Integumentary

Question 1

Diagnosis and Treatment of:

Seborrheic Dermatitis

Answer 1

Diagnosis:
* Skin biopsy
* Visual exam

Treatment:
* Cortisone or hydrocortisone cream
* Medical shampoo
* Antifungal medications
* Corticosteroids

Question 2

Diagnosis and Treatment of:

Contact Dermatitis

Answer 2

Diagnosis:
* Visual exam
* Patient reports of itching, burning or stinging

Treatment:
* Corticosteroids
* Antihistamines
* Cleansing the skin after contact with irritant

Question 3

Diagnosis and Treatment of:

Atopic Dermatitis (Eczema)

Answer 3

Diagnosis:
* Visual Exam
* Medical History

Treatment:
* Skin moisturizers
* Sunlight therapy
* Vitamin D or calcipotriene
* Cortisone
* Anti-inflammatory agents
* Antibiotics
* Immunomodulators

Question 4

Diagnosis and Treatment of:

Urticaria

Answer 4

Diagnosis:
* Visual exam
* Medical history
* Sensitivity test
* Blood tests

Treatment:
* Removal of antigen factor
* Antihistamines
* Epinephrine
* Corticosteroids
* Prednisone/methylprednisone

Question 5

Diagnosis and Treatment of:

Psoriasis

Answer 5

Diagnosis:
* Visual exam

Treatment:
* Salicylic acid
* Coal tar
* Corticosteroids
* Antiproliferatics
* Phototherapy
* Immunosuppressants
* Immunomodulators
* Monoclonal antibodies
* Moisten and lubricate skin; Goal is to reduce inflammation and slow rapid growth of skin cells

Question 6

Diagnosis and Treatment of:

Rosacea

Answer 6

Diagnosis:
* Visual Exam

Treatment:
* Antibiotics
* Vitamin A derivatives
* Laser surgery
* Mainly symptomatic treatment(azelaic acid, metronidazole cream)
* Avoiding certain triggers (sunlight, hard exercise, extreme heat or cold, spicy foods, hot drinks, and alcohol

Question 7

Diagnosis and Treatment of:

Acne vulgaris

Answer 7

Diagnosis:
* Visual Exam

Treatment:
* Antibiotics
* Vitamin A derivatives
* Benzoyl peroxide
* Hormone therapy
* Accutane
* Estrogen

Question 8

Diagnosis and Treatment of:

Herpes Zoster(Shingles)

Answer 8

Diagnosis: Visual exam
Treatment: Analgesics, mild tranquilizers or sedatives, antipruritics, steroids(methylprednisolone, prednisone, betamethasone), Acyclovir, antiviral agents, antibiotics, vaccine

Question 9

Diagnosis and Treatment of:

Impetigo

Answer 9

Diagnosis: Visual exam, culture
Treatment: Antibiotics, mupirocin, penicillin, cephalexin, erythromycin, dicloxacillin

Question 10

Diagnosis and Treatment of:

Furuncles/Carbuncles

Answer 10

Diagnosis: Visual exam, culture
Treatment: Surgical incision and drainage, antibiotics(Keflex, dicloxacilin), hot presses

Question 11

Diagnosis and Treatment of:

Cellulitis

Answer 11

Diagnosis: Visual exam, culture
Treatment: Immobilize and elevate affected limb, cool Epsom Salt press, warm press, antibiotic(penicillin)

Question 12

Diagnosis and Treatment of:

Dermaphytosis(Tinea)

Answer 12

Diagnosis: Signs and symptoms
Treatment: Antifungal medications

Question 13

Diagnosis and Treatment of:

Decubitus Ulcers

Answer 13

Diagnosis: Visual examination, culture, sensitivity testing, blood test
Treatment: Gelatin sponges, granulated sugar, karaya gum patches, antiseptic irrigations, debriding agents, and antibiotics

Question 14

Diagnosis and Treatment of:

Scabies and Pediculosis

Answer 14

Diagnosis: Visual exam, biopsy
Treatment: Removal of lice and mites, special shampoo

Question 15

Diagnosis and Treatment of:

Non Melanoma Skin Cancer

Answer 15

Diagnosis: Visual exam, biopsy
Treatment: Mohs surgery, surgical excision, cryosurgery, electrodessication, curettage, radiation therapy, drug therapy(5 fluorouracil, other chemotoxic agents), Nutritional supplements(vitamins A, C, E, zinc)

Question 16

Diagnosis and Treatment of:

Malignant Melanoma

Answer 16

Diagnosis: Visual exam, biopsy
Treatment: Surgery, radiation therapy, immunotherapy, targeted therapy

Question 17

Diagnosis and Treatment of:

Albinism

Answer 17

Diagnosis: Visual examination, genetic testing
Treatment: Eye treatment, UV protection

Question 18

Diagnosis and Treatment of:

Vitiligo

Answer 18

Diagnosis: Visual Exam
Treatment: Repigmentation agents, UV light treatment, depigmentation, sunscreen, cosmetics

Question 19

Diagnosis and Treatment of:

Melasma(Chloasma)

Answer 19

Diagnosis: Visual Exam
Treatment: Corticosteroids, depigmentation agents, Vitamin A derivatives

Question 20

Diagnosis and Treatment of:

Hemangiomas

Answer 20

Diagnosis: Visual exam, biopsy
Treatment: Laser therapy, corticosteroids, surgical excision

Question 21

Diagnosis and Treatment of:

Abnormal Suntan

Answer 21

Diagnosis: Visual exam
Treatment: Treatment according to the disease

Question 22

Diagnosis and Treatment of:

Alopecia(Baldness)

Answer 22

Diagnosis: Visual exam
Treatment: Treat underlying diseases(Rogaine preparation, Propecia), hair transplant

Question 23

Diagnosis and Treatment of:

Folliculitis

Answer 23

Diagnosis: Visual Exam, culture
Treatment: Antiseptics(Betadine), antibiotics(erythromycin, cephalexin), topical cleansers

Question 24

Diagnosis and Treatment of:

Corns and Calluses

Answer 24

Diagnosis: Visual exam
Treatment: Pads, sponge rings, chemical agents, pumice rubbing

Question 25

Diagnosis and Treatment of:

Verrucae(Warts)

Answer 25

Diagnosis: Visual exam
Treatment: Electrocautery, cryosurgery, laser surgery, plasters, creams, most disappear on their own

Question 26

Diagnosis and Treatment of:

Deformed/Discolored Nails

Answer 26

Diagnosis: Visual Exam
Treatment: Treating underlying disease or illness, Lamisil cream for fungal infections, removal of nail

Question 27

Diagnosis and Treatment of:

Paronychia

Answer 27

Diagnosis: Physical exam, medical history
Treatment: Antibiotics, Antifungal medicine(Penlac)