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OC > Rashes > Flashcards

Rashes Flashcards

1
Q

Scabies

  • how many mites are found
  • treatment
A

1 out of 10 lesions will find a mite
dig it out and put it on scope
permethrin cream neck down-sleep-shower then repeat in one week

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2
Q

Contact dermatitis

treatment

A

medrol dose pack
allgery pill- Zyertec & benadryl
stay away from heat

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3
Q

Tinea Curis

  • location
  • look like?
  • treatment
A

Fungus on Curius = on body/trunk
looks like red base with scaly plaques
Usually caused by some sort of moisture
Treatment: Ketoconozole 2-4 weeks on area

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4
Q

Recurrent Tinea

A

Terbinafine- Lamisil
need to do labs before beginning treatment and during
*risk of liver damage
*1-2% could lose taste permanently

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5
Q

Inverse Psoriasis

A
  • look up
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6
Q

Differential for large scaly plaques

A

Tinea
Psoriasis
Granulomata areate

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7
Q

Discoloration on the bilateral shins

A

Statis dermatitis

  • treatment is compression stockings
  • at risk for ulcers
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8
Q

Pitting edema

A

distal legs- statis dermatitis

risk for ulcers

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9
Q

plaque psoriasis

-treatments

A
  1. otazla BID
  2. kenalog shots into leasions
  3. topicals foam
  4. Derma smooth - greesy
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10
Q

hidrocystoma

A

cyst on the eye

-lance to remove

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11
Q

Hair loss in circles

A

alopecia areata

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12
Q

Hair loss due to stressful events- surgery, moving, death

A

teleogen effluvium

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13
Q

white spots scattered mainly on legs and arms

A

stucco keratosis- only a few mm in size

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14
Q

Acrochordon

A

skin tags- cut, freeze or burn
risk of coming back
usually in sites where rubbing occurs

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15
Q

Treatment for atopic dermatitis

A
  1. Predisone
  2. allergic work up
  3. Eleda
  4. ucrisaa
  5. dupixdent - injection
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16
Q

Keratosis pilaris

A

no scrubbing with lufas
Amlactin topical OR urea OTC
both help keratolytic

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17
Q

Itch all over body

A 
ddx: parasties, cancer, mites
check liver function, kidney, travel history, stress
post scrabic itch 
CBC
LFT's
TSH
BUN/Cr
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18
Q

What do mites look like under dermatoscope

A

arrow heads

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19
Q

Grovers disease

A

another name: transient acantholytic dermatosis
Triggers: Suspected triggers of disease activity include heat and sweating, sunlight, ionizing irradiation, end-stage renal disease/hemodialysis, mechanical irritation or prolonged bedrest, and solid organ transplantation, medications

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20
Q

treatment for grovers disease

A

steroids- Relapse appears to be common upon withdrawal.

  • Topical vitamin D analogs
  • Systemic retinoids
  • Phototherapy and photochemotherapy (PUVA) [38,39]. PUVA may cause an initial exacerbation of symptoms before producing benefit.
  • Red-light 5-aminolevulinic acid photodynamic therapy (ALA-PDT)
21
Q

Calcipotriol (calcipotriene)

A

topical vit D $$$$
Good for Grovers disease
not helpful for psoriasis- usually mixed with steroid

22
Q

what OTC lotions are good for itching

A

Scarna
oral benadryl
Zyrtec

23
Q

Treatment for roasaca

A

Topical- Steroid, Cerva cleanser and lotion

oral - Metronidazole (for gram negatives)

24
Q

Allergic dermatitis on the face treatment

A

Trinex dialy 1-2 week

25
Q

Gutate psorasis

A
  1. small lesions compared to plaque psoriasis
  2. appear with sore throat or anal strep
  3. flares up with smoking, alcohol
    tx topical steroids & Vit D
26
Q

Hyperhydrosis Treatment

A
  1. Alumin chloride
  2. Glycopyrate topical or Oral
  3. Botox injections
27
Q

Criteria for Hyperhidrosis

A 
RULE OUT CAUSE OF PITUITARY 
Bilateral and relatively symmetric
Impairs daily activities
At least one episode per week
Onset before age 25
Family history of idiopathic hyperhidrosis
Focal sweating stops during sleep

side effects- skin skin maceration and staining of clothes

28
Q

How do you measure psorasis

A 
use the burn body method 
Head - 9% total - front is 4.5%
Trunk - 18% - upper trunk 9%, lower truck 9% 
back - 18% 
arms- 9 % each- front of arm 4.5%
legs 18% each - front of leg 9%
29
Q

Perioral dermatitis treatment

A

can be caused by topical steroids
discontinue - fluoridated tooth paste, cinnamon, skin moisturizers, cosmetics, hormonal function, birth control.
Treatment - Pimecrolimus Elidel

30
Q

Rash associated with Molluscum

A

Molluscum deramtitis - area under the molluscum can get raised and irritated
treat rash first then treat molluscum

31
Q

Explain Molluscum

A

caused by a pox virus

32
Q

What causes telogen effluvium

A

diet change, stress, TSH, iron, Vit D, testosterone, DHEAs, family genetics (even auts and uncles), pregnancy, surgery

33
Q

Treatment of telogen effluvium

A 
Topical rogain 5% 
propecia - not for young women 
supplemnts- nutrafol 4 pills aday, preg B 
red light helment 
plasma rich protein injections
34
Q

Explain Nutrafol

A

its a natural supplement for hair loss
it contains- salpalmento &
inportment for hair grow and blocking testosterone (hair loss)
200$ for 3 months , recommend being on it for at least 6 months
take a before and after picture
4 pills a day
Pregnancy category B

35
Q

cracking on the sides of the mouth

A

Chelitis- common with atopic dermatitis
caused by different things- allergic chelitis
can be chronic- consider patch testing
treatment- anti fungal nystain mouth for 14 days

36
Q

Hyperhindrosis- pathway

A

activated ach at the synpatic clef- muscle contraction
causing more oil secretion
-botox treatment helps relax those muscles and stop the contraction - leading to less oil secretion

37
Q

Rash on the legs- looks like statis dermaotsis

A

Progressive pigmentary dermatosis - PPD
OR
Schamberg purpura

38
Q

Dermatographism

A

pretty much hives- hypersensitivity

39
Q

condition - sun light sensitivity

A

Polymorphsis light eruption

40
Q

What is an important question to ask before prescribing Sulfa - bacterium

A

Ask if they have any allergies to dried fruit

41
Q

What is Roseca

A

nerves in our face intervate the capillares to open and close for heat, etc.
when the nerves become damaged the capillaries stay open = redness

42
Q

Treatment for Roseca

A
  1. avoid triggers - heat, embarassment
  2. lasers in the early stages
  3. metronitizole gel
43
Q

Seborrhea dermatitis

A
  1. Hydrocortizone
  2. Ketoconzalone
    * not a fungus but responds to the treatment
    use everyday until gone then every other day for maintance
44
Q

Hyperhindrosis of the feet

  • rule out
  • treatment
A
  • rule out pitting psoriasis
    1. first line topical antiperspirants- aluminum physically blocks the opening of the sweat gland
    *Rx strength deodrants should be applied each night then washed off in the morning. Once sweating has slowed, every other night, once weekly, etc.
    tip- can use baking powder after washing it off, this will absorb any remaining alumin
    botulinum toxin injections, microwave thermolysis, or topical glycopyrronium
45
Q

Herpes simplex

treatment

A
  1. otc abreva

2. valtrex - 1 pill now wait 12 hours later

46
Q

Oncomycosis

  • another name
  • treatment
A

tinea unguium
Lamisile- terbenfine - lost of taste perment, liver affects
cant be on statins
draw LFT’s now, 2 months, 6 months

47
Q

Tinea versicolor

A

pityriasis versicolor

  • NOT A FUNGAL INFECTION
  • hyper or hypo pigmented areas
  • most common in tropical areas
48
Q

Schambergs

A

Pigmented purpuric dermatosis - PPD

“chyanpepper legs”

49
Q

Hand-foot-mouth disease

-caused by what

A

common on the butt as well

virus coxsackievirus

OC (8 decks)

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