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Flashcards in Dermatology Deck (142)
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1

Acute Excema

Vesiuclar
Bullae
Erythema

2

Subacute Eczema

Crust/Erythema
No bullae/vesicles

3

Chronic Eczema

Lichenification

4

Exogenous cauase of eczema

Contact dermatitis

5

Endogenous eczema

Atopic dermatitis
Seborrhic dermatitis

6

Atopic Dermatitis

aw Asthma/rhinitis
inc'd IgE
Childhood erythematous pruritic rashes
Later in adulthood scabbed/excoriated lesions (on flex surfaces)
Tx: Hydrants, emollients
low dose hydrocortisone
white flakes

7

Seborreheic dermatitis

white flakes face/scalp, upper chest aud canal
Caused by Pityrosporum
Severe caes in HIV pts
Tx: Oral/topical ketoconazole - selenium sulfide

8

40yo ex IVDU with severe seborrheic dermatitis wtd?

HIV test

9

Sebhorrheic keratosis

Warty brownish plaques in elderly (barnacles of elderly)
Give a stuck upon skin impression on face, back neck in exposed an dnon-exposed areas
can be pigmented or dark
NON malignant (not even pre-malginanct)
No tx required (except cosmetic if wanted)

10

Contact Dermatitis

Delayed type IV rxn - necket, chromium oleoresin (poisony ivy/oak) rubber
Tx: cool compresses, local steroids

11

Young female lac on finger while chopping vegeetables - clenaed and sutured - abx cream applied with occlusive dresseing- 3 days later c/o itching sensation and pain - on exam band aid uncovered - suture lin clean but surrouding erythem adn eruptive vesuicular lesions dx?

contact dermatitis

12

Med records clerk pw vesicular lesions itchy on fingers dx?

contact dermatitis

13

Lady with itchiness and eczema of upper yelids etio?

nailpolish

14

Pt p/w poson ivy exp w/in 2 hrs wtd?

Showering

15

Milia -

small keratin containing cyts on eleids, cheeks, nose, forehead
Tx: I&D

16

Open/closed comedone

topical tretinoin

17

Papular acrne (inflamm acne)

benozylperoxide + erythromycin

18

Cystic/nodular acne: sevre acne

acutane-> iso tretinoin

19

Female with severe acne wants accutane wtd?

Must be on OCP, and alt contraception aduring and oe month after completeing tx since accutean teratogen

20

Pt with predominatly comedone acne wtd?

Top benzoyl peroxide, top tretinoin

21

Acne Rosacea

Acne like lesions in face - middle aged women
Flushing with exertion or sun exposure
Fine telangiectasies and scatter papuules -
Tx: oral tetracycline, topical flagyl

22

Lichen Planus

Papulosquamous lesions of skin/MM
Purpl papules with whie lines on surface
Can occus with use of NSAIDS
Cutaneous gravet vs host rx resembenls this
Tx: High potency topical steroids
r/o hep C

23

Hidradentits suppurativa

chronic inflamm/scarry invovling apocrine gland areas
tx: tetra/erythomycin
Surgery
Quit smoking

24

middle aged woman pw recurreing episodes lumps in axilla - drains serous fluid - episodes resolve after sponatous draiing - no change in LN - has cath for 2 month sand loves gardening

Hidrandenitis suppurative
tx: Quit smoking

25

Koplik spots

Small white vesicles on erythematous base
measles
precedes skin lesions by several days

26

Hairy Leukoplakia

Ribbed whiteness on lateral tongue
HIV pts
cause by EBV
No tx needed

27

Oral thrush

Commonly seen in HIV pts T cell < 200 or inhaled steroids for asthma
Tx: oral nystatin swish/spit or fluconazole if severe

28

Macroglossia

aw
Amyloid
MM
Acromegaly
Down's syndrome

29

Geographic tongue

Asx/benign

30

Strawberry tongue

aw
Scarlet fever
kawasaki syndrome