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Skin Changes Flashcards

1
Q

What are 2 viruses that can cause vesicular rashes?

A

Herpesvirus 1 and 2

Herpes Zoster

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2
Q

Herpes Zoster infection can cause vesicular rashes. What are the 2 types?

A

Varicella rash

Zoster rash

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3
Q

Describe the Varicella rash seen with Herpes Zoster infection

A
  • Papular
  • Vesicular
  • Pustule
  • Crust
    = ALL appear at once
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4
Q

Describe the Zoster rash seen with Herpes Zoster infection

A

Eruption of vesicles in a dermatomal distribution with pain

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5
Q

What are the symptoms of meningitis?

A 
Fever
Headache
Stiff neck/back
Vomiting and delirium 
- Petechial rash
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6
Q

Describe the CSF with meningitis

A

Purulent CSF (+) for Gram (-) intra and extracellular diplococci

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7
Q

What is a possible complication of meningococcal infection?

A

DIC - purpura fulminans

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8
Q

What is purpura fulminans?

A

DIC associated skin findings after Meningococcal infection

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9
Q

Seborrheic Keratosis

A

Brown/Black papules/plaques

- BENIGN

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10
Q

Benign brown/black papules/plaques

A

Seborrheic Keratosis

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11
Q

Seborrheic Keratosis is common in what age group?

A

Older adults

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12
Q

Is treatment needed for Seborrheic Keratosis?

A

NO - may be confused with melanomas

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13
Q

Actinic Keratosis

A

Pinkish macules/papules that occur on sun-exposed parts of the body

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14
Q

What are the symptoms of Actinic Keratosis?

A

Pinkish macules/papules that are tender and feel like sandpaper

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15
Q

Actinic Keratosis is considered premalignant. What will you likely develop?

A

Squamous cell carcinoma

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16
Q

Seborrheic Dermatitis

A

Dry scales common on scalp, face, eyelids, genitals and skin folds

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17
Q

Dry scales common on scalp, face, eyelids, genitals and skin folds

A

Seborrheic Dermatitis

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18
Q

What patient population often gets Seborrheic Dermatitis?

A

Parkinson’s and HIV patients

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19
Q

What is the most common cutaneous malignancy?

A

Basal cell cutaneous carcinoma

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20
Q

Basal cell cutaneous carcinomas often look like ____ with a history of _____

A

Pearly papule

- History of bleeding

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21
Q

Squamous cell cutaneous carcinomas often look like ____

A

Warty nodule

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22
Q

Which has a higher rate of metastasis - basal or squamous cell carcinoma?

A

Squamous cell cutaneous carcinoma

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23
Q

What types of people are at higher risk for basal cell and squamous cell cutaneous carcinomas?

A

Fair skinned person with history of sun exposure or organ transplant

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24
Q

Pearly papule with a history of bleeding?

A

Basal cell cutaneous carcinoma

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25
Warty nodule with a high rate of metastasis?
Squamous cell cutaneous carcinoma
26
What does a Psoriasis plaque look like?
Salmon-colored, well demarcated plaque with overlying silvery scale
27
Where do Psoriasis plaques usually reside?
Extensor surfaces - knee, elbow | - Or scalp
28
Psoriasis is associated with what other syndrome/diseases?
Metabolic syndrome | Cardiovascular disease
29
What can cause a flare up with Psoriasis?
Cold, dry, hot weather Stress Medications Skin trauma
30
Malignant Melanoma signs?
ABCDE - Asymmetry - Borders - irregular - Color - multiple - Diameter - > 6 mm - Evolution - changing!
31
What 2 things are the most significant determinant in the prognosis of malignant melanoma?
Color | Tissue depth
32
Malignant Melanoma signs?
ABCDE - Asymmetry - Borders - irregular - Color - multiple - Diameter - > 6 mm - Evolution - changing!
33
Erythema migrans is often seen with what disease?
Lyme Disease
34
Lyme Disease often is associated with what lesion?
Erythema Migrans
35
Describe Erythema Multiforme
- Central redness - Lighter ring of redness around the center - Outer ring of redness - Halo surrounding the entire thing
36
Erythema Multiforme is often seen with what infections?
Herpes Simplex | Mycoplasma Pneumoniae
37
Erythema Multiforme is often seen with what infections?
Herpes Simplex | Mycoplasma Pneumoniae
38
Herpes Simplex and Mycoplasma Pneumoniae often have what lesion?
Erythema Multiforme
39
What is Dermatomyositis?
Chronic, immune-mediated disorder with periorbital redness and papules over the dorsal knuckles - itchy, scaly, red patches on scalp as well
40
What 2 signs are pathognomonic for Dermatomyositis?
Periorbital redness | Papules over the dorsal knuckles
41
Periorbital redness, papules over dorsal knuckles with itchy, scaly and red patches on the scalp?
Dermatomyositis
42
Pretibial Myxedema
Pink, waxy, indurated plaque on the shin
43
With what condition can pretibial myxedema be present?
Hyperthyroidism (grave's) | - Pink, waxy, indurated plaque on the shin
44
What is Erythema Nodosum?
Lower extremity subcutaneous nodule
45
What is Erythema Nodosum associated with?
Sarcoidosis
46
Symptoms of Scarlet fever?
Red, diffuse, papular "sandpaper rash" with STRAWBERRY TONGUE
47
Sandpaper rash and strawberry tongue are seen with?
Scarlet Fever
48
Koplick spots in the mouth and a papular rash are seen with?
Measles
49
What is the Nikolsky sign?
Lateral pressure on skin causes epidermis to slough off
50
With what condition is the Nikolsky sign (+)?
Pemphigus Vulgaris
51
With what condition is the Nikolsky sign (-)?
Bullous Pemphigoid
52
Bullous pemphigoid
Deep intact blisters that start on the legs and move up
53
Bullous pemphigoid is ____ and affects ____
Itchy and affects elderly
54
What causes Bullous Pemphigoid?
Typer 2 hypersensitivity reactions to drugs and UV light
55
Pemphigus Vulgaris
Large bullae that peel off
56
Pemphigus Vulgaris is ____
Painful
57
What causes Pemphigus Vulgaris?
Autoimmune
58
Large bullae that peel off
Pemphigus Vulgaris
59
Blisters that are itchy and intact
Bullous pemphigoid
60
Pemphigus Vulgaris will have a (+)
Nikolsky sign | - lateral pressure on skin causes sloughing of epidermis

SBL (48 decks)

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