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100 Cards in this Set
- Front
- Back
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elderly skin condition
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solar damage, actinic keratoses, skin cancer, xerosis, nail dystrophies, infection, pressure keratoses and ulcers
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Children skin conditions
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no tinea pedis or onychomycosis, prone to eczema
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Young adult skin conditions
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verrucae
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Middle age skin conditions
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contact dermatitis, mechanical keratoses, tinea pedis and eczemas
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Femal skin condition
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vasospastic disorders, atrophy blanche, stasis dermatitis, diabetic dermopathies
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male skin conditions
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keratodema blenorrhagicum or Reiter's, tinea, onychomycosis
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Atrophy Blanche
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chronic venous sufficiency, recurrent venous leg ulcers, women, painful ulcers in acute, perimalleolar, white atrophic scars
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White People Skin Conditions
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solar damage, melanoma
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Black People Skin Conditions
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palmar Punctae keratodermas, longitudinal melanonychia, plantar nevi
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Celtic People Skin Conditions
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Xerosis and Skin Cancer
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Mediterranean People Skin Conditions
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Kaposi's Sarcoma
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Manufacturing Skin Conditions
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Repetitive microtrauma to digits, eczema
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Assemblers Skin Conditions
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exposure to chemical adhesives
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Roofers
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Roofing adhesive, cement contact dermatitis
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cement finishers and masons
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irritant contact dermatitis
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agriculture
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arsenic in wells
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Healthcare workers
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allergic CD to latex and cold sterile solutions, nosocomial infections
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bartenders/homemakers
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paroynchias, contact dermatitis, hand eczema
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Foreign exposure
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Madura foot, hepatitis, elephantitis, infections lymphedema, stds, blastomycoses, brown recluse spider, poison ivy and oak, larvae migrans, coral abrasions and lacerations
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sports conditions
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black heel - volley/basketball, friction aggravated acne, leishmaniasis and tinea gladiatorum, herpes- wrestling, shin and foot nodules- surfing, man of war, coral abrasions- diving
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Sexual History Conditions
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plantar plaques- syphillis, purple plaques- kaposi's sarcoma- AIDS, Reiter's Disease- heel pain paronychia
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Gout
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build up of Uric acid in the joints
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Dermopathy
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necrobiosis lipoidica, paronychia,
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RA-
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hemmorhagic pressure karatoses, , vasculitic ulcers,
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DS
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tinea pedis, atopic eczema, plantar dermatoglyphics,
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crohn's
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pyoderma gangrenosum ulcers
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Fibromyalgia
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hypersesitivity to pain, clothing, chronic fatigue, disordered sleep
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New Medication leads to
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erythema multiforme, drug eruptions, erythema nodosum
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Chlorpromazine, Griseofulvin, Tetrclycline leads to
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Solar Utaricaria Hypersensitivity
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Solar Exposure
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Blisters of Cutaneous Porphyria
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Inheritable Nail Dystrophies
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Brachyonychia, pachyonichia, onychomcryptosis, atopic eczema, psoriatic predisposition, pincer nails, onychomycosis
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Nature
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how does it feel? Does it itch?
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Location
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skin changes elsewhere? Palms, knees elbows and scalp, look at entire leg up to knee
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duration treatment?
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acute- cool soak, spray or lotions, subactute- cream works best, chronic- ointment
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Onset
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abrupt or insidious
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Course
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progressing or cycling? Seasonal or other environmental triggers
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Agravating factors
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Better? Or Worse?
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Treatments tried?
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current and tried
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Inspection of the Skin
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well lit 50in above toes, skin cancer, basal CC, Squamous CC, Actinic Keratoses and Melanoma
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Face Conditions
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Actinic Keratoses, Melasma, xanthelasma, spider angiomas, rosacea, acne, peleche, psoriasis, and seborrheic dermatitis
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Mouth Conditions
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Leukoplakia, Wickam's Striae- Lichen Panus, Scrotal tongue, hairy tongue
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Primary Lesions
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Macule and Patch, papules and plaque, nodule and tumor, wheal, vesicle and bulla, pustule
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Secondary Lesions
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Scales, Crusts, Erosions, Scars, Keloids, Ulcers
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Arm Conditions
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Flexor Atopic Dermatitis, extensor psoriasis
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Hands
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Warts, parnychia, tinea manum, punctate keratoderma,
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groin
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tinea cruris, discharge, ulcerations
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Legs
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Extensor knee psoriasis, flexor atopic dermatitis, telangectasias, varices, stasis dermatitis
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Feet
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Tinea pedis, onychomycosis, pressure, keratoses, warts
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Annular
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arranged in a circle
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arciforms
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arcs of portions of a circle
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polycyclic
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intersecting arcs or circles
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serpiginous
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lesions occur in wavy lines cutaneous larvae migrations
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iris grouping
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bullseye pattern like a target
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zosterform grouping
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bands following a dermatome
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linear grouping
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lymphangitis contact dermatitis, poison ivy, shin excoriations from itching xerotic skin
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retiform grouping
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criss cross paterns forming a network(honeycomb), erythem ab igne on shins, tevido reticularis, x-ray dermatitis
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Irregular grouping
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no pattern, urticaria, insect bites, chicken pox
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Ulcer
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secondary lesion, can penetrate to bone, 2 dozen types of leg ulcers, presure ulcers graded
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Measurement of Ulcer
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Measure, exudate, appearance, suffering, undermining, re-evaluation(1-4 weeks), edge
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scars
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secondary lesion, permanent skin changes, follows destruction of dermis or epidermis, flat scars and hypertrophic scars
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Keloid
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aggressive scar tissue formation, beyond original injury, genetically determined
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Atrophy
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secondary leasion, depresion in skin contour thinning, loss of sub Q fat, steroid injections can cause atrophy
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Lichenification
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thickened skin from scratching or rubbing, possible plaques if hyper keratosis, hyper pigmentation
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telangectasia
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dialated torturous superficial capillaries, will blanche with pressure, pregancy, hepatic portal vein hypertension of cirrhosis
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skin pigmentation
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melanin, chronic inflammation in creases production locally
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hemosiderin
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oxidized hemoglobulin iron that stains the skin brown
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carotene
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stains skin yellow if there is dietary excess
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bile
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yellow skin from hepato-billiary disease
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blood pigments
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can stain apocrine sweat
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A
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Asymmetry
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B
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Border- irregular with blurred notched or ragged edges
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C
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Color- uniform or variation
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D
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Diameter >6mm suspicious,
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E
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Elevation Increases Risk
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Dermoscopy
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skin magnification
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3 Points of Dermoscopy
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Asymmetry, Atypical Network, Blue-white Structures
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skin turgor
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how tight the skin is, sign of dehydration(fold that stays for 30 seconds suggests dehydration), senile cutaneous atrophy, or rapid weight loss
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diascopy
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clear plastic slide for checking blanching
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Nikolsky's sign
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blister margin spreads with finger pressure, lack of normal epidermal cell adhesions, staph, pemphigus autoimmune, toxic epidermal necrosis or sever drug reaction.
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Auspitz's Sign of Psoriasis
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Pinpoint bleeding upon removal of scale, elongated dermal paillae, suggests verrucae with bleeding of hyperkeratonic plaques
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Koebner's Phenomena Isomophic Reaction
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recurrent psoriasis or lichen planus with new injury to skin, can happen with surgery
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Onychomycosis Severity Index
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divide into quarters, one point for each quarter and multiply by 1-5 for proximity to matrix
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Dermatophytoma
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Streaks in the nail
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OSI calculation
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Onychomycosis severity Index (OSI) score, plus 10 for dermatophytoma, or nail thicker than 2mm
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Diagnostic Techniques
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KOH Wet Mount, Wood's Light (coral red for Corynebateria minuitissium) Tzank test- blister base scraping pemphigus giant cells
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KOH Wet Mount
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two drops KOH and DMSO or Chlorozol Black E Fungal, dry, observe, mold- large flat ribbons, candida albicans- shorter terminally segmented
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Coral Red Woods Light
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Erythrasma
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White-Yellow Woods Light
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Pseudomonas
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Orange to Pink Woods Light
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Urine
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Yellow-green Woods light
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Microsporium
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No Glow Woods Light
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Tricophytons
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Tzank Smear
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Giemsa Stained Smear of Blister Base, Pemphigus Giant Cells
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Gangrene
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Irreversible death of tissue, Loss of Vascularity, PAD, Secondary Bacterial Infection
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Hypertrichosis
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Hair growth in non-androgen sensitive areas
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Hirsuitism
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Excess hair growth in androgen sensitive areas, male like pattern of hair growth
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Alopecia
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autoimmune hair loss, male pattern baldness, women have diffuse thinning of the crown
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Atopic Dermatitis
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Allergic rhinitis, hay fever, asthma, sensitive skin, urticaris, milk allergies as a newborn
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Xerosis
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abnormal dryness of the skin
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Ichthyosis
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molecular defect in kertinization process leaving scaling skin
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Dermatphytid Reaction
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maculopapular or papulovesicular rash occuring after fungal infection, called bacterid when bacterial infection
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