skin Flashcards
What is:
contagious dome shaped lesion with a plug in the middle?
mollosum contagiosum
Complaints of sudden onset of groups of small vesicles on a red base, following linear pattern (dermatomal) on one side of the body. The vesicles rupture easily
and are crusty when dry.
If prodrome present, may complain of severe pain or
itching or burning sensation on the site of the breakout.
Herpes Zoster
What is this:
benign growth (or tumor) of bone located midline on the
hard palate. It is congenital and painless and does not interfere with function
Torus palantinus
What is this:
tongue has multiple fissures on its surface and is benign. Patients
may complain of a burning sensation when eating or drinking acidic foods.
Geographic tongue
What is this:
Taking antiobiotcs/phenytoin/ septra/penicillin
Acute onset of bullae rash and hemorrhagic lesions, mucosal involvement, blisters to conjunctiva, mouth, genitals
Steven Johnson Syndrome
Name the conditons associated with the rash
- Erythema Marginatum
- Erythema Migrans
- Erythema multiforme
- Erythema Infectiosum
- Erythem Toxicum
- Erythema Marginatum -> rheumatic fever
- Erythema Migrans –> lyme
- Erythema multiforme –> mild form of steven-johnson drug rx
- Erythema infectiosum—> 5th disease (slapped cheek b19 paro)
- Erythem Toxicum–>Infant acnes 1-2 weeks small red pustules
name the rash:
Pink-to-red target-like lesions,
wheals, and blisters.
No mucosal involvement.
Recent antibiotics use
Erythema multiforme
name the rash:
dry, red lesions with a rough texture on cheks nose face arms and back
Actin keratosis
What rash is associated with Rheumatic Fever
Erythema marginatum
name the rash
Raised and yellow soft plaques that are located under the brow on the upper and/or lower lids of the eyes on the nasal side
Xanthelasma
Describe Seborrheic Dermatitis
Infants: Cradle cap, yellow greasy scales on scalp
Adults: greasy, flaky, plaques in scalp, chest, ears, NLF
Name the rash:
Soft and round wartlike fleshy growths on the trunk located mostly on the back.
Lesions on the same person can range in color from light tan to black.
Onset usually starts after the age of 50 years.
Seborrheic Keratoses
Name the rash:
pinpoint areas of bleeding remain in the skin when a plaque is
removed
Auspitz sign
This is from psoriasis
What is Koebner phenomenon?
new psoriatic plaques form over areas of skin trauma
Name the rash:
pruritic erythematous plaques covered with fine silvery white
scales and pitted fingernails and toenails.
The plaques are distributed in the scalp,
elbows, knees, sacrum, and in the intergluteal folds.
Psoriasis
name the rash:
- new rash that is bright red and pruritic
- bullous/vesicular/weeping
- dries and crusts over
-asymmetric distribution
no systemic symptoms
Contact dermatitis
name the rash:
- painful rash to face or legs
- indurated (hard) bright red skin lesion
-has very distinct edges - pt may or may not be febrile
erysipelas
What medication is used to treat dog, cat, human bite?
amoxi/clauv
if you are bitten by a dog/cat/human do you start antibiotics prophylactically?
cats- ALWAYS
dog/human - almost always only if its face/hand/uppper limb
How do you treat impetigo ?
if there are less than 2-3 lesions = mupirocin ointment
if bullae or widespread Cephalexin 10 days
name the rash:
pruritic rashes located in the interdigital webs, axillae, buttock
folds, waist, and the penis.
The itching is worse at nighttime and interferes with sleep.
scabies
name the rash:
Patchy alopecia with “black dots” (broken hair
shaft) and fragile hair shaft.
Fine scales on scalp. Frequent itching of the scalp.
Tinea capitis
name the rash:
Perineal and groin area with pruritic red rashes with fine scales.
Tinea cruris
name the rash:
Ringlike pruritic rashes with a collarette of fine scales that slowly enlarges and some central clearing.
Tinea corporis/circinata
name the rash:
chronic, small acne-like papules and pustules
nose, mouth, and chin,
becomes exacerbated episodically
acne rosacea treated with flagyl gel/ tetracycline for months
name the rash:
Skin fissures and maceration at each corner of the mouth.
Can be caused by IDA, infection, etc
Cheilosis
name the difference between:
1st
2nd
third
degree burns
1) erythema only no blisters
2) bullae blisters
3) PAINLESS
How can you differentiate contact dermatitis from atopic dermatitis?
Contact dermatitis: asymmetric distribution (one leg), liner rash or unusually shaped
Atopic Dermatitis: flexural folds, vesicles, that rupture producing painful bright weepy lesions that become lechienfied from itching
name the rash:
Chronic inflammatory skin disease manifested as recurrent inflammatory nodules, abscesses, sinus tracts, and complex scar formation
“acute onset of painful red nodules and pustules under one or
both axilla. The patient reports that some of the lumps start to drain pus. History of recurrent episodes”
Hidraenitis Suppurativa
