Review Flashcards
PEARLY WITH UMBILICATION
MOLLUSCUM CONTAGEOSUM
CHRISTMAS TREE TEST
PITYRIASIS ROSEA
WHAT ARE THE THREE TYPES OF TEST?
“WOODS LAMP- NITS FLUORESCE- NOT ALL FUNGUS WILL FLUORECSE. TINEA VERSICOLOR WILL FLUORECSE.
KOH- FUNGAL/YEAST-= LONG, BRANCHING, FUNCAL HYPHAE.
TZANK SMEAR- VERACILLA”- MULTINUCLEATED GIANT CELLS
RULE OF NINES FOR ADULTS
“HEAD- 9
ARMS- 9 EACH
TORSO- 18 EACH
LEGS- 18 EACH”
DIFFERENCE BETWEEN ELCTRICAL AND THERMAL BURNS
"ELECTRICAL: CARDIAC ARRHYTHMIAS RENAL DUE TO RABDOMYOLYSIS NEURO MSK- LONG BONE MARROW DESTRUCTION
THERMAL:
TBSA NOT INCLUDE SUPERFICIAL BURNS
“
STEVEN JOHNSON EMERGENCIES
“TREAT LIKE A BURN:
HYPOTHERMIA
HYPOVOLEMIA
INFECTIONS”
DIFFERENCE BETWEEN BLACK WIDOW AND BROWN RECLUSE BITES
“BLACK WIDOW: NEUROTOXIC– CRAMPING . - MEDICAL PROBLEM
BROWN RECLUSE: PAINLESS- - SEVERE NECROSIS – SURGICAL PROBLEM”
RECOGNIZE AND 1ST LINE TREATMENT FOR CONTACT DERM WITH POISON OAK/IVY
STEROIDS
LICE
“WHITE SPECKS- NITS
IF SIGN OF INFECTION AND NITS= THEY HAVE HAD THE INFECTION FOR A WHILE
“
SCABES
“BURROWING,
LINEAR BURROWS IN THE WEBBED SPACES OF THE FINGERS AND TOES. “
DOMES SHAPED AND UMBILICATED
“MOLLUSCUM CONTAGEOSUM
“
WHAT ARE THE 5 P’S OF LICHEN
“Purple, Papules, Polygonal, Puritic,
“
EXLAMATION POINT HAIRS?
“ALOPECIA AREATA
“
COIN SHAPED LESIONS
“NUMMULAR ECSEMA
“
FLEXOR CREASES
ECSEMA
TAPIOCA LIKE LESSION ON THE LATERAL SIDES OF THE FINDERS
“DISHYDROTIC ECZEMA
“
SALMON OR PINK- HERALD PATCH AND PINE TREE
“PITARIASIS ROSEA
“
THICK PLAQUES ON EXTENSOR SURFACES
“PSORIOSIS
“
KOH AND SEE SPEGHETTI AND MEATBALLS
“DEPIGMENTATION- TINEA VERSICOLOR
“
CRADDLE CAP AND DANDRUFF
“SEBORRHEA DERMATITIS
“
SORE THROAT- AMOXACILLIN— RASH
“MORBILLIFORM RASH
“
TARGET LESION WITH MEDICATION OR HSV
“ERYTHEMA MULTIFORM
“
FARMER WITH LOTS OF SKIN EXPOSURE WITH THINGS ON HIS EAR?
“ACTINIC KERATOSIS- PRECURSOR TO SQUAMOUS CELL CARCINOMA
“
WATER PARK WITH MALAR RASH ON CHECKS- BUTTERFLY RASH WITH POSITIVE ANA- ANTINUCLIEOTID ANTIBODY = AUTOIMMUNE
SLE- SYSTEMIC LUPUS ERYTHEMATOSUS
MOON FACE
“CUSHING OR HYPERCORTISONE
“
WHAT ARE THE TOW DEPIGMONTATION?
VITILIGO AND TINEA VERSICOLOR
SKIN CANCERS
“SQUAMOUS CELL
BASAL CELL
MELANOMA- HOW DEEP DOWN THE CANCER GOES.
“
WHAT IS THE MOST COMMON SKIN CANCER
“BASAL CELL
“
ACNE- TREATMENT
Acne Treatment Overview
1. Principles
a. Use treatment for 2-3 months minimum
b. Often worsens before improvement
c. Use more than one agent unless very mild involvement
2. Mild Acne
a. Wash frequently (evidence is not strong for this)
b. Benzoyl peroxide or other keratolytic (topical retinoid) monotherapy
c. Combination therapy if monotherapy not effective in 2-3 months
d. Avoid using benzoyl peroxide + retinoid at same time of day
i. Use topical retinoid at HS (breaks down in sunlight)
ii. Use benzoyl peroxide at HS (due to bleaching)
3. Moderate Acne
a. Topical antibiotics +/- keratolytic +/- topical retinoid
OR
b. Systemic antibiotics (6-8 wks at Tx dose)+ keratolytic + topical retinoid
4. Severe or cystic Acne
a. Combined oral contraceptives (if female )
OR
b. Isotretinoin (systemic retinoid) x up to 6 months with iPLEDGE program
WHAT IS THE MOST BENIGN SKIN TUMOR
SEBBORHEA KERATOSIS- GREASY STUCK ON APPEAANCE
WHAT IS THE VIRUS THAT CAUSES WARTS
“HPV
“
WHAT IS THE DRUG WE USE FOR GENITAL WARTS
Podophyllum Resin (25% solution of podophyllotoxin)
a. Only applied by clinician due to toxicity b. Leads to cell death (necrosis) c. Applied to small area of skin then washed off in 6 hours d. NEVER apply Podophyllum Resin to cervix or vaginal epithelium!!! i. Chemical burns e. Teratogenic- avoid in pregnancy f. Not for mucosal use (external use only) i. Can cause skin irritation up to ulceration
WHAT IS THE CAUSE OF VITELIGO
“DESTRUCTION OF MELANOCYTES- AUTOIMMUNE
“
PAINFUL ERYTHEMATUS ON THE SHINS
“ERYTHEMA NODOSUM
“
HONEY COLOR CRUSTING ON THE MOUTH
“IMPETIGO
“
MC CAUSE of impetigo
“STAPH AUREUS
“
TX of impetigo
MUPIRICIN
PARONYCHIA WHEN WOULD YOU I & D
“PUS
“
Dermatophytes
“TINEA CAPITUS- Oral antifungals -griseofulvin (gold standard), terbinafine, or itraconazole
TINEA CORP- : Antifungals-ketoconazole, clotrimazole
TINEA PEDIUS- Topical antifungals are usually sufficient, some cases may need oral antifungals
”
DARK COMPLECTION, BCP, SUN EXPOSURE
“MELASMA
“
DM WITH OBESITY WITH DARK VELVOTY RASH ON NECK?
“ACANTHOSIS NIGRACAN
“
WHAT IS THE DIFFERENCE BETWEEN PEMPHIGUS VULGARIS AND BULLOUS PEMPHIGOID
“BULLOUS PEMPHIGOID: NEGATIVE NIKOLSKY SIGN
PEMPHIGUS VUGARIS: POSTIVE NIKOLSKY SIGN”
HIDRADENITIS SUPPURATIVA WHO DOES IT MC AFFECT AND WHERE IS IT?
WOMEN WITH APOCRINE SWEAT GLANDS
FOLLICULAR KERATINIZATION CHARACTERIZED BY KERATOTIC FOLLICULAR PAPULES WITH VAIABLE PERIFOLLICULAR ERYTHMEA
“KERATOSIS PILARIS
“
BEEN SWIMMING WITH A RASH BY THERE SWIMSUIT, WHAT IS IT AND WHAT IS THE BUG AND HOW DO WE TREAT IT?
FALICULITIS, PSEUDOMONUS, FLOROQUINOLONES
HISTORY OF ASTHMA OR ALLERGY TO ASA
ATOPIC DERMATITIS
