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External Medicine > Drug Eruptions > Flashcards

Drug Eruptions Flashcards

1
Q

Which reaction includes local, itchy wheals surrounded by redness and are immediate? Rarely last more than 24 hours.

A

Urticarial reaction.

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2
Q

Which reaction is the most frequent type and are macula-papular, usually symmetrical, starting as small, red papules or maculae that converge to form erythmatous plaques? Usually begin on the trunk and mild fever and itching are common, normally gone within two weeks.

A

Morbilliform eruption.

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3
Q

Which reaction includes sudden onset with lesions appearing symmetrically on distal portions on extremities? Sore throat and malaise are common symptoms.

A

Erythema multiforme.

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4
Q

Which reaction includes sharply defined, often single red or purple lesions of the skin or mucous membranes? They reoccur at the same spot each time the drug is administered.

A

Fixed drug eruptions.

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5
Q

Which reaction includes purple maculae and papillae that do not fade on pressure? Most common on legs.

A

Purpuric eruptions.

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6
Q

Which pattern includes generalized severe redness and scaling of the skin with rapid or insidious onset?

A

Exfoliative erythroderma.

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7
Q

Which pattern includes skin being red and tender followed by blistering and then large sheets of skin may peel off with gentle pressure?

A

Toxic epidermal necrolysis.

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8
Q

Which drug reactions are considered toxic heat combined with wind?

A

Urticarial, morbilliform, and purpuric eruptions.

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9
Q

What is the tx principle for toxic heat combined with wind?

A

Clear heat from wei and qi levels, cool the blood, and relieve toxicity.

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10
Q

What are the formulas for toxic heat combined with wind?

A

Yin qiao san and bai hu tang with sheng di, mu dan pi, and chi shao.

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11
Q

Which drug reactions are considered blood heat combined with dampness?

A

Erythema multiforme and fixed drug eruptions.

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12
Q

What is the tx principle for blood heat combined with dampness?

A

Clear and transform damp-heat, cool the blood, and relieve toxicity.

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13
Q

What is the formula for blood heat combined with dampness?

A

Xi jiao di huang tang jia jian.

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14
Q

Which drug eruption is associated with fire toxins sinking?

A

Early stage toxic epidermal necrolysis.

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15
Q

What is the tx principle for fire toxins sinking?

A

Clear heat and fire toxins.

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16
Q

What is the formula for fire toxins sinking?

A

Qing wen bai du yin.

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17
Q

Which drug eruption is associated with injury of qi and blood?

A

Exfoliative erythroderma.

18
Q

What is the tx principle for injury of qi and blood?

A

Benefit qi, nourish yin, and support normal qi to relieve toxicity.

19
Q

What is the formula for injury of qi and blood?

A

Zeng ye tang jia jian.

20
Q

What is psoriasis?

A

Chronic, recurrent disease marked by patches of inflamed skin, covered by silvery scales.

21
Q

What is psoriasis marked by?

A

Picking off the scale leads to pin prick bleeding.

22
Q

Where does psoriasis typically affect?

A

Scalp, elbows, knees, palms and soles, back and buttocks.

23
Q

What do all patterns of psoriasis include?

A

Pre-existing deficiency of ying and blood that leads to wind and dryness.

24
Q

Which pattern includes lesions that are pale red, scales or white and thick and easily shed upon scratching, itching is minimal? Worse in winter.

A

Wind-cold.

25
Q

What is the tx principle for wind cold?

A

Dispel wind, scatter cold, and nourish blood to moisten dryness.

26
Q

What is the formula for wind cold?

A

Gui zhi tang jia jian.

27
Q

Which pattern includes red maculae or papules that increase and proliferate rapidly? Scales shed easily and itching can be intense. Worse during summer.

A

Blood heat.

28
Q

What is the tx principle for blood heat?

A

Clear ying and cool blood and relieve toxins to reduce spots.

29
Q

What is the formula for blood heat?

A

Qing ying tang.

30
Q

Which pattern includes pale red maculae that are moist and covered by a thin layer of tightly adhering scales?

A

Blood dryness.

31
Q

What is the tx principle for blood dryness?

A

Nourish blood, dispel wind, and moisten dryness.

32
Q

What is the formula for blood dryness?

A

Dang gui yin zi.

33
Q

Which pattern includes cases that are chronic and recurrent, lesions are dark or hyper pigmented and covered by thick, hard, adherent scales?

A

Blood stasis.

34
Q

What is the tx principle for blood stasis?

A

Invigorate blood and scatter stasis.

35
Q

What is the formula for blood stasis?

A

Hou xue san yu tang.

36
Q

Which pattern includes erythmatous or pustular lesions that develop and spread swiftly, often coming together and are covered in fine scales that shed easily?

A

Fire or heat toxins.

37
Q

What is the tx principle for fire or heat toxins?

A

Cool blood, clear heat, and relieve toxin.

38
Q

What is the formula for fire or heat toxins?

A

Huang lian jie du tang and wu wei Xiao du yin.

39
Q

Which formula includes pale red macular lesions covered by a thin layer of greyish white scales?

A

LV and KI yin deficiency.

40
Q

What is the tx principle for LV and KI yin deficiency?

A

Nourish LV and enrich the KI.

41
Q

What is the formula for LV and KI yin deficiency?

A

Liu wei di huang wan.

42
Q

What are some points for psoriasis?

A

UB40, GB31, SP10, GB41, SJ5, GB40.

External Medicine (31 decks)

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