Hair and nails Flashcards
Alopecia Areata will present with _____ onset, scalp will appear normal. it will start with well ____, patchy hair loss on the scalp.
Acute
-circumscribed
Alopecia Areata can be tested with the _____ hair pull test. Labs can be run. like ANA, KOH to rule out tinea capitis
light
Tx for Alopecia Areata is usually self-limiting. Hair can _____ . can also give Intralesional corticosteroids (tramicinolone) for mild disease.
Regrow
Androgenetic Alopecia Dx is clinical and supported by _____ History. labs can be run to asses for serum _____, DHEAS, Vitamin D levels.
Tx can involve using _____5%
Family
Testosterone
Rogaine
Onychomycosis (Tinea) will present with the nails being lusterless _____ and hypertrophic.
Brittle
Onychomycosis workup gold standard is _____ because its a _____ infection.
(KOH)
(Potassium hydroxide)
Fungal
For Onychomycosis Tx we should give a systemic antifungal for the toes it will be for _____ months and _____ months for fingers.
Antifungal medicicne includes _____ only for Fingernails, and for _____ toenails.
3
2
Griseofulvin
Terbinafine
Paronychia affects _____ more than _____ (3:1). This is an infection of the _____ folds.
It will present with rapid onset of painful _____. acute will present with _____. if its chronic it will present with _____ and not abscess.
females
males
nail
throbbing
abscess
edema
Paronychia Tx vaires, if there is an abscess present which means its acute, we must perform _____ followed by frequent warm _____.
if no abscess, you can do warm socks and topical steriods, go to oral if no response.
I&D
socks
Folliculitis most common causitive agent would be ________. however in relation to contaminated water “hot-tub folliculitis” the agent will be ________.
S.aureus
Pseudomonas
Folliculitis will present with _______, tenderness, and pruritis.
also WITHOUT _______ or systemic symptoms. Folliculitis can cause post inflammatory _______.
burning
fever
pigmentation
Folliculitis
Folliculitis is a _______ Dx.
Cause: Almost always caused by s.aureus or hot-tub contaminated water (pseudomonas)
Px: Burning, tenderness, or prurits, around hair follicles, WITHOUT fever or systemic symptoms
Dx: clinical, KOH differentiates fungal infx
Tx:
α1: Topical Mupirocin (bactroban)
β1: PO Antibiotics (Dicloxacillin, Erythromycin)
γ: Top Corticosteroids for inflammation/Destruction of follicle
Notes: Prevention can be done by moisturizing after shaving and shaving less frequently, Cleanse skin w/ warm water and soap before shaving, Avoid shaving too close to skin.
Folliculitis (zits, pimples)
Cause, Px, Dx, Tx
Cause: Almost always caused by s.aureus or hot-tub contaminated water (pseudomonas)
Px: Burning, tenderness, or prurits, around hair follicles, WITHOUT fever or systemic symptoms
Dx: clinical, KOH differentiates fungal infx
Tx:
α1: Topical Mupirocin (bactroban)
β1: PO Antibiotics (Dicloxacillin, Erythromycin)
γ: Top Corticosteroids for inflammation/Destruction of follicle
Notes: Prevention can be done by moisturizing after shaving and shaving less frequently, Cleanse skin w/ warm water and soap before shaving, Avoid shaving too close to skin.
