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I&E > Peds Derm > Flashcards

Peds Derm Flashcards

1
Q

Mongolian spots- Eti

A
  • Congenital hyperpigmentations
  • Asians, african & hispanic
  • Male > female
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2
Q

Mongolian spots- Sx

A
  • Blue-black macule in sacral area
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3
Q

Mongolian spots- Tx

A
  • Regress in childhood

- Laser tx

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4
Q

Seborrheic dermatitis- Eti

A
  • Overproduction of sebum in sebaceous gland areas

- Newborns & puberty

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5
Q

Seborrheic dermatitis- Sx

A
  • Yellow-brown greasy scale on face, scalp or perineum
  • Erythematous, scaly
  • Glistening plaques
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6
Q

Seborrheic dermatitis- Tx

A
  • Self limiting

- Low dose steroids if persistant

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7
Q

Erythema toxicum- Eti

A
  • Benign, idiopathic condition
  • Up t 75% newborns
  • Higher in full term infants
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8
Q

Erythema toxicum- Sx

A
  • 24-48 hrs of age: blotchy erythematous macules with central vesicle/ pustule
  • Follicular based lesions on chest
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9
Q

Erythema toxicum- Tx

A

Clears in 2-3 weeks

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10
Q

Acne neonatorium- Eti

A
  • 20% newborns
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11
Q

Acne neonatorium- Sx

A
  • Inflammatory pupules & pustules
  • Nasal bridge &a cheeks
  • Occurs btwn 2-4 wks
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12
Q

Acne neonatorium- Tx

A
  • Spontaneous resolution
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13
Q

Acne vulgaris- Eti

A
  • Common in adolescents
  • 85%
  • onset between 7-10 yrs
  • Plugging follicle, bacterial infection, obstruction and inflammation
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14
Q

Acne vulgaris- Sx

A
  • Pleomorphic lesions- comodones, papules, pustules & nodules
  • Limited to face, back and chest
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15
Q

Acne vulgaris- Tx

A
  • Topical keratolytic agents- retinoids
  • Abx
  • Oral abx
  • Oral retinoids
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16
Q

Salmon patch- Eto

A
  • Capillary malformation of skin
  • nevus simplex aka storke bite
  • 70% white infants, 60% black.
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17
Q

Salmon patch- Sx

A
  • Light red macules on nape of neck, upper eyelid
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18
Q

Salmon patch- Tx

A
  • Many persist through life

- Eyelid fade

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19
Q

Cafe au lait- Eti

A
  • Melanocytes or giant melanosomes
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20
Q

Cafe au lait- Sx

A

Light brown macules

  • May be first manifestation of neurofibromatosis
  • Increase as infant grows
  • 6+ >5mm diameter is dx for NF 1
21
Q

Cafe au lait- Tx

A
  • Monitor progression

- Tx if NF-1

22
Q

Milia- Eti

A

Small, epidermal cysts

23
Q

Milia- Sx

A
  • 1-2 mm white papules on face of newborns

- Spontaneous ruptur and exfoliate contents

24
Q

Milia- Tx

A

None, resolve on own

25
Q

Miliaria- Eti

A

Obstruction of eccrine sweat ducts in neonates

26
Q

Miliaria- Sx

A
  • Superficial grouped vesicles with out erythema
  • Milaria crystallina or rubra
  • Intertrigenous areas
27
Q

Miliaria- Tx

28
Q

Diaper dermatitis- Eti

A
  • Prolonged contact with urine & feces
29
Q

Diaper dermatitis- Sx

A
  • Erythema & skin scaling in perineal area
30
Q

Diaper dermatitis- Tx

A
  • Change diapers
  • Air dry, allow freedom from moisture
  • Barrier cream
31
Q

Diaper dermatitis- candidal- Eto

A

Candida albicans

32
Q

Diaper dermatitis- candidal- Sx

A

Beefy red patches

- Pustles, vesicles or papules

33
Q

Diaper dermatitis- candidal- Tx

A

Topical imidazole

34
Q

Atopic dermatitis- Eti

A
  • Hereditary

- Ashma, chronic rhinitis

35
Q

Atopic dermatitis- Sx

A
  • Dry skin, eczema onset before 2 yrs

- Face, flexural surfaces, hands and feet

36
Q

Atopic dermatitis- Tx

A
  • Hydration
  • Avoid soaps, rough clothes
  • Topical corticosteroids
37
Q

Hemangioma- Eti

A

Benign tumor of capillary endothelial cells

38
Q

Hemangioma- Sz

A

Red, rubbery vascular plaque or nodule

39
Q

Hemangioma- Tx

A
  • 90% regress

- Tx if in airway or visual area

40
Q

Tinea- Eti

A

Trichophyton infection of skin

41
Q

Tinea- Sx

A
  • Corporis: annular marginate plaque with central clearing, scale on leading edge
  • Capitis: Scaling, alopecia, erythema
42
Q

Tinea- Tx

A
  • Topical antifungals

- Capitus- systemic grisofulvin

43
Q

Impetigo- Eti

A

Group A strept &staph

44
Q

Impetigo- Sx

A

Erosions with honey colored crusts

45
Q

Impetigo- Tx

A
  • Penicillins, cephalosporins, Augmentin
46
Q

Port wine stain- Eti

A

Excess of capillaries in local skin

47
Q

Port wine stain- Sx

A
  • Light pink to dark red macule

- Anywhere on body

48
Q

Port wine stain- Tx

A
  • Fade within first year

- Laser tx if persist

I&E (12 decks)

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