Miscellaneous Flashcards

1
Q

What is hyperhidrosis

A

Excessive sweat production

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2
Q

How do you Rx

A

Topical aluminium chloride
Botulinum toxin into axillary
Transthoracic sympathectomy

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3
Q

What is leukoplakia

A

White, hard spots on mucous membrane

Pre-malignant

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4
Q

Who is it common in

A

Smokers

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5
Q

What Dx do you have to exclude

A

Candidiasis - scrubs off
Lichen planus
SCC - biopsy to exclude

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6
Q

What is lichen planus

A
Planus
- Purple
- Papular
- Pruritic
- Polyglonal
Itchy papular rash 
Common on palms, soles, flexures
Often white lines on surface or rash 
Can affect buccal mucosa
Thinning of nails 
Koebner +ve
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7
Q

How do you Rx

A
Topical steroid - very potent
Mouth wash if oral
Steroids / immunosuppression if severe
Hydroxychloroquine but can worsen psoriasis 
Anti-histamine
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8
Q

What is lichen sclerosis

A

Inflammatory condition commonly affecting genitalia in elderly female
Associated autoimmune

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9
Q

What does it lead too

A

Atrophy of epidrmis
White plaques
Prominent itch

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10
Q

How do you Rx

A

Clinical

Biopsy if suspect VIN

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11
Q

How do you Rx

A

Topical steroid

Emollient

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12
Q

What is there increased risk of

A

VUlval cancer

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13
Q

What can cause pruritus

A
Liver disease
Iron deficeincy anaemia
Polycythaemia
CKD
Lymphoma
Hyper and hypothyroid
DM
Pregnancy
Urticaria
Skin disorder - scabies/. eczema / psoriasis / lichen plans / dermatitis herpetiforms
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14
Q

What skin disorders occur in pregnancy

A

Polymorphic eruption

Pemphigoid gestinalis

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15
Q

What is a polymorphic eruption

A

Pruritic condition of final trimester

Lesions in addominal striae

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16
Q

How do you Rx

A

Emollient
Mild potent steroid
Oral steroid

17
Q

What is pemphigoid gestinalis

A

Pleuritic blistering lesion
Often peri-umbilical
Spreads to trunk and buttock
2nd / 3rd trimester

18
Q

How do you Rx

A

Usually oral corticosteroid

19
Q

What skin conditions present with Koebner phenomena

A
Psoriasis
Vitiligo 
Warts
Lichen planus
Lichen sclerous 
Molluscum contagiosum