Skin SM Flashcards
Key words to remember for herpes simplex virus on the lips. How is this different from aphthous stomatis?
Treated with?
When?
painful, cluster vesicles on an erythematous base
AS - inside the mouth, no antivirals
Tx - Acyclovir or Valcyclovir
within 48-72 hours
Honey crusted lesions. What are the two types?
Impetigo Bollous and non-bullous B - oral antibiotics due to resistance NB - Mupirocin Bacteria - strep and staph
Christmas tree like pattern. Starts with _____. TX?
Pityriasis Rosea
Starts with herald patch
No tx, self-limiting
Bite, deep purple in color with white halo around it.
Brown Recluse spider bite
Preferred antibiotic for Rocky Mountain spotted fever and Lyme disease?
Doxycycline - REGARDLESS OF AGE OR PREGNANCY
Where does Rocky mountain spotted fever start?
starts on palms of hands and soles of feet
Bull’s eye lesion. What is the other name for this condition
Lyme disease
Erythema Migrans
Cough, coryza/congestion, conjunctivitis that leads to a rash. Name this condition. What is another presenting symptom?
measLes = rubeLa = kopLik’s spots
Koplik spots - red with bluish-white central dot on erythematous buccal mucosa
Parotid gland swelling. Most commonly associated with what childhood disease? What are 2 other possibilities?
Mumps
Bulimia
Salivary gland stone, Sialoliths/Sialolithiasis - after food
Dry, pink lesions on sun exposed areas. Treated with? What can this lead to?
Actinic Keratosis
Cyrotherapy or 5FU - RIGHT AWAY!
Squamous cell carcinoma
Slow glowing, scaly, bleeds easily, appears ulcerated
Squamous cell carcinoma
Hyperpigmented, flat spots/macules on the skin.
Greater than ___ = what disorder
Cafe au lait spots
>8 = Neurofibromatosis
pasted on lesions in the elderly. “Senile wart.” Waxy, scaly, stuck-on or candle wax appearance
seborrhea keratosis
greasy, thickening of skin
telangiectasias are present, shiny, waxy or pearly in nature. What should be done for this patient?
Basal cell carcinoma
MOST common type of skin cancer
biopsy and refer to derm for removal
Commonly found on flexor surfaces or creases of the body with an itch, scratch repeat process
Atopic dermatitis - Eczema
3 A’s
Silver, scaly patches
Treatment?
Two additional clinical signs?
Psorasis
topical steroids and cold tar
Auspitz sign - pinpoint bleeding easily when scratching
Koebner’s phenomenon - trauma to the skin leads to a plaque forming
Treatment of contact dermatitis
topical steroids
How to prevent shingles? drug given within 48-72 hours of onset?
Shingrix at age 50
Acyclovir, Valtrex
Pressure injuries - unable to determine depth due to slough or eschar presentation
un-stagable
do NOT remove, do NOT soak
Between the fingers or toes, intensely puritic especially at night.
Scabies
Permethrin cream
When can the child with chickenpox return to school or daycare?
when all the lesions have crusted over
What is the treatment of head lice?
Permethrin - only kills live bugs - must comb out eggs
A lesion with dimpling or pregnanted/umbilication. If this is located in what region this may require further investigation? Tx?
Molluscum Contagiosum
Groin, Sexual Abuse
no treatment, self-limiting
Anthrax key words/findings. Treatment options?
farm, ulcerated, black, painless
TX - ciprofloxacin for at least 2 months or Doxycycline
