Pediatrics Flash Cards - Case 32 - Derm

Question 1

A big vesicle is called a … ?

Answer 1

bulla

Question 2

What is the sie cut-off between macule/patch, papule/plaque, vesicle/bulla?

Answer 2

1 cm

Question 3

Side effects of oral doxycycline?

Answer 3

photosensitivity, dental staining < 9 y/o, teratogenicity, pseudotumor cerebri, esophagitis (eat w/ food, water and stay upright for 30 mins)

Question 4

S/Sx of pseudotumor cerebri?

Answer 4

HA,n, v,pulsatile tinnitus(occurring w/ same rhythm as pulse), double visionand other visual symptoms

Question 5

Medication to try for pseudotumor cerebri?

Answer 5

acetazolamide

Question 6

Nickel contact dermatitis is Type ? hypersensitivity?

Answer 6

Type IV

Question 7

allergen in plants of the poison ivy (Rhus) genus?

Answer 7

urushiol

Question 8

Most important ADRs of topical steroids?

Answer 8

skin atrophy, telangectasia, hypopigmentation, suppression of HPA axis

Question 9

hydrocortisone 1% (OTC): potency? Class?

Answer 9

Mild potency, Class 6or 7

Question 10

triamcinolone acetonide 0.1%: potency? Class?

Answer 10

Intermediate potency, Class 4 or 5

Question 11

betamethasone dipropionate 0.05%: potency? Class?

Answer 11

“Potent” potency, Class 2 or 3

Question 12

clobetasol propionate 0.05%: potency? Class?

Answer 12

Super Potent potency, Class 1

Question 13

DDx for palms and soles?

Answer 13

syphilis, coxsackie (hand foot and mouth), RMSF, kawasaki, enterovirus

Question 14

Why don’t we use Lindane anymore for pediculosis capitis?

Answer 14

neurotoxicity and resistant lice

Question 15

Frist line treatment for pediculosis capitis?

Answer 15

Nit combing + wash stuff + OTC shampoos (permethrin or pyrethrins) in 2 to 3 weekly intervals; if resistant (increasingly common…gross) Rx Malathion 0.5% topical