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40 Cards in this Set

  • Front
  • Back
"Stuck on" appearance?
Seborrheic keratosis
Red plaques with silvery white scales and sharp margins?
Psoriasis
The most common type of skin cancer, the lesion is a pearly colored papule with a translucent surface and telangiectasis?
Basal cell carcinoma
Honey Crusted lesions?
Impetigo
A febrile patient with a hx of DM presents with red, swollen, painful lower extremity?
Cellulitis
+ Nikolsky's sign (positive when slight rubbing of the skin results in exfoliation of the outermost layer)
Pemphigus vulgaris
A 55 yo obese patient presents with dirty, velvety patches on the back of the neck?
Acanthosis nigricans. Check FBS to rule out DM
- Nikolsky's sign?
Bullous pemphigoid
Dermatomal distribution?
Varicella zoster
Flat topped papules?
Lichen planus
Iris like target lesions?
Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry?
Contact dermatitis
Presents with a herald patch, christmas tree pattern?
Pityriasis rosea
A 16 yo presents with an annular patch of alopecia with broken off stubby hairs?
Alopecia areata(autoimmune)
Pinkish, scaling, flat lesions on the chest and back; KOH prep has a spaghetti and meatballs appearance?
Pityriasis versicolor
Four characteristics of a nevus suggestive of melanoma?
1. Asymmetry
2. Border irregularity
3. Color Variation
4. Large diameter
A premalignant lesion from sun exposure that can lead to SqCC?
Actinic keratosis
"Dewdrops on a rose petal"
Lesions of primary Varicella
"Cradle cap"
Seborrheic dermatitis, tx with antifungals
Associated with propionibacterium and changes in androgen levels?
Acne vulgaris
A painful recurrent vesicular eruption of mucocutaneous surfaces?
Herpes simplex
Inflammation and epithelial thinning of the anogenital area predominantly in post menopausal women?
Lichen sclerosis
Exophytic nodules on the skin with varying degrees of scaling or ulceration; second most common type of skin cancer?
SqCC
The most common cause of hypothyroidism?
Hashimoto's
Labs in Hashimoto's
1. High TSH
2. Low T4
3. Anti-microsomal-AB
Exopthalmus, periorbital myxedema and low TSH?
Grave's Dz
The most common cause of Cushing's syndrome?
Iatrogenic corticosteroid administration. Number two is Cushing's dz
A patient presents with signs of hypocalcemia, high phosphorus, and low PTH?
Hypoparathyroidism
Stones, Bones, groans and psychiatric moans?
Hypercalcemia
A pateint complains of headache, weakness, and polyuria; exam reveals HTN and tetany; Labs show hypernatremia, hypokalemia, and metabolica alkalosis?
Primary Hyperaldosteronism (Conn's or bilateral adrenal hyperplasia)
A patient presents with tachycardia, wild BP swings, headache, diaphoresis, altered mental status, and a sense of panic?
Pheochromocytoma
Should alpha or beta antagonists be used first in a pheo?
Alpha; Phentolamine and Phenoxybenzamine
A patient with hx of lithium use presents with copious amounts of dilute urine?
Nephrogenic DI
Tx of central DI?
Administration of DDAVP, decrease serum osm and free water restriction
A postop patient with significant pain presents with hyponatremia and normal value status?
SIADH due to stress
An antidiabetic agent associated with lactic acidosis?
Metformin
A patient presents with weakness,nausea, vomiting, weight loss and new skin pigmentations.Labs show hyponatremia and hyperkalemia. Tx?
Primary adrenal insufficiency(Addison's Dz). Tx with replacement glucocorticoids, mineralocorticoids, and IV fluids
Goal HbA1C for a patient with DM?
<7
Tx DKA?
1. Fluids
2. Insulin
3. Aggressive replacement of electrolytes
Why are Beta-blockers contraindicated in DM?
1. They can mask the Sx of hypoglycemia