Rash Flashcards
1
Q
DDx eczematous rash
A
- Atopic dermatitis
- Contact dermatitis
- Stasis dermatitis
- Seborrheic dermatitis
2
Q
DDx maculopapular rash
A
- Viral exanthems
- Bacterial exanthems
- Erythema multiforme
3
Q
DDx papulosquamous rash
A
- Psoriasis
- Pityriasis rosea
4
Q
DDx cutaneous infection
A
- Impetigo
- Cellulitis
- Folliculitis
- Dermatophytosis (tinea corporis, tinea capitis, tinea cruris, tinea pedis, onychomycosis)
- Tinea versicolor
- Candidiasis
- Condylomata
- Herpes zoster
5
Q
Prevention of MRSA
A
- Wash hands with soap and water or using alcohol-based sanitizer
- Keep cuts and scraps clean and covered with bandage until healed
- Avoid contact with other’s wounds or bandages
- Avoid sharing towels, razors
6
Q
DDx pustular disease
A
- Acne
- Rosacea
7
Q
DDx cutaneous ulcer
A
- Venous insufficiency
- PAD
- Neuropathic
8
Q
Hx in rash
A
- Evolution (site of onset, manner of spread, duration)
- Associated symptoms (pruritis, pain, photosensitivity, malaise, fever, arthralgias)
- Past history of systemic disease with cutaneous manifestation (lupus)
- Sexual history
- Meds and allergies
- Skin care product usage
- Chemical exposure
- Sun exposure
- Travel history
9
Q
PE in rash
A
- Description of primary lesion (macule, patch, papule, nodule, plaque, vesicle, pustule, bulla, cyst, wheal, telangiectasia, petechia, purpura, erosion, ulcer)
- Shape, margination, color, arrangement, distribution
- Describe potentially malignant lesions in terms of Asymmetry, Border, Color, Diameter, Elevation and Enlargement (ABCDE)
- Presence of exudates: dry (crust) or wet (weeping)
- Presence of scale or lichenification
- Palpation for consistency, alteration in temperature, mobility, and tenderness
10
Q
Potential labs in rash
A
- KOH prep
- CBC with diff
- RPR and VDRL
- Bacterial culture
- Skin biopsy
11
Q
Potential counseling in rash
A
- Dangers of sun exposure
- Dx, Tx, f/u
- Elicit questions/input
- Prevention of MRSA
