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Dermatology > Skin Table > Flashcards

Skin Table Flashcards

1
Q

What is typical of psoriasis appearance?

A

Clearly defined red and scaly plaques

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2
Q

Types of psoriasis

A 
Chronic
Flexural
Palmo-plantar
Guttate
Pustular
Nail 
Scalp 
Erythrodermic
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3
Q

Describe pustular psoriasis

A

Sterile pustules
Red tender patches
Multiple yellow pustules are seen

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4
Q

Symptoms with pustular psoriasis

A

Fevers
Chills
Headaches
Rapid pules

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5
Q

Rx pusular psoriasis?

A

Admit
Emollients
Steroid creams
Systemic AB

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6
Q

Describe guttate psoriasis

A

Pink papules
Fine scale
Many of them

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7
Q

What can guttate psoriasis be triggered by?

A

Infection

May follow streptococcal infection of throat

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8
Q

Rx guttate psoriasis

A

AB for underlying infection
Coal tat
Topical steroids

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9
Q

What can scalp psoriasis lead to

A

alopecia on affected areas

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10
Q

which psoriasis is difficult to treat

A

nail

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11
Q

Rx scalp psoriasis

A

coal tar shampoos

Antifungal shampoos

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12
Q

Describe palmo-plantar psoriasis

A

Rash on soles of hands and feet

Skin appears thick and scaly and red with yellowish brown lesions on the edges

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13
Q

Rx for psoriasis

A 
Emolients
Soap substitutes 
Coal tar creams 
Vitamin D3 analogues 
Topical steroids 
Salicylic acid
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14
Q

Describe erythrodermic psoriasis

A

Red Man’s Syndrome

>80% body surface areas is involved

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15
Q

3 main types of skin cancer

A

Basal cell carcinoma
Squamous cell carcinoma
Melanoma

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16
Q

What is SCC derived from

A

Keratinizing squamous cells

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17
Q

Major features of glasgow scale skin cancer

A

Change in shape
Irregular borders
Irregular pigmentation

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18
Q

Minor features of glasgow scale for skin cancer

A

Change in sensation
Oozing
Size >7mm
Inflammation

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19
Q

What is the most aggressive of skin cancers

A

Melanoma

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20
Q

Risk factors for melanoma

A

Uv radiation
Fair skin
FH

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21
Q

ABCDE rules of skin cancer

A 
Asymmetry 
Borders
Colour 
Diameter 
Evolution
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22
Q

Appearance melanoma

A

Unusual looking freckle or mole

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23
Q

2 types of HSV

A

HSV-1

HSV-2

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24
Q

Where does HSV lie latent

A

Dorsal root ganglion

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25
Q

Rx HSV

A

Aciclovir

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26
Q

What are scabies

A

ectoparasites that burrow and reproduce in the skin

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27
Q

O/E scabies

A

Pimple like rash
Burrows
Does not affect scalp

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28
Q

Symptoms scabies

A

Intense, intense itching

Worse at night

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29
Q

Rx scabies

A

Cream lyclear apply all over body and leave for 12 hours

Repeat 7 days after

30
Q

Who else should be considered for treatment in scabies/

A

All close contacts to patient

31
Q

Virus that causes warts?

A

HSV

32
Q

How are warts spread?

A

Direct contact

33
Q

Types of warts

A

Tupes

Plantar

34
Q

Rx warts?

A

Crycotherapy
Salicylic acid
Covering duct tape
Surgical removal

35
Q

Which areas are commonly affected with flexural/inverse psoriasis

A

armpits
inner elblow
Groin
Under breast

36
Q

Is metastatic BSC common

A

No rare

37
Q

Risk factors BSC

A 
Age
M
Previous SC 
Sun damage
Fair skin 
Genetic
38
Q

Investigations for skin cancers

A

Biopsy

39
Q

Rx skin cancer

A

Excision with rim of unaffected skin

40
Q

Appearance BSC

A

Slow growing plaque or nodule

Skin coloured, pink or pigmented

41
Q

What are cutaneous metastases commonly secondary to?

A

Melanoma
Breast
Colon
Lung

42
Q

Which type of infection usually triggers guttate psoriasis

A

Streptococcal infection

43
Q

What are sebborrhoeic Keratoses

A

Benign skin lesions

44
Q

What is sign of leser-trelate

A

Skin disorder characterised by abrupts appearance of multiple seborrheoeic keratoses

45
Q

What is acne vulgaris

A

disease of pilo-sebacious unit

46
Q

where is acne common

A

Face
Chest
Back

47
Q

What is a comedone

A

Blocked follice

48
Q

Open and closed comedone different

A

open - blackhead

closed - whitehead

49
Q

When does acne peak

A

Adolescence

50
Q

What are the two types of herpes?

A

HSV-1

HSV-2

51
Q

Where does HSV-1 affect?

A

Oral

52
Q

Where does HSV-2 affect?

A

Genitals

53
Q

What is the RX for HSV?

A

Aciclovir

54
Q

Where do Veruccas affect?

A

Feet

55
Q

What is impetigo?

A

Highly contagious acute bacterial infection

56
Q

What organism causes impetigo?

A

Staph aureus

57
Q

What is the appearance of impetigo?

A

Pustules and honey coloured crusted erosions

Mainly affects exposed areas

58
Q

Rx for impetigo

A

Topical antibiotics

Oral antibiotics if extensive

59
Q

What are boils/furuncles caused by?

A

Staph aureus infection of hair follicle

60
Q

What are carbuncles?

A

Multiple headed boils

61
Q

What causes cellulitis

A

Bacterial infection deep into the drmis and subcutaneous tissue

62
Q

Symptoms and appearance of cellulitis

A

Localised area of red painful swollen skin and systemic symptoms

63
Q

Name for flaccid blisters that rupture easily?

A

Pemphigus

64
Q

Name for intact epidermis blisters that are tense and intact

A

Pemphigoid

65
Q

What is defined as atopic eczema

A

Chronic itchy skin in last 12 months plus 3 of following:
History of flexural involvement
History of generally dry skin
History of other atopic disease
History in 1st degree relative if under 4yrs

66
Q

Symptoms of eczema

A 
Itch 
Redness
Flaking 
Cracked 
Sore 
Papules 
Scaling
67
Q

Where does eczema usually start in babies

A

Face

68
Q

What is cradle cap a nickname for?

A

Serorrhoeic dermatitis

69
Q

Describe O/E of discoid eczema

A

Circular plaque of eczema

Individual plaques are well circumscribed

70
Q

What is actinic keratosis thought to be an early form of?

A

SCC

71
Q

Rx for acne

A

Retinoids/Roaccutane
Benzyl peroxide
Salicylic acid

Dermatology (3 decks)

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