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69 Cards in this Set
- Front
- Back
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measles - incubation period
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8-12 days
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measles - prodrome
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-high fever
-malaise -cough, coryza, conjunctivitis |
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small irregular red spots w/central gray/bluish white specks on buccal mucosa
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Koplik spots = measles
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measles - rash
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-begins 5 days after Sx onset
-starts on head, moves caudally -lasts 4-5 days -erythematous maculopapular rash |
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measles - complications (2)
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1.acute encephalitis
2.subacute sclerosing panencephalitis (SSPE) |
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rubella - incubation period
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14-21 days
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rubella - Sx
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-slight fever
-generalized lymphadenopathy -erythematous maculopapular rash (<5 days) |
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measles - confirmation
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serologic testing
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rubella - confirmation
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serologic testing
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roseola infantum - bug
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HHV-6
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roseola infantum - progression
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-abrupt fever (103-105) for 1-5 days
-maculopapular rash follows (trunk -> peripheral) -leukocytosis -> leukopenia |
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erythema infectiosum - bug
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parvovirus B19
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Fifth disease
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erythema infectiosum (parvovirus B19)
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erythema infectiosum - progression
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1.slapped cheeks
2.rash starts on arms -> trunk, legs |
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lacy rash
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erythema infectiosum
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pregnant + parvovirus B19 = ?
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hydrops fetalis
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erythema infectiosum - complications (3)
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1.arthritis
2.hemolytic anemia 3.encephalopathy |
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hand-foot-mouth dz - bug
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coxsackie A virus
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hand-foot-mouth dz - prodrome
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-fever, anorexia, oral pain
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-fever, anorexia, oral pain
-ulcer crop (tongue, oral mucosa) -vesicular rash (hands, feet) |
hand-foot-mouth dz
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"football" shape vesicles w/surrounding erythema
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hand-foot-mouth dz
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chickenpox - incubation period
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10-21 days
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chickenpox - prodrome
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-mild fever
-malaise -anorexia -rash |
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chickenpox - rash progression
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trunk -> peripheral
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chickenpox - infectious length
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start: 24 hrs before rash
end: lesions crustify |
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chickenpox - confirmation
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DFA
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chickenpox - complications
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1.meningoencephalitis
2.hepatitis 3.pneumonitis |
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herpes zoster - dormant site
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DRG
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-pain along dermatome
-fever + malaise -vesicular eruption -resolves in 1-2 wks |
herpes zoster (shingles)
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measles, rubella, roseola infantum, erythem infectiosum, hand-foot-mouth, varicella, shingles - Tx
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supportive
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chickenpox - contraindicated med
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ibuprofen (increased risk of streptococcal cellulitis)
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fever in children - contraindicated med
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aspirin (Reye's syndrome)
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IC children + chickenpox exposure - give what med?
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VZ Ig (w/in 96 hrs)
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varicella/shingles - Tx med
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acyclovir
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red macules -> bullous eruptions on erythematous base -> varnish coating
look like cigarette burns |
bullous impetigo (s.aureus)
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papules -> vesicles -> painless pustules -> honey-colored exudate/crust
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nonbullous impetigo (s.aureus or beta-hemolytic strep)
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-marked diffuse erythema
-skin tenderness -abrupt onset -superficial flaccid bullae -> rupture -beefy red weepy surface -(+) Nikolsky sign |
staph scalded skin syndrome
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separation of epidermis on light rubbing
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(+) Nikolsky sign
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infxn of shaft of hair follicle
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folliculitis
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carbuncles
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accumulation of furuncles
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most common bug in hematogenously spread cellulitis
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strep pneumoniae
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superficial tinea infxn - 3 bugs
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1.trichophyton
2.microsporum 3.epidermophyton |
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annular lesion w/peripheral scaling (looks like a ring)
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tinea corporis
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patches of scaling & hair loss, itching, lymphadenopathy
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tinea capitis
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scaling in "moccasin" distribution
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tinea pedis
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erythema, scaling, maceration in inguinal creases
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tinea cruris
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tinea versicolor - bug
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Malassezia furfur
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superficial tan/hypopigmented oval scaly lesions in X-mas tree distribution
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tinea versicolor
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if diaper rash > 4 days, then suspect...(bug)?
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candida
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candida diaper rash - Tx
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-nystatin
-barrier creams |
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stimulus for sebaceous gland development
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androgens
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drugs exacerbating acne
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1.corticosteroids
2.androgens 3.danazol 4.iodides 5.bromides |
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T/F: nodulocystic acne associated w/scarring?
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true
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T/F: acne - best Tx is combo?
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true
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acne - topical & oral meds?
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benzoyl peroxide
retinoids abx OCT retinoic acid |
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rash appearing @ sites of mechanical/physical/thermal trauma
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psoriasis (Kobner phenomenon)
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Kobner phenomenon
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rash appearing @ sites of mechanical/physical/thermal trauma
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pinpoint bleeding
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Auspitz sign (psoriasis)
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psoriasis Tx - main goal?
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keep skin hydrated!
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most severe form of erythema multiforme
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Stevens-Johnson's syndrome
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Stevens-Johnson syndrome - most common causes (2)
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1.drugs
2.Mycoplasma infxns |
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most severe form of cutaneous hypersensitivity
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toxic epidermal mecrolysis
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epidermal layer sloughing (2)
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1.staph scaled skin syndrome
2.toxic epidermal necrolysis |
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smooth pink/brown dome-shaped papule (benign)
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Spitz nevus
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mole w/depigmented ring
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halo nevus
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mole assessment
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Asymmetry
Border Color Diameter |
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halo nevus associated w/...
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1.vitiligo
2.melanoma |
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most common cause of recurrent erythema multiforme
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herpes simplex virus HSV
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tinea versicolor - Tx
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selenium sulfide shampoo
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