Fever and Rash Flashcards

1
Q

Name the lesion

flat lesions defined by an area of changed color <5mm

A

macule

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2
Q

Name the lesion

raised, solid lesions < 5mm in diameter

A

papule

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3
Q

Name the lesions

lesions >5 mm in diameter with a flat,plateau like surface, elevated borders

A

plaque

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4
Q

Name the lesion

>5mm diameter with a more rounded configuration

A

Nodule

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5
Q

Name the lesion

  • papules or plaques that are pale pink and may appear annular (ringlike) as they enlarge
  • Classic (nonvasculitic) wheals are transient, lasting only 24-48 hours in any defined area
A

Wheals

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6
Q

Name the lesion

circumscribed, elevated lesions containing fluid <5 mm

A

vesicle

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7
Q

Name the lesion

circumscribed, elevated lesions containing fluid >5mm

A

bullae

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8
Q

Name the lesion

Raised lesions containing purulent exudate <5mm

A

pustule

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9
Q

Name the lesion

<3mm in diameter the purpuric lesions are

A

petechiae

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10
Q

Name the lesion

>3 mm purpuric lesions

A

ecchymoses

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11
Q

Name the lesion

a raised lesion due to inflammation of the vessel wall (vasculitis) with subsequent haemorrhage

A

Palpable purpura

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12
Q

Name the lesion

a defect in the skin extending at least into the upper layer of the dermis

A

Ulcer

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13
Q

Name the lesion

a necrotic lesion covered with a black crust

A

Eschar

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14
Q

cause of palpable purpura triggered by penicillins, sulfa drugs, salicylates

A

Serum sickness

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15
Q

Name the rash
Lesions evolve from macular to petechial, start on the wrist and ankles, spread centripetally and appear on the palms and soles

A

Secondary syphilis

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16
Q

Name the rash

tender vesicles distributed peripherally and in the mouth

A

Hand foot mouth disease

17
Q

Name the rash

develops symmetrically on the elbow,knee, palms and soles, can involve mucosal surfaces – Stevens-johnson syndrome

A

Erythema multiforme

18
Q

Name the rash

Osler node and Janeway lesion in hand

A

Endocarditis

19
Q

Name the rash

facial flush, strawberry tongue, accentuated petechiae in body folds (pastia’s lines)

A

Scarlet fever

20
Q

Name the rash

patients,fissuring of the lips,strawberry tongue ,conjunctivitis, adenopathy

A

Kawasakit disease

21
Q
Name the rash
Diffuse erythema involving palms; pronounced
erythema of mucosal surfaces;
conjunctivitis; desquamation 7–10 days
into illnes
A

Staphylococcal toxic shock syndrome

22
Q

Name the rash
Scarlatiniform rash that May occur in setting of
severe infections (e.g., necrotizing fasciitis,
bacteremia, pneumonia

A

Streptococcal toxic shock syndrome

23
Q

Name the rash
Diffuse tender erythema, often with bullae
and desquamation; Nikolsky’s sign

A

Staphylococcal scalded skin syndrome

24
Q

Name the rash
Diffuse erythema or target lesions progressing to bullae
Sloughing and necrosis of entire epidermis <10%

A

Steven Johnson Syndrome

25
Q

Name the rash
Macules (2–3 mm) evolving into papules,
then vesicles (sometimes umbilicated), on
an erythematous base (“dewdrops on a rose
petal”); pustules then forming and crusting;
lesions appearing in crops; may involve
scalp, mouth; intensely pruritic

A

Varicella

26
Q

Name the rash
Pruritic,erythematous follicular, papular, vesicular,or pustular lesions that involve axillae, buttocks,abdomen and areas occluded by bathing suits

A

Pseudomonas “ hot tub folliculitis”

27
Q

Name the rash
Red macules on tongue and palate evolving
to papules and vesicles; skin macules
evolving to papules, then vesicles, then
pustules over 1 week, with subsequent
lesion crusting; lesions initially appearing
on face and spreading centrifugally from
trunk to extremities; differs from varicella in
that (1) skin lesions in any given area are at
same stage of development and (2) there is
a prominent distribution of lesions on face
and extremities (including palms, soles)

A

Variola (smallpox)

28
Q

Name the rash
Erythema rapidly followed by hallmark
painful grouped vesicles that may evolve into
pustules that ulcerate, especially on mucosal
surfaces; lesions at site of inoculation:
commonly gingivostomatitis for HSV-1 and
genital lesions for HSV-2; recurrent disease
milder (e.g., herpes labialis does not involve
oral mucosa)

A

Primary herpes simplex

virus (HSV) infection

29
Q

Name the rash
Pruritic papule enlarging and evolving into a 1x3 cm painless ulcer sorrounded by vesicles, then developing a central eschar with edema;residual scar

A

Anthrax

30
Q

Name the rash
Ulceroglandular form
A tender eryhthematous paule evolves into a necrotic,tender ulcer with raised border

A

Tularemia

31
Q

Patient comes in with rash and you are suspecting an infection. Give the top 2 tests that you’d order

A

CBC with differential

Blood culture and other sites

32
Q

Which diagnostic imaging should be done in acutely ill px?

A

Chest radiography

33
Q

When is skin biopsy indicated?

A

later in the diagnostic process of conditions with skin lesions