Skin Flashcards
- most common skin cancer
- waxy, pearly, indurated, rodent ulcer
Basal cell
- skin cancer
- irregular, flaky (actinic keratosis)
Sqauamous cell
- skin cancer
- pigmented
- multicolor
- MOST invasive skin cancer
Melanoma
Precancerous lesions
Actinic keratosis - yellow
Leukoplakia - white
Folliculitis
Irritated hair follicles (groin, neck)
Psoriasis
- silver scales (most significant feature is psoriatic plaques)
- pitted nails
- occurs on extensors
- 15% joint involvement
- hyperuricemia
Eczema
- contact dermatitis
- remove agent
- flexors
- “hold things with your flexors, therefore flexors get contact dermatitis”
3 diseases that destroy joints
OA- ones who abuse
RA- hereditary; systemic
Psoriatic - aggressive and mean
Pediculosis
- lice (nits)
- special shampoo is used; then used again one week later to kill nits
Scabies
- love warm damp, hairy spots
- ‘furrow and burrow in with all their mites”
Tinea capitis
- ringworm
- “fungus among us”
Lyme disease
Spirochete carried by ticks
Bite => erythema migrans => central clearing => bull’s eye for 2-3 weeks
Erysipelas
- purple
- strep
- shiny red vesicles
- fever
- patches
Pityriasis Rosea
“Such a pity they have a herald patch”
- herald patch
- 10-30 years old
- fatigued
- post viral infection
- comes on fast
- recedes slowly
- on the torso => branches out into a Christmas tree
Seborrheic Dermatitis
- dandruff on steroids
- scaly
- oily
- itchy
- erythema
- painful (skinalgia)
- binds hair (cradle cap)
- blepharitis
- tx: shampoo (sulfur and aspirin), steroid cream
Dermatomyositis
Rash (heliotrope [sun sensitive])
Eyelids and knuckles
SLE
- butterfly rash (malar) heliotrope [sun sensitive]
- eyelids are preserved
Acne
Vulgaris - young; puberty
Rosacea - Nosey Rosey (bulbous unilateral nose growth); rhinoplasty
Impetigo
- staph and strep
- primary (vesicle and bulla)
- secondary: crusty
Impetigo vs B2 riboflavin problems
Impetigo: erupts and oozes, crusty/honeycomb, very contagious
B2 riboflavin problem: cheilosis; not contagious
Tinea Versicolor
- subcutaneous fungus causing white patches
- shows up in the summer