Rashes! Flashcards

1
Q

What are the 6 different etiologies for rashes?

A
Viral
Bacteria
Fungal 
Medication
Allergic
None of the above
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2
Q

What 4 things must be asked when assessing a rash?

A

General medical history
Medications
Exposure
Course of skin lesion

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3
Q

What are 3 courses of skin lesions?

A

When did it appear?
How has it changed?
Associated symptoms?

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4
Q

Varicella- Zoster is also known as?

A

Chickenpox

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5
Q

What are the 3 types of lesions seen in Chicken pox?

A

Macules
Papules
Vesicles

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6
Q

“Dew Drop on a Rose”

A

Varicella Zoster (Chicken pox)

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7
Q

Measles is caused by?

A

Rubeola

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8
Q

What is symptoms are seen in measles?

A

Koplik Spots
Maculopapular rash
Blanching
Non-blanching

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9
Q

Koplik Spots

A

Measles

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10
Q

Where does the maculopapular rash in measles start?

A

face

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11
Q

What causes Infectious Mononucleosis?

A

Epstein-Barr Virus

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12
Q

What causes mono rash?

A

maculopapular following ampicillin/ amoxicillin

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13
Q

What is rarely seen in infectious mononucleosis?

A

erythema Nodosum

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14
Q

What causes a herpetic whitlow?

A

Herpes Simplex

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15
Q

What is herpetic whitlow?

A

viral hand infection

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16
Q

How is a herpetic whitlow spread?

A

spreads via direct digital contact with secretions

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17
Q

What does herpetic whitlow present?

A

as a single vesicle or cluster of vesicles

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18
Q

How does the coxsackie virus present?

A

Hand, Foot, Mouth disease

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19
Q

Coxsackie virus can what three things?

A

enanthem, exanthem, non-pruritic

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20
Q

T/F Enanthem and Exanthem are usually both painful?

A

TRUE

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21
Q

What causes German Measles?

A

Rubella

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22
Q

What is the difference between Rubeola and Rubella measles?

A

the lesions in rubella are less intensely red

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23
Q

Pinpoint Maculopapular

A

German Measles

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24
Q

Where does german measles first appear?

A

face

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25
Q

What causes Erythema Infectiosum?

A

Human Parvovirus B19

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26
Q

Erythema Infectiosum is also known as?

A

Fifth Disease

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27
Q

“Slapped Check”

A

Erythema Infectiosum

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28
Q

“Lace like Rash”

A

Fifth Disease

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29
Q

Target lesions

A

Erythema Multiforme

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30
Q

What are the two types of Erythema Multiforme?

A

Major and Minor

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31
Q

How would you describe erythema multiforme?

A

round, erythematous papules, evolve into target lesions

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32
Q

What are the 9 viruses that cause rashes?

A
Varicella Zoster
Measles
German Measles
Infectious Mononucleosis
Erythema Nodosum
Herpetic Whitlow
Coxsackie Virus
Erythema Infectiosum
Erythema Multiforme
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33
Q

What causes scarlet fever?

A

S. pyogenes

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34
Q

Where does scarlet fever usually start?

A

groin, axilla, and chest

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35
Q

Sand Paper

A

Scarlet Fever

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36
Q

Strawberry Tongue

A

Scarlet Fever

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37
Q

What causes Impetigo?

A

Staph Aureus,GAS, S. pyogenes

38
Q

Honey crusted lesions

A

Impetigo

39
Q

How could impetigo present?

A

non-bullous, bullous, ecthyma

40
Q

What causes Meningococcemia?

A

Neisseria Meningitidis

41
Q

What is the leading cause of bacterial meningitis?

A

Meningococcemia

42
Q

How would u describe meningococcemia?

A

large purpuric ecchymotic lesions

43
Q

What causes Rocky Mountain Spotted Fever?

A

Rickettsia Rickettsii

44
Q

Where does Rickettsia Rickettsii start?

A

ankles and wrists

45
Q

How would you describe Rocky Mountain Spotted Fever?

A

blanching, erythematous, macules

46
Q

What causes Lyme disease?

A

Borrelia Burgdorferi

47
Q

What is type of rash does lyme disease cause?

A

erythema migrans

48
Q

Bulls eye

A

Lyme disease

49
Q

Where does the rash in Lyme disease appear?

A

at site of tick bite

50
Q

How would you describe lyme disease?

A

red macule, bulls eye

51
Q

What disease causes erythema marginatum?

A

Acute Rheumatic Fever (GAS)

52
Q

How would you describe erythema marginatum?

A

evanescent, pink, non pruritic

53
Q

What is the most common type of lesion?

A

Abscess/ cellulitis

54
Q

How would you describe abscess/ cellulitis?

A

erythema, edema, warmth, boil

55
Q

What are the 5 bacteria that cause rashes?

A
Impetigo
Scarlet Fever
Meningococcemia
Erythema Marginatum (Acute Rheumatic Fever)
Abscess
56
Q

How would you describe a Tinea infection?

A

pruritic, oval, scaling, patch/plaque, central clearing

57
Q

Christmas Tree

A

Pityriasis

58
Q

How would you describe Pityriasis?

A

Herald Patch, Scaly, Asymptomatic

59
Q

What causes pityriasis?

A

unknown

60
Q

What causes Tinea Versicolor?

A

Malassezia

61
Q

How would you describe Tinea Versicolor?

A

superficial, hypo/hyperpigmented, erythematous macules

62
Q

What are the 3 fungal rashes?

A

Tinea infections
Pityriasis
Tinea Versicolor

63
Q

What causes scabies?

A

Sarcoptes Scabiei

64
Q

How would you describe scabies?

A

intensely pruritic, multiple small erythematous papules

65
Q

What are the 4 most common sites of scabies?

A

webs of the fingers
wrists
axillae
genitalia

66
Q

What causes molluscum contagiousum?

A

poxvirus family

67
Q

Where does molluscum contagiosum not occur?

A

on palms and soles

68
Q

Where does molluscum contagiosum commonly occur?

A

trunk

69
Q

How would you describe molluscum contagiosum?

A

firm, flesh colored, dome shaped papules, umblication, chronic

70
Q

Strawberry tongue and fissured lips

A

Kawasaki

71
Q

How would u describe Kawasaki?

A

polymorphous rash

72
Q

What are the 3 peripheral extremity changes seen in Kawasaki?

A

Erythema of palms and soles
Edema of hands feet
Desquamation

73
Q

Describe HSP?

A

palpable purpura, arthralgias

74
Q

What does HSP begins as??

A

erythematous, macular, or urticarial wheals

75
Q

Targetoid lesions

A

HSP

76
Q

What is typically spared in SJS/ TEN

A

Scalp

77
Q

What is rarely involved in SJS/ TEN

A

palms and soles

78
Q

What is the pain level of SJS?

A

tender to touch, pain is prominent and out of proportion to the cutaneous findings

79
Q

What is immune thrombocytopenia?

A

sudden petechial rash

80
Q

What does Immune thrombocytopenia usually preceed?

A

viral illness

81
Q

T/F systemic symptoms are present in immune thrombocytopenia?

A

FALSE

82
Q

What is a sign of immune thrombocytopenia in children?

A

bruising and/or bleeding in otherwise healthy children

83
Q

What is hives sometimes accompanied by?

A

angioedema

84
Q

T/F hives are intensely pruritic?

A

TRUE

85
Q

Lichenification, Fissuring, Dry skin, Eczema

A

Atopic Dermatitis

86
Q

Most common skin eruption in infants and toddlers?

A

Diaper Dermatitis

87
Q

Where does diaper dermatitis usually appear?

A

convex skin surfaces that are in direct contact with the diaper

88
Q

How would you describe diaper dermatitis?

A

scattered erythematous papules with asymptomatic erythema over limited skin areas

89
Q

Erythematous plaque with greasy/yellowish scales

A

Seborrheic Dermatitis

90
Q

Where does seborrheic dermatitis grow?

A

on areas rich in sebaceous glands

91
Q

Cradle Cap

A

Seborrheic dermatitis in babies