Dermatology Flashcards

1
Q

Effects the upper dermis and superficial lymphatics

A

Erysipelas

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2
Q

deeper dermis and subcutaneous fat

A

cellulitis

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3
Q

upper and deeper dermis

A

abscess

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4
Q

cellulitis is most frequently observed in what age group?

A

middle-aged and older adults

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5
Q

Erysipelas is seen in this age group

A

children and older adults

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6
Q

risk factors for cellulitis, erysipelas and abscesses

A

skin barrier disruption, preexisting skin condition, skin inflammation, edema due to lymphatic drainage, edema due to venous insufficiency, obesity, immunosuppression

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7
Q

most common pathogen in erysipelas

A

beta-hemolytic streptococci

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8
Q

most common pathogen in cellulitis

A

beta-hemolytic streptococci and staph aureus including MRSA

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9
Q

most common pathogen in abscesses

A

staph aureus

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10
Q

clinical manifestations of cellulitis and erysipelas

A

erythema, warmth, edema; unilateral; lower extremities

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11
Q

which disease, cellulitis or erysipelas, can be purulent?

A

cellulitis

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12
Q

acute onset of symptoms, clear demarcation, systemic manifestations such as fever and chills

A

erysipelas

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13
Q

indolent course, more localized symptoms over days, less distinct borders, may have drainage

A

cellulitis

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14
Q

painful, fluctuant, erythematous nodule with surrounding induration

A

skin abscess

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15
Q

infection of one hair follicle

A

furuncle

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16
Q

infection of multiple hair follicles

A

carbuncle

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17
Q

common areas of skin abscess development

A

neck, face, axillae, buttocks

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18
Q

when should you use the LRINEC score?

A

concerning hx and exam, pain out of proportion to exam, rapidly progressive cellulitis

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19
Q

complications of cellulitis/ erysipelas/ abscess

A

necrotizing fasciitis, Bacteremia and sepsis, osteomyelitis, septic joint

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20
Q

differential diagnosis of cellulitis/ erysipelas/ abscess

A

gout, DVT, Venus stasis dermatitis

21
Q

Management of nonpurulent cellulitis

A

IV Cefazolin, IV Ceftriaxzone, PO Penicillin, PO Amoxicillin, IV Vancomycin, PO Bactrim

22
Q

Management of prurulent cellulitis or abscess

A

PO Bactrim, PO Doxycyclin plus Amoxicillin, PO Clindamycin, IV Vancomycin plus Ceftriaxone plus metronidazole, IV Vancomycin plus Unasyn

23
Q

Duration of treatment of cellulitis?

A

7-10 days

24
Q

If cellulitis does not get better in the set time what should you consider?

A

underlying abscess

25
Q

Contagious superficial bacterial infection found frequently in children 2-5

A

Impetigo

26
Q

Where does impetigo mostly occur?

A

face

27
Q

Papules progress to vesicles which become pustules and eventually form golden crusts

A

non-bullous impetigo

28
Q

vesicles enlarge to form flaccid bullae with clear fluid and effects the trunk more

A

bullous impetigo

29
Q

which impetigo, if seen in an adult, could be HIV?

A

bullous

30
Q

ulcerative form of impetigo where lesion extend through the epidermis to the deep dermis

A

ecthyma

31
Q

What two diseases can develop from impetigo?

A

Poststrep Glomerulonephritis and Rheumatic Fever

32
Q

What are the symptoms seen in Glomerulonephritis 1-2 weeks after infection?

A

hypertension, fever, hematuria

33
Q

what bug causes bullous impetigo?

A

staph aureus

34
Q

what bug causes ecthyma?

A

group A beta hemolytic strep

35
Q

Therapy for non-bullous and bullous impetigo

A

topical Mupirocin and Retapamulin

36
Q

Therapy for extensive impetigo and ecthyma

A

oral Dicloxacillin and Cephalexin

37
Q

intensely pruritic, erythematous plaque with usually no identifiable trigger sometimes accompanied by angioedema

A

Urticaria

38
Q

Management of urticaria

A

H1 antihistamines (for itch), Glucocorticoids (PO for swelling)

39
Q

what treatment is used in pts with urticaria who have angioedema

A

prednisone

40
Q

what part of the body do Lipomas usually form?

A

upper extremities and trunk

41
Q

what layer of skin do lipomas develop

A

subcutaneous tissue

42
Q

superficial, soft painless subcutaneous nodule, round, oval, multilobed

A

lipoma

43
Q

skin colored dermal nodule with visible central punctum

A

epidermal inclusion cyst

44
Q

where do epidermal inclusion cyst occur

A

can be anywhere on the body but most common on face, scalp, neck and trunk

45
Q

What hereditary condition is epidermal inclusion cyst associated with

A

Gardener syndrome

46
Q

Intralesional injections with triamcinolone is a treatment for what?

A

epidermal inclusion cyst

47
Q

increased muscle tone, painful spasms, widespread autonomic instability

A

tetanus

48
Q

incubation period for tetanus

A

8 days

49
Q

treatment of tetanus

A

IV Metronidazole, Pen G, IV Diazepam, Midazolam, Pancuronium, Vecuronium