Hair & Nails Flashcards

1
Q

What is androgenic alopecia?

A

hair loss in males (M pattern) or females (overall thinning)
both have neg pull test but present

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2
Q

What’s the treatment for male patterned hair loss?

A

topical minoxidil or oral finasteride combo

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3
Q

What’s the treatment for female patterned hair loss?

A

antiandrogens like sprinolactone + BC

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4
Q

What is telogen effluvium?

A

stress-induced hair loss, positive pull test

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5
Q

How do you treat telogen effluvium?

A

topical minoxidil

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6
Q

What is alopecia areata?

A

discreet coin patches of hair loss, exclamation point hair, POS pull test.
most likely auto-immune

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7
Q

What should you do to help diagnose alopecia areata?

A

check labs for any underlying conditions

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8
Q

How do you treat alopecia areata?

A

topical corticosteroids (SUPER potent), intralesional corticosteroids
topical minoxidil; anthralin (children)

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9
Q

What is traction alopecia?

A

balding from excessive pulling, must recommend different habits

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10
Q

What is hot-comb alopecia?

A

end stage traction alopecia – must stop inflammation, hair restoration

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11
Q

What is trichtollomania?

A

hair thinning from pulling it out from stress or OCD
refer that to psych!

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12
Q

What is myxoid/digital mucus cyst?

A

shiny, semi-translucent, filled with jelly-like fluid, papular

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13
Q

How do you treat myxoid mucus cyst?

A

repeated punctures and drainage and expression; maybe injections of steroids

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14
Q

What is melanonychia?

A

brown discoloration on band/under nail

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15
Q

In who is melanonychia more common?

A

people of color

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16
Q

What should you test for with mealnonychia?

A

melanoma. More than one nail is reassuring. fast changing, concerning

17
Q

How to treat melanonychia?

A

Mohs surgery or amputation if reaching bone

18
Q

How do you manage beau’s nails?

A

treat underlying condition

19
Q

What is paronychia?

A

inflammation of tissue around finger; purulent usually

20
Q

How do you treat paronychia?

A

soak in warm water, topical antiseptic, I&D

severe may need oral abx (tetracycline) or if from HSV, acyclovir

21
Q

What is the presentation of nail lichen planus?

A

grooved, ridged, darkened, thickened nails, may disappear. Have to treat systemic disease

22
Q

What is onchocryptosis?

A

toenail digging into skin

23
Q

How do you treat onchocryptosis?

A

antibiotics and surgical removal. If severe enough, may have to remove nail completely. Warm soaks can help

24
Q

What is a felon?

A

abscess in finger with swelling, pain, “throbbing”

25
Q

What can a felon be caused by?

A

FB, cuts, paronychia

26
Q

What helps diagnose a felon for accurate management?

A

culture
consider tetanus

27
Q

How do you treat a felon?

A

oral antibiotics. I&D elevation
severe = IV abx and surgery

28
Q

What is koilonychia?

A

abnormally thin nails, flat or concave from deficiencies. must correct them to heal

29
Q

What is a subungual hematoma?

A

bleeding or bruising under the nail from trauma. Always rule out melanoma, and then drill hole to relieve pressure

30
Q

What are clubbed nails associated with?

A

low O2, COPD, malignancy

31
Q

What is a herpetic whitlow?

A

painful, red area of infection of finger which can be vesicular, caused by herpes

32
Q

How do you treat herpetic whitlow?

A

disinfection and antivirals