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Laughing Pedi > surgery/derm > Flashcards

surgery/derm Flashcards

0
Q

which is worse, omphalocele vs gastroschisis?

A

gastroschisis looks worse because there is no lining, but its fixable and not assoc w/ syndromes.

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1
Q

when to repair umbilical hernia? (4)

A

defect >2.5cm, giant 5-6cm defects, skin breakdow, incarceration

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2
Q

diagnostics for neonatal herpes lesions?

A

wright stain would show multinucleated giant cells, eosinophilic intranuclear inclusions

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3
Q

not clusters, but linear pattern of vesicles without erythematous base? Evolve to warty papules with thick crusts and then hyperpigmentations then swirls and streaks

A

incontinentia pigmenti

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4
Q

tiny pustules on forehead, scalp, when ruptures has macule with collarette of scale. Also with brown macules, vesicles, non-red base. in African american infant?
What will gram stain/tzank smear show?

A

Neonatal pustular melanosis

PMNs no orgs

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5
Q

wright stain of E tox?

A

eos

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6
Q

yellow pustules w/ red base, red macules w/ solitary papule or occasional vesicle, NOT present at birth. Not on palms, soles

A

E tox

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7
Q

Tx for seborrheic dermatitis

A

topical antifungal or mild topical steroid

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8
Q

looks like seborrhea but with profuse ear d/c or urine output
Dx?

A

histiocytosis X

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9
Q

auspitz sign

A

bleeding dots if you pick off silver plaques of psoriasis

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10
Q

what is and treatment of ichthyosis vulgaris

A

fish skin: keratoylytic: ammonium lactate, alpha hydroxy acid, urea emollients

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11
Q

typical drugs triggering erythema multiforme major (SJS)

A

sulfa, NSAIDs, AED (lamictal)

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12
Q

How to distinguish between TEN / SJS from Staph Scalded Skin

A

SSSS is only upper epidermis so will be white NOT red.

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13
Q

linear lesions that are papular or pustular and not responding to Abx? Dx and Tx?
Persistent itching?

A

Scabies, Permethrin 5%
(Scabies leaves track marks and can be stopped with “permanent train”
Persistent itching is inflammatory and can be tx w/ steroids

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14
Q

maculae caeruleae - what is it and what does it indicate?

A

pubic lice, blue-gray macules on abd / inner thigh

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15
Q

crab louse lasts how long w/o blood meal

hatching occurs when

A

36 hrs

hatch up to 10 d later

16
Q

Treatment of pubic lice?

A

permetrhin
pyrethrin w/ piperonyl butoxide
malathion
lindane

17
Q

pink and excoriated lesions on the extensor surfaces of arms/legs, which “erupt at nt” or are clustered red papules w/ central punctum, lasts 10 days?

A

papular urticaria which is delayed hypersens to insect bite

18
Q

distinguish zinc and biotin def?

A

biotin def also has ataxia, in addition to oral rash and alopecia

19
Q

what does microcomedone represent?

A

plugging of hair follicle / abnormal follicle keratinization in acne development (phase1

20
Q

acne and sebum production due to what?, leads to what?

A

androgens, leads to mature comedones

21
Q

side effects of accutane?

A

headache, dry lips/skin/eyes, nosebleeds

22
Q

hormone responsible for acne?

A

androgen

23
Q

Treatment of tinea capitis/

A

PO griseofulvin 6-12 wks

24
Q

clue and gold standard dx for tinea capitis?

A

black dots / broken hairs

fungal culture

25
Q

pigmented lesions that turn in to hives and develop blisters with rubbing in infant?
Sign called?
Treatment advice?
Pathophys?

A

urticaria pigmentosa
Darier sign
avoid narcotics, radiocontrast, NSAIDs
(Mastocytosis)

26
Q

port wine stain in sturge weber associated with what?

A

venous leptomeningeal angiomatosis on MRI

27
Q

tx of port wine statement?

A

tunable dye / pulsed dye laser

28
Q

eye issues in Sturge Weber?

A

glaucoma

29
Q

chromosome for NF1?

A

17

30
Q

chr for NF2

A

22

31
Q

deep cavernous hemangiomas in lower dermis often what color

A

blue

32
Q

upper dermis strawberry hemangioma pattern

A

present at birth, then gets larger, and resolves by 1 yr

33
Q

one word to go with erythema chronicum migrans or erythema migrans?

A

lyme

34
Q

assoc w/ erythema marginatum?

A

rheumatic fever

Laughing Pedi (24 decks)

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