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Derm > Peds Derm > Flashcards

Peds Derm Flashcards

0
Q

where is it rare to find erythema toxicum neonatorum

A

palms and soles

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1
Q

erythema toxicum neonatorum

A

benign transient pustular eruption- scattered and diffuse

more common in healthy term infants

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2
Q

course of erythema toxicum neonatrum

A

lasts for first 2-3 weeks of life than resolves spontaneously

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3
Q

smear of pustules in erythema toxicum neonatorum shows

A

eosinophils

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4
Q

transient neonatal pustular melanosis

A

seen more commonly in darker pigmented indiiduals and can leave residual hyperpig and scale that is self resolving

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5
Q

neonatal candidasis

A

transmitted transvaginally frm mom to baby; benign and resolves spontaneously unlike more serious congential candidasis

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6
Q

diaper dermatitis

A

red itchy rash in daper that spares folds caused by urine and feces
if persistant consider other causes

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7
Q

candida diaper rash (in comparison)

A

beefy red color with satellite lesions

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8
Q

infantile seborrheic dermatitis

A

scaly rash involving scalp, face and body folds; yellow waxy scale
begins early in life and imrpoves aroudn a year

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9
Q

infantile seborrheic dermatitis is not very

A

itchy

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10
Q

why is infantile seborrheic dermatitis not atopic dermatitis

A

atopic dermatitis is not greasy and is more itchy

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11
Q

urticarial pigmentosa

A

form of cutaenous mast cell disease; itchy red-orange-brown spots that blister with rubbing

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12
Q

darrier’s sign

A

blsitering with rubbing

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13
Q

when does urticarial pigmentosa typically begin

A

3-9 months of age

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14
Q

where else can UP involve

A

liver
spleen
GI tract
bone

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15
Q

what should patients with UP avoid

A

non-immunologic mast cell degranulators (opiates, NSAIDs)

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16
Q

tx uP

A

anti histamines to control symptoms

17
Q

acrodermatitis enteropathica

A

diarrhea, periorifical and acra vesiculobullous dermatits, alopecia and apathty

18
Q

acrodermatitis enteropathica spreads in two ways

A

inherited autosomal recessive and acquired
inherited is secondary to defective zinc uptake
acquired is if there is low zinc in breast milk or lots of diarrhea

19
Q

in AE you should awlays consider

A

biotin deficiency

20
Q

tx AE

A

oral zinc

21
Q

pyogenic granuloma

A

bleeding, exophytic, dome-shaped papules

22
Q

bandaid sign of Pyogenic granuloma

A

band aid over bleeding mole

23
Q

important factors of pyogenic granuloma

A

trauma nad hromones in pregnancy

24
Q

where is pygenic granuloma common

A

head and neck and fingers

25
Q

how does pyogenic granuloma work

A

excessive rxn of capillaries with rapid growth

fall off but regrow

26
Q

what do you need to do to dx

A

bx

27
Q

tx PG

A

scrap and burn to destroy feeder vessels

28
Q

hemangioma of infancy is the

A

most common vascular birthmark

29
Q

etio of hemangima of infnacy

A

stain positive for GLUT1 suggesting they have placenta origin, but that’s not right
could be excessive cap growth rxn to ischemia of head and neck

30
Q

when to worry about hemangioma of infancy

A

multiple lesions in sensitive area (eye, ear, and mouth where they can ulcerate)
–beard distribution, large segmental facial lesion (suggest CNS problem), large perineal lesion

31
Q

tx for hemiangioma infnacy

A

most need none, barrier cream for painful

propanolol

32
Q

what are the side effects for propanolol for hemangioma of infnacy

A

night terrors

death

33
Q

nevus sebaceous

A

congenital lesion on the scalp, face, neck
–tends to become more noticeable over a few months
rarely assocaited with epilepsy and intellectual impairment

34
Q

nevus sebaceous can become

A

basal cell carcinoma later in adulthood

35
Q

mulloscum contagiosum

A

self-limited viral pox infection that lasts up to 2 years; monomorphic pink, umbilicated papules
common in young children and contaigous

36
Q

tx of scabies

A

permethrin
sulfur
ivermectin

37
Q

henoch schnolein purpura

A

small vessel vasculitis seen mostly in children

often follows a respiratory illness

38
Q

clinical presentation HSP

A

papable purpura, joint and abdominal pain, glomerulonephritis
can have multiple organ systesms involved

39
Q

tx for hSP

A

NSAID for jt pain
systemic corticosteroids for GI and renal comps
monitor kdineys

Derm (15 decks)

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