Exam 4 Flashcards
Contagious rash that blisters and leaves honey-colored crusting typically in the face of children.
Associated with scratching insect bites, atopic dermatitis (strep & staph), and scabies.
Do Not return to school until 48-72 hours after initiation of treatment.
Impetigo
Comodones, papules, pustules, and cyst often seen in adolescents causing low-self esteem.
Distribution follows sebaceous glands (face, neck, chest, back, and upper arms).
Acne Vulgaris
Characterized by white patches on red mucosa - Koplik spots.
Fine, erythematous, morbilliform eruption on the face that spreads to trunk within 4-7 days.
Cough, purulent coryza, photophobia, and fever precede rash.
Rubeola Measles (NOT Rubella)
Starts as fine macules and papules on the face and spreads within 24 hours.
Characterized by postauricular lymphadenopathy
Rubella
Intense itching especially to abdomen, web of fingers & toes, arms/axillae, and intragluteal area.
Hallmark is a linear/borrow/serpiginous rash with excoriation d/t itching
Contagious: treat whole family with Permethrin 5% and repeat in 7 days.
Scabies
Presents with salmon-colored spots on the neck, chest, and back causing mild itching.
Characterized by Herald’s patch- 1st and largest oval lesion to appear.
Follows skin lines of trunk in a Christmas tree pattern.
Pityriasis Rosea
Systemic illness associated with group A b-hemolytic strep throat.
Characterized by sandpaper rash (macular erythema of face, except around the mouth, followed by fine papular erythema.
SS- sore throat, malaise, fever, and white or strawberry tongue.
Scarlet Fever
Rough/soft, wart-like, fleshy growth in the trunk that are typically located on the back.
Appear in middle age, become more numerous, and range in color from light tan-brown
Seborrheic Keratosis
Well-demarcated, ham-colored (erythematous), plaques with silvery scales.
Favors elbows, knees, and scalp.
Psoriasis
Systemic illness typically in children <10 y.o caused by Coxsackievirus A16.
Produces low-grade fever, painful mouth sores, and white vesicles on the palms, hands, and feet.
Hand, Foot, Mouth Disease
Red maculopapular rash on the face caused by parvovirus B19 that is common in children.
Mild s/s of sore throat, low-grade fever, and red-slapped cheeks.
Fifth Disease
Contagious, pruritic, discrete vesicular lesions in different stages of healing that begin on the trunk and spread to face and extremities.
Characterized by itching, blisters, and dew drops on a rose petal appearance.
Present with fever and fatigue.
Varicella Zoster - Chickenpox
Secondary skin infection of the deep dermis and tissues due to viruses and skin breaks
Characterized by erythema, edema, tenderness, and heat.
Acute onset of poorly demarcated, pink-red colored skin with advancing margins.
Cellulitis
Neoplastic skin lesion that is papular with raised boarders.
Spread slowly and take a while to even reach a small diameter of 1/2 inch
Basal Cell Carcinoma
Painless, indurated nodule with a thick scaly appearance that does NOT itch found on sun-exposed areas, radiodermatitis areas, and old burn scars.
Carcinoma of lip, mouth, or ear may be associated with lymphadenopathy and metastasis.
Squamous Cell Carcinoma
Dry, round, red-colored lesions with a rough texture that do not heal.
Lesions that may be pre-cancerous (squamous cell carcinoma).
High risk in older adults with light colored skin, hair, eyes, and history of sun-exposure.
Actinic Keratosis
It is NOT uncommon for patients to receive reports of skin biopsies that can be precancerous.
True
Aggressive tendency to spread and metastasize rapidly and characterized by asymmetry.
Diameter >6 mm.
3 risk factors: hx of melanoma in 1st degree relative, large number of moles, and atypical moles.
Melanoma
Severely painful groups of papules on a red base that rupture and crust, typically on the side of the body (dermatomal).
Shingles
Shingles Vaccine Adult Schedule
Administer Shingrix, a 2 dose series to adults > 50 y.o at 0 and 2-6 month.
Genetic tendency to develop allergic conditions, particularly asthma, and others (allergic rhinitis, eczema, and allergies).
Atopy
Located below the cricoid cartilage and above the suprasternal notch.
Assess by having patient swallow and watching for upward movement.
Thyroid Gland
Used to produce T3 and T4.
Deficiency can lead to hypothyroidism and a goiter.
Iodine
High TSH; Low T3/T4
S/S- weight gain, fatigue, constipation
Hypothyroidism
