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37 Cards in this Set

  • Front
  • Back
A person comes in thinking that they has parasites under their skin, comes in with a ziploc bags filled with skin that they want you to look at, what do you think?
Delusions of parasitosis
What's the treatment for delusions of parasitosis?
Antipsychotics
What causes dermatitis artefacta?
Someone with severe psychiatric illness causes these lesions to themself as a cry for help
Someone with severe psychiatric illness causes these lesions to themself as a cry for help
If you see someone come in with petichial macules in the feet and under the fingernails in the context of a fever, what should you think?
INFECTIVE ENDOCARDITIS
What are these?  What conditions are they seen in?
What are these? What conditions are they seen in?
Splinter hemorrhages

They're seen in bacterial endocarditis
What are these?  What conditions are they found in?
What are these? What conditions are they found in?
Osler nodes

Painful subcutaneous nodes, at the distal pads of fingers and toes
What are these?  What conditions are they found in?
What are these? What conditions are they found in?
Janeway lesions

Non-tender red macules on the palms and soles
What's the difference between Janeway and Osler nodes?
Janeway = pain away
If you see vilaceous papules along the base of the nose, what should you think?
If you see vilaceous papules along the base of the nose, what should you think?
Lupus pernio
Lupus pernio is related to what spectrum of diseases?
Sarcoidosis/upper respiratory tract problems
What systemic disease is this related to?
What systemic disease is this related to?
Inflammatory bowel disease

Lymphoreticular malignancies and malignancies
What are the hallmarks of pyoderma gangrenosum?
Pustules around the IV site

Purple edges
What are some cutaneous manifestations of IBD?
Sweet's syndrome

Pyodermagangrenosum
What do the plaques look like in Sweet's syndrome?
Brightly erythematous papulonodular lesions

Pseudovesiculations
Brightly erythematous papulonodular lesions

Pseudovesiculations
What conditions are Sweet's syndrome associated with?
Infection

Treatment with G-CSF

Acute myelogenous leukemia
What's thetreatment of Sweet's syndrome? How does it respond?
Prednisone

Well - instantly curative
Recent transplantation comes in with skin that's shiny and firm. What do you think?
Nephrogenic systemic fibrosis!
If there's someone who's in renal failure, why should you be cautious about giving them contrast in an MRI?
Associations withnephrogenic systemic fibrosis
Other than the skin, where can nephrogenic systemic fibrosis attack?
Diaphragm
Lungs
Kidneys
What kind of a deficiency is associated with acrodermatitis enteropathica?
Zinc deficiency
Other than skin findings, what are some symptoms of acrodermatitis enteropathica?
Hair loss

Diarrhea
What are causes of congenital zcrodermatitis enteropathica? Acquired?
Congenital: inherited inability to absorb zinc

Acquired: lack of ingestion
What are some of the causes of acquired AE?
Dietary Zinc deficiency
Lack of GI absorption
TPN
Nephrotic syndrome
Parenteral deficiency
What is the virus associated with kaposi's sarcoma?
Human Herpes Virus 8
What are some of the types of Kaposi's sarcoma?
Classic/Mediterranean (old men)
Endemic/African
Iatrogenic/transplant related

EPIDEMIC/AIDS RELATED - main kind
What's the best way to manage AIDS related Kaposi's sarcoma?
Get their immune system working better!
If you see someone in the ICU with these findings, what should you think? What's the prognosis?
If you see someone in the ICU with these findings, what should you think? What's the prognosis?
Disseminated intravascular coagulation
What are the findings in disseminated intravascular coagulation?
Diffuse petechia and purpura

Tissue necrosis with possible bulla formation

BLEEDING FROM WOUND SITE, LINES, MUCOSAL SURFACES
What are the causes of DIC?
Exposure of blood to procoagulents

Formation of fibrin in circulation

Fibrinolysis

Depletion of clotting factors

End organ damage
What are the manifestatsions of DIC?
Bleeding
Thrombombolism
Renal/Liver problems
Respiratory dysfunction
CNS dysfunction
What are kinds of tumor that commonly spread to the skin?
Breast
upper GI tract
Lung
Skin
What are some cancers that like to spread to the scalp?
Renal cell carcinoma

Breast cancer
If someone with a previous history of cancer comes in with a bump, what should you always think?
METASTASIS!
If you see this what should you think? What is its name?
If you see this what should you think? What is its name?
Hypertrichosis languinosa acquista

CANCER. Most commonly lung cancer
If you see this, what do you think? What do you call it?
If you see this, what do you think? What do you call it?
Erythema gyratum repens

LUNG CANCER!
If someone in the middle of their life comes in with severe mucosal ulcerations, what should you think?
If someone in the middle of their life comes in with severe mucosal ulcerations, what should you think?
Paraneoplastic pemphigus

Non-Hodgkin's lymphoma
CLL
Large cell lymphoma
What is the underlying problem with paraneoplastic pemphigus?
Autoantibodies form from the tumor against epidermal proteins.