Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
31 Cards in this Set
- Front
- Back
|
3 types of Acne |
1. Comedonal - blockade of pores at surface 2. Inflammatory - blackheads & whiteheads 3. Nodulocystic - severe
*2 & 3 require ABX and retinoid therapies |
|
|
Psoriasis
*Scaly red rash *Nail changes = pitting, distal nail separation, yellow/brown oil spots |
|
what are the trx options for this? |
(Psoriasis)
*Topical steroids, UV-light, biologics (block cytokines), Methotrexate |
|
|
Common disorder due to pityrosporum (malassezia) overgrowth causing a flaking of sebacous skins (scalp, face, chest) |
Seborrheic Dermatitis (aka dandruff) |
|
how would you trx this? |
Eczema
*red, rough, itchy, scaling skin *treated with corticosteroids |
|
What is the only way that this lesion will be cured for good? |
Verruca (wart)
*due to HPV ifxn -- only "cure" is immunity to infxn. Removal will only be temporary if pt has no immunity to virus |
|
Trx? |
Herpes Simplex
*grouped vesicles on an erythematous base * Trx = Valcyclovir |
|
What is the main complication of this d/o? |
Herpes Zoster
*painful, unilateral w/ dermatome distribution *Post-Therapeutic Neuralgia - peristant pain for yrs after infxn |
|
Trx? |
Herpes Zoster
*Valcyclovir |
|
|
Seborrheic Keratosis -- probably hereditary form b/c multiple spots present
*Benign *remove PRN |
|
|
Benign Melanocytic Nevus (mole) |
|
How can you tell if this is benign or malignant? |
Melanoma
*ABCDE rule - Asymmetry, Borders irregular, Color not uniform, Diameter > 6mm, Evolves over time
|
|
What are the most common locations in males and females? |
Melanoma
*Females = back of knee *Males = back |
|
Lesion is soft to the touch.
Which types are aggressive vs non-aggressive? |
Basal Cell Carcinoma
*most common of all cancers *Aggressive types = morphea, metatypical *Less aggressive = superficial, solid |
|
How would you manage this pt? |
Actinic Keratosis
*Pink Scaly Precancerous lesion *Must be removed to prevent progression to SCC |
|
What pt population is this especially common in? |
Squamous Cell Carcinoma
*Hard to the touch *Common in transplant pts |
|
What is this a long-term sequelae of? |
Rhinophyma due to Rosacea
*Vascular d/o w/ secondary skin inflammation *Telangectasias are also a sequelae
|
|
Trx? |
Impetigo
*superficial strep or staph ifxn this is VERY contagious *Trx w/ Mupriocin ointment |
|
Trx? |
Tinea
*Dermatophyte ifxn that is superficial in epidermis *Trx = Terbinafine |
|
|
Which is the safest area of the body to biopsy? The riskiest due to potential for bleeding? |
Back = safe
Temple = risky -- may nick the temporal artery |
|
|
What medications and medical devices should you inquire about before preforming a skin biopsy? |
MED: Anticoags -- especially ASPIRIN!!
DEVICES: pacemakers and defibrillators |
|
|
Where would you want to biopsy if the pt has a inflammatory or infectious process? |
"leading edge" |
|
|
Where would you want to biopsy if you are concerned that the pt may have a malignancy? |
anywhere in the body of the lesion |
|
|
What is the major local anesthetic used for biopsy? What sign tells you that you have injected in the correct location? |
Xylocaine w/ Epi
"Superficial Blanch" indicated spread of anesthetic to surrounding vasculature |
|
|
When would you not use epi with your local anesthetic when preforming a skin biopsy? |
Should avoid use on digits in pts w/ Raynaud's or Periph. Vascular disease |
|
|
What does the suture number indicate? |
Higher suture number = finer line where 6-0 is indicated for the face and 3-0 is indicated for the trunk and scalp |
|
|
What is the max depth possible w/ a punch biopsy? |
10 mm |
|
|
What should you do if you accidentally nick an artery or want to achieve hemostatsis at the end of a punch-biopsy ? |
Put pressure on the site with your hand and suture the artery |
|
|
What are the 2 means of accomplishing hemostasis during Shave Biopsy? |
Aluminum chloride solution or Electrodesiccation currette
(***NO SUTURES NEEDED!!***) |
|
|
What is the appropriate wound care of a biopsy incision? |
1. alcohol wipe at end of procedure 2. apply topical ABX or vaseline 3. limit activity for rest of day 4. remove sutures later |
|
|
What technique is especially critical in Incisional Biopsy/Small Excisions? |
Undermining = loosening skin at edges by cutting underneath the skin along incision edges
*helps avoid tight sutures and thus leaves less of a scar |
