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69 Cards in this Set
- Front
- Back
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ulcer classification used for planning debridement
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wagners
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what classification is used for out patient management
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national pressure ulcer advisory panel
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stage 1 skin ulcer
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nonblanchable erythema of intact skin
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example of stage 1 skin ulcer
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inflamed heloma durum or mole
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what is indicated for stage 1 ulcer
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pressure relief without wound care
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stage 2 skin ulcer
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partial thickness skin loss involving epidermis, dermis or both
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what do stage 2 ulcers present as
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abrasion blister or shallow crater
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treatment for stage 2 ulcers
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pressure relief, topical antibiotic with simple dressing
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stage 3 skin ulcer
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full thickness skin loss damage to subcutaneous tissue extending down to but not through underlying fascia
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how does stage 3 ulcer present
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deep crater with or without undermining of adjacent tissue
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what is treatment for stage 3 skin ulcer
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pressure relief, radiographs, wound care, oral antibiotics, and surgical shoe
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stage 4 skin ulcer
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full-thickness skin loss with extensive tissue necrosis, damage to bone or supporting structures
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what else is associated in stage 4 skin ulcer
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undermining and sinus tracts
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what is treatment for stage 4 skin ulcer
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hospitalizatioin with vascular surgical consult
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MEASURE ulcers
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Measure
Exudate Appearance Suffering Undermining Re-evaluation Edge |
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alginates are used for what
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wounds that have lots of exudate
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what is standard of care with wound care
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moist rather than dry
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what percent of population has actinic keratosis
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40%
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what is actinic keratosis presentation
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mutiple discrete flat or elevated verrucous keratotic lesions
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what percent go onto SSC
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2-5%
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topical treatment for actinic keratosis
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5FU
diclofenac |
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histology of AK
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acanthosis, parakeratosis, dyskeratoses
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erythema nodosum
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nodular erythematous eruption of SQ fat
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where is erythema nodosum located at
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usually on extensor surface of legs and or feet
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erythema nodosum classically follows what
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streptococcal pharyngitis
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what is found around dermal veins in erythema nodosum
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immune complex formation and deposition
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erythema nodosum triggers
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strep infections
tuberculosis sarcoidosis chlamydia and viral infections deep systemic fungal infections oral contraceptives ulcerative colitis, ileitis leukemia, hogkins lymphoma |
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symmetric red purpuric papules
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henoch scholein purpura
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dark red and slowly growing painful papules and plaques particularly on face and extremities with fever
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sweets syndrome
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treatment for sweets syndrome
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oral prednisone
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sweets syndrome is often preceeded by what
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infection in upper respiratory or GI tract
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sweets syndrom aka
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acute febrile neutrophilic dermatosis
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eczema is syonomous with what
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dermatitis
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which contact dermatitis requires sensitivation
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allergic
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signs of acute eczema
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pruritus
erythema cutaneous edema papulation vesiculation oozing scaling occurs later |
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signs of chronic eczema
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scaling
thickening of skin fissuring hyperpigmentation hypopigmentation |
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predominate cell in allergic CD
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lymphocytes predominate
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source of irritants in pedal contact dermatitis
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material in socks
topical medications orthotic components occupationa exposure to chemicals |
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most common allergens in shoes
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monbenzl ether of hydroquinone
2-mercaptobenzothiozole tetramethylthiuram monosulfide |
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presentation of contact dermatitis
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symmetrical linear eruption which spares toe web spaces
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symmetrical fissuring dermatitis of the weight bearing surfaces of the forefeet of pre puberty children
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juvenile plantar dermatosis
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differentials with juvenile plantar dermatosis
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tinea pedis, contact dermatitis, atopic eczema
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JPD favors what skin
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thicker stratum corneum of soles where flexion forces are greatest
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fissures and cracks in JPD are called what
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rhagade
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clinical presentation of JPD
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hyperhidrosis
crazing of superficial horny layers painful superficial and deep fissures, cracks erythematous smooth scaling and peeling skin |
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synonimous terms with JPD
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atopic winter feet of children
forefoot eczema peridigital dermatosis recurrent juvenile eczema of hands and feet |
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mechanisms of JPD
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cytokine imbalance
sympathetic stimulation of eccrine ducts sweat triggers atopic reactions |
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what do you need for diagnosis of atopic eczema
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3 or more features from each category
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major category for eczema
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itch
rash chronic atopy |
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minor category for eczema
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early age of onset
dry skin with scales High IgE palmar plantar skin fold creases hyperlinearity |
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how much water must skin have before it dries and cracks
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10%
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treatment for JPD
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short term mid potency topical steroids
avoid vinyl or occlusive foot gear apply ointment immediately upon removal of shoes |
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exacerbating factors for JPD
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rapidly drying out skin
avoid low humidity air lying out in sun after swimming |
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emollients for JPD
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lac-hydrin
amilactin lactinol-E cream Vita A and D ointment |
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manifestations of RA
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cutaneous ischemia and micro infarcts
sudden purpura or bulla vasculitis ulceration pyoderma gangernosum ulcers of RA |
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bywaters lesion
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periungual vasculitis
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granulomas of RA are composed of what
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lymphocytes, plasma cells, histiocytes
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necrobiosis lipoidica diabetacorum
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slowly enlarging symmetrical flat to depressed brown and yellow cutaneous change on anterior legs
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what manifestations are increased in diabetics
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bacterial pydermas
cadidiasis |
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diabetic dermopathy
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symmetrical brown patches on lower legs
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carotenosis
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harmless yellowish discoloration of diabetic skin over bony prominences
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bullous diabetoacorum
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spontaneous multiple bullae of lower extremity that appear over night
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xanthoma diabeticorum
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crops of yellowish papules to nodules appearing acutely over the trunk, buttocks, elbows, knees, palms and soles
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xanthoma diabeticorum is a sign of what
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hyperlipidedemia
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lichen simplex chronicus
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normal skin that is repetitively scratched or rubbed becomes inflammed thickened pruritic plaque
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treatment for lichen simplex chronicus
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high potency steroid ointment under occulsion
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coin shaped plaque or papule and vesicles
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nummular eczema
discoid eczema |
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type 1 pedal pustular psoriasis
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acropusulosis-sterile pusutlar eruption of distal fingers and toes
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type 2 persistent palmoplantar pustulosis
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chronic persistent sterile pustules occurring symmetrically on palms and soles or heals
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