Dermatology Flashcards

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1
Q

Pemphigus Vulgaris Presentation, Dx, Tx

A
Nikolsky Sign 
Oral mucosa 
30-50 
Dx: Bx=thin walled with cells everywhere 
Tx: Steroids 
Mycophenolate 
Rituximab
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2
Q

Pemphigoid Presentation, Dx, Tx

A

Hemidesmosomes
60-80
Negative Nikolsky, oral mucosa

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3
Q

Dermatitis Herpatiformis Presentation, Dx, Bx

A
Celiac Sprue IgA Deposition 
Vesicular lesions on the buttock, Extensor surfaces 
Dx: Anti Transglutaminase/endomysial Abs
Tx: Symptomatic relief 
Avoid Gluten
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4
Q

Porphyria Cutanea Tarda Presentation, Dx, Tx

A

Uroporphyrinogen
Blisters in sun exposed areas, Hairy
Dx: Wood lamp turns urine coral red
Tx: Avoid the sun

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5
Q

Seborrheic Dermatitis Presentation, Dx, Tx

A
Rash, Scales, Flakes 
area where there is hair there will be a rash 
no hair=no rash 
Dx: Clx 
Tx: Selenium Shampoo 
f/u Cradle cap
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6
Q

Psoriasis presentation, Dx, Tx

A
Erythematous Patch 
silver scale that bleeds 
Extensor surfaces, gleteal fold 
Nail pitting 
Dx: Clx 
Tx: UV light first 
Topical steroids
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7
Q

Pityriasis Rosea Presentation, Dx, Tx

A

Self limiting, Herald patch, Trailing Scale, Spares palms and soles
Tx: none, self limiting

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8
Q

Lichen planus Presentation, Dx, Bx

A
raised purple papule, Lacy white lines 
Dx: Clx 
Tx: Topical steroids 
F/u-Medication induced 
ACEi, Loops
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9
Q

Contact Dermatitis Presentation, Dx, Tx

A

Poison ivy, Shape of an object
Tx: Avoid trigger
Topical diphenhydramine

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10
Q

Stasis Dermatitis Presentation, Dx, Tx

A
Edema, Erythema, Lower extremities darkens 
Dx: Clx 
Tx: Diuretics 
Compression stockings 
elevate the legs
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11
Q

Atopic Dermatitis kids Presentation

A

Allergies, Asthma, Atopy

Vesicles and crusts, Itch, Diaper line

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12
Q

Atopic dermatitis Adult presentation

A

Symmetric lichenification

AC fossa, popliteal fossa, Extensors

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13
Q

Hand Dermatitis Presentation Presentation, Dx, Tx

A

Too much handwashing
Healthcare workers, Food Prep, localized to hands only
Tx: Protective Gloves
Avoid Harsh soap

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14
Q

Atopic dermatitis Treatment

A

Tx: Avoid Trigger
Emulsions
Topical steroids

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15
Q

Hypersensitivity Drug Reactions Presentation, Dx, Tx

A

Symmetric, pink, widespread, morbilliform rash appearing 7-14 days after starting
Tx: Remove the drug
Antihistamines
Steroids

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16
Q

Erythema Multiforme Presentation, Dx, Tx

A
Targetoid lesion (palms, fingers, ears) -HSV, Drug Rxn 
Tx: topical steroids
17
Q

What drugs cause Steven Johnson/TENS

A

Sulfa, Penicillin, ARV, Anticonvulsants

18
Q

Mole Screening for malignancy

A
Asymmetry 
Borders (irregular) 
Color (Not uniform) 
Diameter >5mm 
Evolving
19
Q

Squamous Cell CA Presentation, Dx, Tx

A

Flesh-colored, ulceration, Sun-exposure
Dx: Bx
Tx: Resection

20
Q

Seborrheic Keratosis Presentation, Dx, Tx

A

Large, greasy looks “stuck on”
Dx: Long-time Stable
New or changing=Bx
Tx: Cosmetic

21
Q

Actinic Keratosis Presentation, Dx, Tx

A

Erythematous lesion, yellow-Brown, Sand-paper scale, Sun Exposure
Dx: Bx
Tx: Cryoablation
5-FU

22
Q

Tinea Versicolor Presentation, Dx, Tx

A
Scaly Macules, Varying Color, Areas that dont tan
Dx: KOH prep
Spaghetti and meatballs 
Tx: Selenium Shampoo 
Ketoconazole
23
Q

Vitiligo Presentation, Dx, Tx

A

Sharply demarcated, Patches, White, Complete depigmentation
Dx: Woods Lamp
Bx= Absence of melanocytes
Tx: Local- high potency Topical steroids

24
Q

Ash-Leaf spots Presentation, Dx, Tx

A

Congenital, Hypopigmentation, Patches (Ash Leaf), Shagreen Patches, Adenoma Sebaceum
Dx: Woods Lamp
CT Scan
Tx: MR and Seizures

25
Q

Tinea Capitus Presentation, dx, Tx

A

Well circumscribed Patch of haird loss, Same Length
Dx: KOH prep
Tx: Oral Griseofulvin

26
Q

Alopecia Arreata Presentation, Dx, Tx

A
Autoimmune 
Circumscribed Patch
Exclamation point hair 
Dx: Clx 
Tx: Steroids
27
Q

Trichotillomania Presentation, Dx, Tx

A

Females pull out their hair, Hair all different length

Tx: Medications of OCD

28
Q

Erisipelas Presentation, Dx, Tx

A

Adults, Dark red, well defined, Indurated, Climbing up the limb
Tx: Amoxicillin

29
Q

Treatment for Acne

A
  1. Retinoids
  2. Benzoyl Peroxide
  3. Abx
  4. Isotretinoin