which diagnosis has cobblestone appearance on ultrasound
Cellulitits
key terms for this diagnosis
elderly, tense bullae caused by a drug or topical steroid
negative nikolsky sign
Bullous Pemphigoid
key terms for this diagnosis
young, falccid bullae with oral lesions
Positive Nikolsky sign
Pemphigus Vulgaris
key terms for this diagnosis
Adult with recent infection/cold sore now rash on palsm and soles then moves to trunk
rash is targe lesions
Erythema multiforme “minor”
also called
EM minor
What are the most common cause of Erythema multiforme
Herpes simplex
mycoplasma pneumonia
key terms for this diagnosis
Immune attack
Painful sluffing “mucus membranes” mouth, eyes, vagina, rectum
Steven-Johnsons
Most common cause of Steven-Johnsons
Penicillin, sulfa
antiepileptics
NSAIDS
key terms for this diagnosis
Dermal-epidermal cleavage of >30% of the body
positive nikolsky sign
recent abx use penicillin or sulfa
Toxic Epidermal Necrolysis
what is a severe complicaiton of Steven-Johnsons
eye involvement -
BLINDNESS !
admit and get ophthalmologist involved
Treament for Toxic Epidermal Necrolysis
Burn unit admit
good nursing care
treat pain
IV immunoglobulins may help
what 3 conditions will have postitive Nikolsky sign
- Pemphigus Vulgaris
- Toxic Epidermal Necrolysis
- Staphylococcal scalded skin syndrome - SSSS
key terms for diagnosis
Rash of Pomphlyx
Dyshidrosis
What are the strongest steroids
used for Psoriasis
Betamethasone
Clobetasol
key terms for this diangosis
x-ray defomities on IP joints
pencil in cup deformity
Psoriatic Arthritis
what causes Pityriasis Rosea
Human herpes virus 7
remember Christmas tree
herald patch - “langer lines”
key terms for this diangosis
rash on wrists and ankles that are violaecous/purple
that are itchy, raised and flat
Lesions on the mouth is white and in a line
Lichen Planus
key terms for this diagnosis
history of taking Nsaid or antibiotic got red raised lesison that disspears over time
comes back in the same spot after starting back on the medicaiton
Fixed Drug Eruption
Treatment for Lice
Permethrin
Pyrethroids
severe- Oral ivermectin
retreat in 7 days
Severe form of Scabies affecting immunosuppred
causing wide spread crusting
Norwegian / crusted scabies
Treatment for Scabies
Permethrin
Norwegian-> Ivermectin
Arthopod - Cimicidae
Bed bugs
Key terms for this diagnosis
Nectotic Arachnidsm , DIC, hemolysis, shock
Brown Recluse spider
Brown Recluse Treatment
usually support but
- Dapsone
- Hyperbaric O2
- Surgical excision
Treatment for Anaphlatic Bee Sting
ADMIT ! 1 .Epinephrine 2. steroids 3. H1/H2 blockers discharge with epipen
Golfer, fever and headache, fatigue with no rash
Ehrlichiosis
Treatment Doxycycline
Bullseye rash, child or pregnant women
Treatment
Amoxicillin
not doxycycline
specides Amblyomma
Ehrlichiosis
Burn type
superficial red, inflammed resolves in days
1 st degree
Burn type
Partial, bilsters that are painful
2nd degree
Burn type
full thickness, dry, leathery, scared and painless
3rd degree
Virus that causes Molluscum contagiosum
Pox virus
What is Hutchinson sign
Varicella Zoster
lesion on the tip of the nose
meaning that is is nasociliiary invovement and its bad because its going into the eye and can cause blindness
Treatment for Wart on hand
Imiquoid
What is Tinea Vericolor caused by?
Malassezia Furfur
yeast infection
What patient education needs to be given with
Grisofulvin
it is an antifungla
avoid Alcohol - disulfer reaction
What is a Paraneoplatic Syndrome first presentation?
Acanthosis Nigricans
meaning it can be the first manifestation of a cancer
Aqcuired Hyperpigmentation of sun exposed area
Melasma
Stages of pressure ulcer
- non-blanching
- superficial, partial thickness, necrosis
- deep necrosis, crater ulcer, full thickness
- Full thickness with extensive damage
key terms
destruciton of melanocytes
Vitiligo
Name the rule of 9s
Head whole is - 9 one arm - 9 Front torso - 18 Back torso 18 Perineal 1 one leg 18
What is the Parkland formula
ONLY FOR TYPE 2 or 3
IV fluid requirments for first 24hrs treating a BURN
4cc / KG X % BSA
-Start this from the time of the injury and give 1/2 of the fluid over 8 hours
What labs to draw for BURNS
CK and Myoglobin
rule out rabdomylitis
what tempature is Hypothermia present
< 35 C
