Peds Derm

Question 0

where is it rare to find erythema toxicum neonatorum

Answer 0

palms and soles

Question 1

erythema toxicum neonatorum

Answer 1

benign transient pustular eruption- scattered and diffuse

more common in healthy term infants

Question 2

course of erythema toxicum neonatrum

Answer 2

lasts for first 2-3 weeks of life than resolves spontaneously

Question 3

smear of pustules in erythema toxicum neonatorum shows

Answer 3

eosinophils

Question 4

transient neonatal pustular melanosis

Answer 4

seen more commonly in darker pigmented indiiduals and can leave residual hyperpig and scale that is self resolving

Question 5

neonatal candidasis

Answer 5

transmitted transvaginally frm mom to baby; benign and resolves spontaneously unlike more serious congential candidasis

Question 6

diaper dermatitis

Answer 6

red itchy rash in daper that spares folds caused by urine and feces
if persistant consider other causes

Question 7

candida diaper rash (in comparison)

Answer 7

beefy red color with satellite lesions

Question 8

infantile seborrheic dermatitis

Answer 8

scaly rash involving scalp, face and body folds; yellow waxy scale
begins early in life and imrpoves aroudn a year

Question 9

infantile seborrheic dermatitis is not very

Answer 9

itchy

Question 10

why is infantile seborrheic dermatitis not atopic dermatitis

Answer 10

atopic dermatitis is not greasy and is more itchy

Question 11

urticarial pigmentosa

Answer 11

form of cutaenous mast cell disease; itchy red-orange-brown spots that blister with rubbing

Question 12

darrier’s sign

Answer 12

blsitering with rubbing

Question 13

when does urticarial pigmentosa typically begin

Answer 13

3-9 months of age

Question 14

where else can UP involve

Answer 14

liver
spleen
GI tract
bone

Question 15

what should patients with UP avoid

Answer 15

non-immunologic mast cell degranulators (opiates, NSAIDs)

Question 16

tx uP

Answer 16

anti histamines to control symptoms

Question 17

acrodermatitis enteropathica

Answer 17

diarrhea, periorifical and acra vesiculobullous dermatits, alopecia and apathty

Question 18

acrodermatitis enteropathica spreads in two ways

Answer 18

inherited autosomal recessive and acquired
inherited is secondary to defective zinc uptake
acquired is if there is low zinc in breast milk or lots of diarrhea

Question 19

in AE you should awlays consider

Answer 19

biotin deficiency

Question 20

tx AE

Answer 20

oral zinc

Question 21

pyogenic granuloma

Answer 21

bleeding, exophytic, dome-shaped papules

Question 22

bandaid sign of Pyogenic granuloma

Answer 22

band aid over bleeding mole

Question 23

important factors of pyogenic granuloma

Answer 23

trauma nad hromones in pregnancy

Question 24

where is pygenic granuloma common

Answer 24

head and neck and fingers

Question 25

how does pyogenic granuloma work

Answer 25

excessive rxn of capillaries with rapid growth | fall off but regrow

Question 26

what do you need to do to dx

Answer 26

bx

Question 27

tx PG

Answer 27

scrap and burn to destroy feeder vessels

Question 28

hemangioma of infancy is the

Answer 28

most common vascular birthmark

Question 29

etio of hemangima of infnacy

Answer 29

stain positive for GLUT1 suggesting they have placenta origin, but that's not right could be excessive cap growth rxn to ischemia of head and neck

Question 30

when to worry about hemangioma of infancy

Answer 30

multiple lesions in sensitive area (eye, ear, and mouth where they can ulcerate) --beard distribution, large segmental facial lesion (suggest CNS problem), large perineal lesion

Question 31

tx for hemiangioma infnacy

Answer 31

most need none, barrier cream for painful | propanolol

Question 32

what are the side effects for propanolol for hemangioma of infnacy

Answer 32

night terrors | death

Question 33

nevus sebaceous

Answer 33

congenital lesion on the scalp, face, neck --tends to become more noticeable over a few months rarely assocaited with epilepsy and intellectual impairment

Question 34

nevus sebaceous can become

Answer 34

basal cell carcinoma later in adulthood

Question 35

mulloscum contagiosum

Answer 35

self-limited viral pox infection that lasts up to 2 years; monomorphic pink, umbilicated papules common in young children and contaigous

Question 36

tx of scabies

Answer 36

permethrin sulfur ivermectin

Question 37

henoch schnolein purpura

Answer 37

small vessel vasculitis seen mostly in children | often follows a respiratory illness

Question 38

clinical presentation HSP

Answer 38

papable purpura, joint and abdominal pain, glomerulonephritis can have multiple organ systesms involved

Question 39

tx for hSP

Answer 39

NSAID for jt pain systemic corticosteroids for GI and renal comps monitor kdineys