RASHES Flashcards

1
Q

treatment for strep throat

A

pen or amoxacillin

**10 days (IM inj if non compliant)

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2
Q

How soon after start of smx must abx be given to treat strep throat to prevent acute rheumatic fever

A

9 days

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3
Q

Prolonged fever
Rash
Arthritis
Visceral involvement (e.g., hepatosplenomegaly, lymphadenitis, serositis)

A

Systemic-onset juvenile idiopathic arthritis (JIA)

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4
Q

Fever > 5 days
Nonpurulent conjunctivitis (may have cleared prior to presentation)
Rash
Swelling and erythema of extremities

A

kawasaki

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5
Q

Fever
Headache
Rash (typically starts on ankles and wrists and progresses centrally and to palms and soles*; may be maculopapular at first, quickly becoming petechial; in 5% of cases, there may be no rash)
Myalgias

A

RMSF

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6
Q

Fever (generally

A

scarlett frver

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7
Q

cause rash on palms and soles

A

RMSF
kawasaki
enterovirus
syphillis

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8
Q

in parvo, when does rash show up

A

7-10 days after fever

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9
Q

sequelae of parvo

A

polyarthropathy (pain/swollen joint)

aplastic anemia (if immunocompromised)

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10
Q

a prodrome of fever (over 38.3 C, or 101 F), cough, coryza, and conjunctivitis, this maculopapular rash starts on the neck, behind the ears, and along the hairline. It spreads downward, reaching the feet in two or three days. The initial rash appears on the buccal mucosa as red lesions with bluish white spots in the center

A

measles (kopilk spots)

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11
Q

is macular or maculopapular rash, also called exanthem subitum, starts on the trunk and spreads to the arms and neck. There is usually less involvement of the face and legs. The rash is preceded by three or four days of high fevers, which end as the rash appears. It is usually seen in children less than two years old.

A

roseola

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12
Q

It is erythematous, but blanches. It starts in the groin, axillae, and neck, but rapidly spreads. The fever can be high, and the disease is usually self-limited, lasting less than 10 days.

A

scarlet fever

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13
Q

strawberry tongue assc with

A

GAS pharyngitis
kawasaki
TSS

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14
Q

diagnostic critera for kawasaki

A
fever > 5 days 
Changes in oral mucosa (A)
Extremity changes (redness/swelling) (B)
Unilateral cervical lymphadenopathy (C)
Rash (D)
Conjunctivitis (E)
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15
Q

treatment for kawasaki

A

aspirin and IVIG

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16
Q

An acute hypersensitivity syndrome
Associated with a symmetrical rash that starts as a dusky red macules and evolves into sharply demarcated wheals and then into target-like lesions.

A

erythema multiforme

assc ewith HSV and drug rxn

17
Q

Keratinous material and excess sebum (due to androgenic influence) plug the pilosebaceous glan

A

acne vulgarus

18
Q

Pustular lesions caused by occlusion of the apocrine follicular units (instead of the pilosebaceous units).
Often superinfected with Staphylococcus aureus or Streptococcus pyogenes.

**in axilla, groin, perianal

A

hidradenitis suppurative

19
Q

Worsens with alcohol, spicy food, temperature extremes, and stress. + treatment

A

rosacea = metronidazole

20
Q

nickel allergy is what type of HS rxn

A

IV (requires sensitization, so onset is usually within 24-72 hours from the start of contact)

21
Q

treatment for lice

A

permethrin

22
Q

treatment for scabies

A

permethrin

23
Q

treatment for ring worm

A

topical griseofulvin

24
Q

coin-shaped lesions commonly on the legs and buttocks. It has an annular configuration and scaly appearance like tinea.

A

Nummular eczema

25
Q

nonspecific dermatitis characterized by patches of hypopigmentation on the face, neck, upper trunk, and proximal extremities. Lesions range from 0.5 to 5 cm in diameter with well-defined, irregular borders and fine scale. It is associated with sun exposure. It can be mistaken for tinea versicolor.

A

Pityriasis alba

26
Q

characterized by scaly papules and plaques in the hallmark “christmas tree” distribution on the back and trunk, following the lines of skin cleavage. Lesions may also be found on the upper thighs and in the groin area. The initial lesion, called the “herald patch,” is usually the largest scaly plaque with a raised border and can easily be confused with tinea corporis.

tx?

A

Pityriasis rosea

reassurance

27
Q

fever + severe, painful rash that develop into bullae, rupture, and eventually desquamate

tx?

A

staphylcoccal scalded skin syndrome

abx and local skin care

28
Q

Purple Polygonal Pruritic Papules (rare in children)

tx?

A

lichen planus

PO steroids

29
Q

skin rash w/ vesicles and oozing (acute) or crusted, thickened skin (chronic) in an exposure pattern (e.g. linear for poison ivy, localized for nickel)

A

contact dermatitis

tx: anti-Histamines, topical steroids, avoid exposure

30
Q

Auspitz sign + treatmetn

A

bleed when peel psoriasis scale

topical steroids + calcipoterine (mild dz) or MTX/infiximab/cyclospirine A (severe dz)

31
Q

IgA-mediated small vessel vasculitis

have increased risk for what sequelae?

Tx?

A

HSP

intussusception and renal isease (IgA mesangial expansion)

give steroids for symptomatic relief but it will ultimately self resolve

32
Q

treatment for impetigo

A

topical mupirocin > po erythromycin

33
Q

photosensitivity to UV light, tea-colored urine, recurrent attacks of abdominal pain

dx?
cause?

A

porphyria cutanea tarda

def uroporphobillinogen decarboxylase