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Dermatology - Clinical Medicine IV > Intro > Flashcards

Intro Flashcards

1
Q

What medical hx do you want?

A 
Acute vs chronic
Associated fever
Systemic illness
Presence of pain
Presence of itching
Medications
Malnourished
Obesity
Poor hygiene
Psychiatric illness
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2
Q

What is acute?

A

bad stuff - stevens johnson, nectroizing fascitis

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3
Q

What do you look for on physical exam?

A 
Color
Morphology
Palpation
Configuration
Distribution
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4
Q

What is spoon nail?

A

coilnychia - iron deficiency

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5
Q

Why do you gingivitis?

A

Vit C def

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6
Q

Why do you get glossitis?

A

Vit B 12 def

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7
Q

What causes angular chielosis?

A

iron def

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8
Q

What is black?

A

bad, necrosis, melanosis

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9
Q

What is blue?

A

cyanotic

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10
Q

What is brown?

A

nevi, solar lentigo, sebarrheic keratonsis

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11
Q

What is gray?

A

silver accumulation

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12
Q

What is the fitzpatrick scale?

A

variations in skin colors

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13
Q

What is white, always burns on scale?

A

I

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14
Q

What is beige and mild burn?

A

III

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15
Q

What is dark brown and rarely burns?

A

V

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16
Q

What is broan and tans easily?

A

IV

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17
Q

What is black, never burns?

A

VI

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18
Q

What is white and burns but tans with difficulty?

A

II

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19
Q

What are you checking with palpation?

A 
Flat
Smooth Raised
Surface change
Fluid-filled
Red blanchable
Purpuric
Sunken
Important to determine the depth
Necrotic
20
Q

What is UV long wave lt to look at suble skin color changes or dermatophytosis?

A

Wood’s lamp

21
Q

How do you test for blanching?

A

diascopy - place glass slide over lesion

22
Q

What do you use dermoscopy for?

A

nevi - benign vs malignant

23
Q

What is patch test used for?

A

Diagnose allergic contact sensitization

Identify causative agent

24
Q

What is photopatch testing?

A

Combines patch testing with UV irradiation

25
Q

What is prick testing?

A

Determine type I allergy

26
Q

What lab tests can you do/

A

Gram, Tzanck smear, fungal cultures

27
Q

What are skin biopsy techniques?

A

Shave biopsy
Saucerization biopsy
Punch biopsy
Incisional/Excisional biopsy

28
Q

What lesions do you use shave biopsy?

A

Epidermal

warts, skin tags, superficial BCC or SCC

29
Q

What is Tzank smear used for?

A

viral cultures

30
Q

What does shave biopsy get?

A

epidermis and upper dermis

31
Q

What is a thick tissue biopsy?

A

saucerization biopsy

32
Q

What layer does saucerization?

A

mid-dermis to subcutanous fat 1-4 mm deep

33
Q

What biopsy is most common?

A

punch biopsy

34
Q

What happens in punch biopsy?

A

circular cut of skin, core of skin to subcutaneous fat

35
Q

What is the diameter of punch biopsy?

A

2-8 mm diameter

36
Q

What do you need for biopsy to happen?

A

SAFETY MARGIN

37
Q

What is microscopic evaluation of tumor and excision near margins?

A

Mohs Surgery

38
Q

What do you do Mohs surgery used for?

A

BCC and SCC

39
Q

What are Mohs good for?

A

head and neck

40
Q

What is the goal of derm?

A

improve skin condition in least toxic and most specific appraoch

41
Q

What are some derm therapies?

A 
Improve barrier function
Removing scales
Changing inflammatory process
Changing blood flow
Antimicrobial effects
42
Q

What are principals of therapy?

A 
Topical therapy
Anti-inflammatory agents
Antimicrobial agents
Antipruritic agents
Surface improvement agents
Immune therapies
43
Q

What are some topical therapies?

A

soak, wet dressing, avoid antiseptic solutions, wet to dry dressing, biological dressings w/ keratinocytes, skin grafts, platelet-derived growth factor

44
Q

What does soak and whirlpool bath help with?

A

debridement

45
Q

What is used for vigorous debridement?

A

wet to dry dressings

46
Q

How are topicals delivered?

A 
Powder
Lotion
Solutions
Gels
Cream
Ointment
Spray

Dermatology - Clinical Medicine IV (31 decks)

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