Even more pics Flashcards by Savannah Smith

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left to right

closed comedones
open comedones
papules/pustules
nodules

acne

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left to right

acne

mild: papules/pustules
2: moderate: papules/pustules/nodules
severe: papules/pustules/nodules

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mild to moderate comedonal acne

Tx: topical retinoid

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mild mixed acne

topical retinoid and topical antibiotic

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moderate mixed acne

Tx: topical retinoid and topical antimicrobial and oral antibiotic

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severe mixed/inflammatory acne

Tx: isotretinoin

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severe mixed acne

minimal scarring: topical retinoid and topical antimicrobial and oral antibiotic

more severe scarring: isotretinoin

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chest/back acne

Tx: isotretinoin

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rosacea

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perioral dermatitis

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folliculitis

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scars from hidradenitis suppurativa

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Herpes simplex

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Tzanck smear

multinucleated giant cells

herpes

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VZV

shingles

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molluscum contagiosum

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inflamed molluscum

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common warts

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filiform warts

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flat warts

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plantar warts

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plantar warts

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left: callus

right top: corn

right bottom: talon noir (black heel)

Q

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anogenital warts

scaling, seb derm like vs. localized plaques tenia capitis

pathcy alopecia tenia capitis

black dot pattern, broken hair shafts tenia capitis

pustules tenia capitis

kerion: may cause permanent scarring alopecia tenia capitis

KOH of scale and/or broken hair tenia capitis

seborrheic dermatitis cradle cap: waxy yellow scale teens and adults with dandruff

psoriasis erythematous plaques with silvery scale: favore postquricular and posterior hairline

well-circumscribed smooth bald patches alopecia areata

tinea corpus

tinea corporis: tinea incognito (steroids altered the appearance)

Majocchi's granuloma: granulomatous folliculitis

nummular atopic dermatitis

granuloma annulare raised rubbery rim, no scale dorsal hands, wrists, feet, ankles

tinea manuum palmar: fine scale, may be unilateral dorsal: annular, red, scaly

tinea cruris

top: candidiasis middle/bottom: erythrasma: no scale, coral red fluorescence

tinea pedis

contact dermatitis dorsal feet affected

dyshidrotic eczema tapioca vesicles

tinea unguium: distal subungual MOST COMMON invasion of distal nail plate, onycholysis with thickening and discoloration

tinea unguium: proximal subungual uncommon, HIV positive

tinea unguium: white superficial white plaques on dorasl nail plate

tinea unguium: candida

chronic paronychia nail dystrophy: candida albicans

trachyonychia: 20 nail dystrophy ridging, grooves, pitting, discoloration, fragility

Beau's lines transverse grooves or furrows stress causes temporary arrest of nail matrix nail may shed

physical trauma usually symmetrical: often both great toes, second toes, or fifth pressure from ill fitting shoes

Habit Tic deformity habitual picking at cuticle

tinea versicolor

pityriasis alba atopic background, common on face

KOH prep spaghetti and meatballs (hyphae and spores)

candidiasis angular chelitis: oral commissures due to increased moisture (elderly, denutres, lip lickers)