dermatology Flashcards

1
Q

black hairy tongue

A

aggressive oral hygiene-tongue brushing

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2
Q

acne keloidalis nuchae

treatment
pseudofollicular barbae

A

firm, skin colored, pink, hyperpigmented papules centered on hair follicles, back of neck in people of color
antibiotics, steroids
hair bearing face and anterior neck

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3
Q

psoriatic nails

tinea manuum

A

pitting, onycholysis (lifting of nail), oil drop sign

one hand and two feet

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4
Q

pitted keratolysis
treatment

fungal feet infections

A

hyperhidrosis of feet, small pits on keratotic background
clindamycin/ erythromycin lotion, keep feet dry

web spaces

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5
Q

steroid for eyelids (thin skin, also face, skin folds)

A

hydrocortisone valerate (low potency)

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6
Q

contact allergy (to neomycin, for ex) vs infection

A

itchy, geometric pattern

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7
Q

female androgenetic alopecia vs alopecia areata

A

decreased density at the top vs complete loss of hair

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8
Q

Refractory/large/atypical warts

A

biopsy

otherwise destroy with cryotherapy, cantharidin, podophyllin, laser therapy, salicylic acid

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9
Q

painless, LE wound surrounded by callus
treatment

tender with surrounding erythema

A

neuropathic ulcer
debride, remove, protect, treat infection

arterial

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10
Q

rhus dermatitis

treatment

A

pruritic linear red papules and plaques, a vine (poison ivy, sumac, oak)
high potency steroid
ointments are better for burning sensation

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11
Q

stasis dermatitis

cellulitis

A

red, inflamed, pitted skin, can be warm
compression stockings

erythema, pain, warmth, swelling, unilateral, leukocytosis, LAD, febrile

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12
Q

dermatomyositis associated with

A

ILD, malignancy

heliotrope rash, knuckles, shawl sign

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13
Q

basal cell carcinoma treatment

A

Mohs

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14
Q

sun protection

A

SPF 15 or greater and UVA protection

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15
Q

generalized pruritus without primary skin rash

A

CXR for Hodgkin lymphoma

med review

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16
Q

scabies

A

interdigital spaces, body folds

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17
Q

TEN vs SJS

treatment

A

<10% vs >30%

drug cessation, aggressive supportive ICU/burn center care

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18
Q

cutaneous lupus

caused by

A

annular scaly patches on back and sun exposed areas, photosensitive, ANA, anti Ro/SSA +
hydrochlorothiazide

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19
Q

pemphigus foliaceus

A

blisters, then crust over, cornflakes

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20
Q

Hospital acquired skin and soft tissue infection

A

treat as MRSA

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21
Q

A painful black eschar with slight surrounding angulated purpura in a patient on dialysis who has calcium and phosphorus abnormalities

treatment

A

calciphylaxis

dialysis, non calcium phosphate binders, sodium thiosulfate

22
Q

localized impetigo

A

mupirocin

23
Q

scaling plaques on trunk and proximal extremities after URI

A

pityriasis rosea, but also test for syphilis (affects palms and soles)

24
Q

Peristomal pyoderma gangrenosum

treatment

A

associated with IBD, in response to trauma such as surgery

potent steroid/cyclosporine/infliximab

25
Q

pretibial myxedema (Grave’s)

A

thickening, firm but compressible plaques, shins, elephantiasis, severe deformity

26
Q

groups of itchy lesions

A

bedbugs

27
Q

Erythroderma

caused by

A

Erythema of at least 80-90% of skin surface, edema, pruritus, scaling and LAD
meds

28
Q

Hutchinson sign

management

A

zoster on forehead + lesion on nose

ophthalmology, antivirals+ steroid eye drops

29
Q

drug reaction with eosinophilia and systemic symptoms (DRESS)

A

morbilliform eruption, facial edema, fever, LAD
skin eruption, hematologic abnormalities, lymphadenopathy, and internal organ involvement

get CBC, BMP, give steroids

30
Q

Lichen sclerosis

diagnosis

treatment

A

white atrophic patches around anus and vagina, pruritus, dyspareunia
biopsy

high potency steroid-clobetasol, mometasone, or betamethasone

31
Q

fixed drug eruption

A

painful purple patch in the same place repeatedly, lips, genitals, hands
NSAIDs, pseudoephedrine, antibiotics

32
Q

Sweet syndrome

treatment

A

juicy, red papules, plaques or nodules with sharp borders, on trunk and proximal extremities, fevers, leukocytosis
AML/ myelodysplastic syndrome
steroids

33
Q

keratoacanthoma

A

volcano squamous cell carcinoma

34
Q

eosinophilic pustular folliculitis

associated with

A

intensely itchy, clustered on chest and face, eosinophilia

HIV infection

35
Q

fixed livedo reticularis + thromboses

A

antiphospholipid antibody syndrome

36
Q

red, pruritic plaques and wheals that last less than 24 hours after a probable viral upper respiratory tract infection

A

acute urticaria->cetirizine

no further testing/imaging

37
Q

seborrheic dermatitis (dandruff) treatment

A

ketoconazole

38
Q

preggo acne

A

azelaic acid cream, topical erythromycin

39
Q

herpes diagnosis

A

direct-fluorescent antibody and polymerase chain reaction testing, unroof, swab base

40
Q

miliaria crystalina

treatment

A

heat rash, lesions on back after immobilization

decrease sweating, cool baths, loose clothing

41
Q

migratory itchy plaque + beach

treatment

A

cutaneous larva migrans

ivermectin/ albendazole

42
Q

melanoma prognosis

A

lesion depth, elevated mitotic rate, ulceration

43
Q

subungual melanoma

A

black line on single nail
black and Asian patients
nail matrix biopsy

44
Q

porphyria cutanea tarda

A

liver damage->increased prophyrins in tissue
skin fragility and small, transient, easily ruptured vesicles in sun-exposed areas such as on the hands, hypertrichosis, skin darkening

45
Q

urticarial vasculitis

diagnosis

A

last 3 days, leave bruises

skin biopsy

46
Q

RAST test-Radioallergosorbent testing

A

for allergies

47
Q

longstanding atopic dermatitis+ new pustules+ breakdown of skin

A

staph a (treat with mupirocin)

48
Q

post inflammatory hyperpigmentation due to acne

A

topical retinoid, can add hydroquinone later

49
Q

hand dermatitis caused by handwashing

A

emollient such as petrolatum

50
Q

dermatitis herpetiformis

associated with

A

chronic, extremely pruritic, elbows, knees, buttocks, scalp, GI symptoms
celiac disease

51
Q

cough+ facial rash after smoking cessation

A

sarcoid

52
Q

chronic cutaneous lupus first line systemic drug

A

topical steroids and tacrolimus fail->systemic hydroxychloroquine
prednisone for systemic lupus