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ClinMed 1 Final Review > Derm Review > Flashcards

Flashcards in Derm Review Deck (43)
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1
Q

The allergic triad of atopic dermatitis

A

Asthma, Hay Fever, allergies

2
Q

Chronic Atopic Derm yields

A

Lichenification

3
Q

MC allergy

A

Milk

4
Q

Seborrheic Derm Presentation

A

greasy scales over erythematous plaque, presents on scalp, eyebrows, eyelids, galbella and chest

5
Q

Lichen Simplex cycle, break it w/

A

itch-scratch-itch cycle

HIGH potency topical steroid and oral antihistamine

6
Q

Redness to marked edema, involves the hands, common from wet work and hard soap. Tx for hard soap: Dx:

A

Alkaline soap, I think.

Irritant Contact Dermatitis

7
Q

Given picture with linear streaks on the lower leg at a contact line with vesicular eruption

A

Poison Ivy- Allergic Contact derm

8
Q

MC cause of contact redness

A

Nickel

9
Q

Well demarcated erythematous plaque with silvery scale, thick stratum corner from epidermal proliferation (elbow, knee, scalp) Dx: Tx: Complication:

A

Psoriasis
Topical Steroids
30% people get Psoriatic Arthritis in the joints

10
Q

Present- large pink/tan 2-6mc patch, a few days before a larger rash blossoms into red/ pink/brown scaly patches at trunk and extreme pruritus.
Shape, Name of rash?

A

Christmas tree Presentation

Pityriasis Rosea

11
Q

Lichen Planus P’s

Tx

A

Pruritic, purple, papules. wickham’s striae, hep c, patches on buccal mucosa
topical steriod

12
Q

Drug eruptions: time frame, step 1

A

start w/in 1 week of new medication

first remove offending drug

13
Q

Tense bullae on skin, usually in flexural areas, intense pruritus

A

Bullous Pemphigoid

Oral Oral Oral Steroid (prednisone)

14
Q

Erythema Multiforme

A

target lesions with a clear center- symmetric, erythematous skin lesions
self resolve

15
Q

SJS

A

papule > vesicle > bullae> skin peeling

16
Q

Ance progression

extreme Tx

A

Open (black) closed (white) comedones, cysts and nodules

Accutane (oral abx) need labs: pregnancy, lipids, CBC, hepatic/LFT

17
Q

Rosacea

ETR

A

Erythematotetlangietacic: central face flush w/burn or sting, not periocular!, butterfly presentation.

18
Q

Hidradenitis Suppurativa (HS)

A

comedome, follicular occlusion, murcopurulant discharge, scaring

19
Q

HS progression

A

initial- pruritis, erythema
red & painful lesion erythema > pain > papule > access erupts > discharge
later- painful and smelly lesion

20
Q

Vesiculopustules in intertirgous areas, scalloped border w/ white rim and satellite lesions

A

Intertrigo

21
Q

Nail thickening and ridging, extends under the nail

A

Onchomycosis

bonus: oral antifungal (zole)

22
Q

Tinea Faciale

A

Face

dermatophytosis

23
Q

Tinea capitis

A

hair loss (oral rx, no topicals!)

24
Q

Tinea versicolor presentation

A

malassezia furfur on human skin

seborrheic area- face,scalp,chest, hypo or hyper pigmented macules (not a tan)

25
Q

Tinea versicolor tx and lab

A

KOH prep scraping shows hyphae and spores (spaghetti and meatballs)
Tx: selenium sulfide shampoo 15 min x 7days and ketoconazole oral (no showers 18 hrs post med)

26
Q

Pediculosis capitis

plus tx

A

Head lice

Pyrethrin shampoo or ivermectin topical

27
Q

Pediculosis carpers

A

body lice

28
Q

Pediculosis pubis

Pthirus pubis

A

pubic lice

29
Q

Scabies presents

A
linear burrow (breaky, lunch, dinner) with intense pruritus "7 year itch"
remember the pubic scabies on exam 1
30
Q

Strep pyrogens

Staph aureus cause

A
Cellulitis 
rubor- red
calor- heat
tumor- edema
dolor-pain
31
Q

Cellulitis mc spot

A

Legs!

causes malice, fever, chills

32
Q

Impetigo: Non bullous bug

bullous bug

A

non: Staph aureus, GABHS or both
bullous: Staph aureus and coagulase

33
Q

“slapped cheek” “lacy rash”

maculopapule rash

A

Erythema Infectiosum

5th disease

34
Q

Shinges/Varicella

A

Herpes Zoster rxn. does not cross the midline, generalized eruptions, vesicular, painful, involves CNS

35
Q

Molluscum Contagiosum

present:

A

single/multiple round, dome, pink, waxy papillose umbilicate with caseous plug, linear pattern on the face, trunk, extremity and groin

36
Q

Acanthosis Nigricans

present

A

skin folds “dirty” hyper pigmented, velvety, plaque, asymmetric (neck & axilla) (DM)

37
Q

Michael Jackson

A

Vitiligo

depigmented macules or macule patches. more distal is harder to treat

38
Q

Actinic Keratosis aka…

presentation too

A

pre skin cancer

lesion is scaly, red, rough and sensitive

39
Q

Actinic Keratosis

A

present on face, ears, scalp, forearm, chest, upper back, hands

40
Q

Basal Cell Skin Cancer (remember skin cancer is important to relearn)

A

Sore that doesn’t heal: red, scaly, crusted patch, may bleed

pearly, shiny bump

41
Q

Squamous Cell Skin Cancer

A

commonly affects the lips

SQUeeze your lips together for a kiss

42
Q

Malignant Melanoma

A

superficial spread
mc in men=trunk
mc in women=legs
both=upper back

43
Q

Alopecia Areata

A

discrete bald patches with smooth, non-inflamm underlying skin