Derm And Thyroid Cps Test

Front 1

macule

Back 1

flat, <1cm

lentigo, freckles, measles, richettsia, rubella, tattoos

Front 2

patch

Back 2

>1cm flat; votelligo

Front 3

papule

Back 3

superficial raised lesion <1cm
molluscum contagiousum, insect bite, acne

Front 4

plaque

Back 4

superficial raised lesion >1cm

psoriaisis, granuloma anulare

Front 5

nodule

Back 5

in the dermis >.5cm

dermatofibroma, tumor, cysts
excise

Front 6

pustule

Back 6

filled w/ pus epidermal to deep subdermal; fluid and leukocytes

color change from different than vesicle

Front 7

vesicle

Back 7

fluid filled superfical <.05 cm
herpes, contact dermatitis, AA, blisters

Front 8

bullae

Back 8

>.05 cm, superficial, fluid filled, burns friction, intraepidermal, subepidermal

pemphigus vulgaris, bullous pemphigoid, skin is FRAGILE

Front 9

wheal

Back 9

HST1 reaction, hives and urticaria
dermatographism

Front 10

burrow

Back 10

thin linear papule or plague become serpingous
mites

Front 11

comedone

Back 11

follicular papule w/ keratinous plug ope or close
black head

Front 12

cyst

Back 12

papule or nodule folled w/ debris

Front 13

telangiectasia

Back 13

dilated bv commonly in BCC <1mm wide

Front 14

scale

Back 14

inc amount of stratum corneum

hyperkeratosis
seborrheic cdermititis; fungal infection

Front 15

crust

Back 15

collection of dired cerum and cellular debris

contact dermatitis, herpes

Front 16

excoriations

Back 16

superficial, linear by scrapting

Front 17

erosions

Back 17

superficial lesions NO SCAR, dermis is intact

vulvar atrophy by scratching rubbing picking

Front 18

ulcers

Back 18

deep past the dermis will SCAR

Front 19

fissure

Back 19

thin linear ulcer; in dermis; SCAR
near vertical walls

Front 20

atrophy

Back 20

thinning of the skin not normal

more prominent vascularity
commonly in topical steroids, SLE lymphoma

Front 21

scar

Back 21

hypertrophic, keloids (not assoc w/ the initial trauma-->grows out)

Front 22

lichenification

Back 22

rub, skins defense is to thicken

Front 23

annular

Back 23

circular, plauwe patch ect
ring worm--KOH in atopy, dermatophte

Front 24

arcuate

Back 24

circular

Front 25

discrete

Back 25

lone lesion by self

Front 26

reticulated

Back 26

net like; 5ths disease/slapped cheek

Front 27

target

Back 27

erythema multiform; RMSF

Front 28

punctate

Back 28

pinpoint, fine papules

Front 29

umbilicated

Back 29

mulluscum contagiousum; belly button like

Front 30

induration

Back 30

deep thickening, edema, infallation

Front 31

morbiliform

Back 31

measles like

Front 32

verrucous***

Back 32

wart like

Front 33

liquid nitrogen

Back 33

-196 coldest agent; freezes ice crystal formation changes pH; damage when thawing; vascular stasis

Front 34

atopic dermatitis

Back 34

papules, plaques scales on flexures of extremiites neck torso; nummular

cheeks in infantile AD; lichenification; flexural
pruitis + creases (cheeks), hx of asthma hay fever OR primary relative <4 y/o; dry skin, lexural ecema

treat w/ emollients (bladn moisturizings) and bathing; antihistamines to sedate; poss prednisone

Front 35

nummular

Back 35

coin shaped patches; atopic dermatitis

Front 36

contact dermatitis

Back 36

clear vesicle, tapioca pudding palms; T1HS; RIST test measures IgE
OR usually T4HS poison ivy in a linerar line approx 10 days w/ reexposure
nickel is most common
patch test!!!
treat w/ topical steroids

Front 37

eczema herpeticum

Back 37

HSV inffection

Front 38

pityriasis alba

Back 38

hypopig w/ sligh scale; seen in atopic dermatitis pateitns esp on the cheeks

Front 39

seborrheic dermatitis

Back 39

yellow greasy scales; M furfur tinea versicolor
on scalp ad face; 0-3 mo or in 4-6th decades
active sebaceious glands, abnormal sebum, commensal yeast
treat w/ shamboo, poss ketoconazole

Front 40

psoriasis

Back 40

koebner phenomen; plaque type
on chrom 6
MTX IS GOLD STANDARD; injectable TNFa inhibitors infliximab
poss infection, meds, smoking,a lochol precipitate
plaque-silver scaly (assoc w/ arthrtis); distal onycholysis (not attached to nail bed); obesity and CV risks; sausage fingers in arthritis
tx: vit D, corticosteroids, coal tar, anthralin, retinoids, dec epidermal prolif
t cells prob antagonist of inflammaton and neturophils
phototherapy--UVB
Goekerman therapy--tar bath then UV light

Front 41

urticaria

Back 41

wheals; evanescent--one lesion
superficial dermis; inc serious fluid T1HS
tx- antihistamine

Front 42

angioedema

Back 42

dermis subcutis wheals; T1HS w/ serious fluid
tx-epinephrine

Front 43

drug hypersensitivity

Back 43

morbilliform, exantheamous
T4HS
can be slightly palpable
symmethric distribution
fixed drug reaction--comes back insame place

Front 44

erythema multiorme

Back 44

minor damage <SJS<TEN; kids HSV drugs in adults

TARGET appearnace; less concerning
---anticonvulants>allopurinol, NSAIDs, Abs

Front 45

SJS

Back 45

one of the few derm emergencies
anticonvulsants>allopurinol, abs, NSAIDS,
<10% body surface area covered
mucosal involvement

Front 46

TEN

Back 46

one of the few derm emergencies
drug rxn--anticonvulsants>allopurinol, Abs, NSAIDS
sloughing of skin; >30% of body surface area covered; mucosal involvement

Front 47

causes of TEN, SJS, EM

Back 47

drugs--As anticonvulsants> Abs>allopurinol, NSAIDs

Front 48

erythema nodosum

Back 48

nodules; common on lower legs
bacteria, fungal infection, sarcoid, crohns, drugs--OCPs, Abs,
treat: supporative, elevation, NSAIDs

Front 49

bullous pemphigoid

Back 49

MC autoimmune subepidermal blistering disease; elderly
autoantibodies; HEMIDESMOSOMES; TENSE, must biopsy

tx: prednisone

Front 50

pemphigus vulgaris

Back 50

AI blistering disease
intraepidermal (falccid bullae) loe KERATINOCYTES adhesion, mucosal membrane erosions; FRAGILE
ooze and bleed easily

Front 51

lichen planus

Back 51

flat topped, violaceous polygonal papules and plaues; shiny scaly (wickham's stria)
white and lacy
P's purple, planar polygonal, puritic, papules

topical steroids, antihistamines; poss prednisone

Front 52

vascular rosacea

Back 52

persistent erythema, often w/ telangiectasia

Front 53

rosacea

Back 53

papulopustular-erythematous papules and or pustules
sebaceous hyperplasia-thickened, firm follicles usually on nose
ocular-erythemia, irrat of conjunctiva, hordeolum cholazion
granulomatous-ard pauples nodules, yellow, brown or red

Front 54

perioral dermatitis

Back 54

acneiform spares around the mouth; poss around eyes; mostly females
oral topical ab

Front 55

acne vulgaris

Back 55

propionibacterium gram + aerobe; keratization of follicular epithelium inc sebum by androgens; lipases on sebum, irritation FA in inflammatory pilosebaceious; comedones; 95% of adults
DHT stim
tx: topical retinoid (vit A)--keratolytic, antiinflamatory; benzyl peroxide---antibacterial drying
erythromycin, clindamycin; systemic--minocycline, odxycline bactrim
testracyclines are 1st line
OCPs and spironolactone
acutane--dec sebum production

Front 56

acne rosacea

Back 56

etiology unknown; persistent flushing; exacerbaed by VD heat, exercise, hot food drinks
more in anglo saxons
oral tetracycline ab

Front 57

pityriasis rosea

Back 57

slamon colored oval; HERALD PATCH, christmas tree pattern
self limited
idiopathic
skin rash

Front 58

vitiligo

Back 58

depigmented macules patches; bony prominences, hands, feet, face
wood's light
can be universal
MJ?
topical steroids-clobetasol

Front 59

alopecia

Back 59

HAIRLOSS

scarring vs nonscarring;
nonscarring is androgenetic, alopecia areata, telogen efluvium
scarring--discoid lupus, lichen planopilarus, central centrifugal cicatricial alopecia
dx: biopsy, KOH, ANA, tyroid, VDRL
diff to treat, intralesional steroids for alopecia areata, discoid lupus, lichen planopilaris; topical steroids--alopecia areata, topical immunotherapy w/ sensitzers---alopecia areata; topical minxidil--androgenetic alopecia; topical short contact anthralins---alopecia areata

Front 60

alopecia areata

Back 60

round smooth patches of hair loss; unknown
assoc w/ thyroiditis vitiligo, down's
regrowth can be gray/white tx: intralesional steroids, topical, topical immunotherapy w/ sensitizers, topical short contact anthralins

Front 61

telogen effluvium

Back 61

normal hair cycle 85% growing 15% resting; stress leads to inc telogen---3 mo hair falls out at same time
febril illness, chid birth, hosp
tx: reasurrance

Front 62

acanthosis nigricans

Back 62

velvety hyperpig
axillae, neck, groin
obeses, DM, darly pigmented individuals usually

Front 63

actinic keratosis

Back 63

sun damaged; EPAS-erythematous papule w/ adherent scale
-->SCC 10%
tx: nitrogen E&C, topical chemo, 5-fu, aldara
punch biopsy

chelitis on the lip

Front 64

dysplastic nevi

Back 64

precursors for melanoma; punch biopsy or shave
mole irregular

Front 65

nitrogen SE

Back 65

residual hypopigmentation, blister fromation

Front 66

BCC

Back 66

most freequent skin cancer 80%, 4x>SCC rare mets; local destruction of tissue

MC malignant neoplasm; pearly papule or nodule; telangiectasisas, ulcerated papule
tx: E&C, cryosurgery, excision, radiation; topical therapy--imiquimod 50-75%
face and neck sunlight
morpheaform--scarlike, nodular---easy bleed; pigmented--black discoloration w/ melanin

Front 67

superficial BCC

Back 67

erythematous scaly plaque, slow, asymptomatic, trunk extemities face

Front 68

morpheaform BCC

Back 68

scarlike, slow, ill defined margins

Front 69

bowen's disease

Back 69

in situ SCC, aresenic, HPV 16 radiation

Front 70

erythroplasia of querat

Back 70

in situ SCC, uncirc men poss become invasive SCC

Front 71

invasive SCC

Back 71

invasive and destructive; mets 1-3% of cases
LN-50-72% of survival; lungs=incurable

bowen's and erythroplasia of querat--efudex or aldara, liquid nitrogen, radiation, ED/C
surgical exision if invasive, mohs, traditional

erythematous nodule (red or pink base hill like); indurated lesion, sun-exposed skin
M>W; slow growth, can be scaly ulcer like
lower lip

Front 72

keratoacanthoma

Back 72

low grade SCC, rapid growth, trauma, sun, HPV 11, 16
poss-->invasiveSCC

Front 73

tx SCC

Back 73

bowen's and erythroplasia of querat--efudex or aldara, liquid nitrogen, radiation, ED/C
surgical exision if invasive, mohs, traditional

Front 74

malignant melanoma

Back 74

irregular color tan to black
asymmetry-->border-->color-->diameter-->evolving >6mm eraser tip

tx: excision (in situ 5mm; invasive 1-3 cm); sentinal node biopsy--1-4mm does not affect survial of patients
poss sentinal LN biopsy
IFNa
ugly duckling sign
risk: red hair, blue eyes, fair skin, sun
back is MC location, legs comon for women
can be nodular
good prog <1mm, intermediate prog 1-4 mm; bad >4mm

Front 75

kaposi's sarcoma

Back 75

african ednemic--fulminant lymphadenopathic; immunocmp-AIDS
HHV-8
classic KS-slow, blue red lower extrem
AIDS-related epidemic--HIV CD$ T cell <500; trunk midface

Front 76

AIDS related KS

Back 76

trunk and mid face <500 CD4 T cell
HHV8

Front 77

classic KS

Back 77

lower extremities slow

Front 78

seborrheic keratosis

Back 78

tan papules; head/back-->liquid nitrogen
weight loss and stool guiac are signs fro stomach adenocarcinoma
Leser-Trelat sign nephritis sign

Front 79

acrocordons

Back 79

skin tags

Front 80

tinea versicolor

Back 80

seborrheic dermatitis (dandruff); hypopig or hyperpig; common in HIV an dinfants
lipophilic yeast M. Furfur, KOH prep speghtetti and meatballs or p. ovale
treat w/ shampoo Ketoconazole, selenium

Front 81

dermatophytes

Back 81

annular red plaques named for area
capitis, corporis, manum, facei, pedis, cruris;
KOH if scale
tinea! RING WORM

tx: antifungals topical
systemic in adults lamisil, fluconazole, grisofulvin, itraconazlole
chidlren-griseofulvin, fluconazole
inflammatory--w/ scale

Front 82

tinea pedis

Back 82

feet, interdigit, moccassin type; try; two feet one hand

Front 83

tinea corporis

Back 83

buttocks

Front 84

tinea cruris

Back 84

jock itch ring worm

Front 85

tinea capitus

Back 85

poss scale
MUST TREAT SYSTEMICALLY-griseofulvin or fluconazole in chidren
terbinifine or itraconazole in adults

Front 86

tinea unguium

Back 86

onychomycosis; toenails; systemic

tx: terbinafine, fluconazole
children-fluconazole or grseofulvin

Front 87

candidiasis

Back 87

oral, blaanitis, intertrigo (groin); angular chelitis)-densures crease;

Front 88

impetio

Back 88

bact infection honey crusted children 2-5 day cares, nasal-staph
strep pyrogenes-post strep GN
red cell casts
treat-clean, remove crsts
Ab topical=oral
mupirocin, fusidic acid
strep- B lactamace, macrolide-erythromycin
1st or 2nd gen cephalosporins

Front 89

cellulitis

Back 89

deep dermis subQ tissue no border; fever and chills

Front 90

erysipelas

Back 90

superficial dermis; fever, chills
legs or face; recurrence is common
lymphatic damgage

Front 91

molluscum contagiosum

Back 91

umbilicated papules; trunk extrem, genitals, face
Pox virus
children-catharadin
curettage older, liqueid nitrogen, aldara

Front 92

warts

Back 92

verrucus, HPV
rough, mosaic,plantar
verruca plana-flat-topped paules

tx liquid nitrogen, podophyllin, TCA, cantharadin

Front 93

condyloma acuminate

Back 93

HPV verrucus warts genitalia
tx liquid nitrogen, podophyllin, TCA, cantharadin

Front 94

herpes simplex

Back 94

goruped vesciles, neruons to DRG; latency
HSV 1-buccal mucosa, ginvgiva
recurrent-lip
HSV 2--genital, painful, erosive

dx: fluorescent Ab assay replaces Tzanch smear, culture 2-5 days; often misdiagnsoed as recurrent zoster

tx-acyclovr, valacyclovir

Front 95

HSV 3

Back 95

chicken pox incubation 14 days; mild in children; rose petal macule eruptive phase; cloudy vesicle, trunk and spreads; centripeta

Front 96

zoster

Back 96

shingles, reactivation; pain--postherpetic neuralgia; dermatome

Front 97

coxsackievirus

Back 97

A16/enterovirus 71; hand food mouth disease; oral lesions

Front 98

scarlet fever

Back 98

strep, strawberry tongue, desquamation

Front 99

erythema infectiosum

Back 99

parvo B19,

Front 100

roseola infatum

Back 100

HHV 6/7

Front 101

kawasaki disease

Back 101

mouth lesions

Front 102

mono

Back 102

commonly misdiagnosis as strep
amoxicillin (b lactam)-->rash, dysphagia

Front 103

scabies

Back 103

sarcotes scabiei, mite in stratum corneum; eggs burrows
mostly immunocomp and elderly

Front 104

RMSF

Back 104

can be spotless; dermacentor ticks; rickettsia rickettsiii
1week after bite, fever, HA, myalgias, N/V
rash
erythematous macules peripheral to central centrifugal
PETICHIAL
tx: doxycyline

Front 105

gas gangrene

Back 105

clostridial mynecrosis
progressive, lethal infeciton of mm, myonecrosis, truama
peripheral vascular disease ro DM
skin is dark or bronze
C. perfringens

surgical debridment treats, broad-spectrum ab and hyperbaric oxygen;
Not penicillin G anymore now CLINDAMYCIN + aminoglycoside like choloramphenicol

Front 106

C perfringens

Back 106

gas gangrene
surgical debridment treats, broad-spectrum ab and hyperbaric oxygen
Not penicillin G anymore now CLINDAMYCIN + aminoglycoside like choloramphenicol

Front 107

decubitus ulcers

Back 107

stage 1-non blanch intact skin, impending ulcerwarmth, edema, discolor indurations
stage 2-partial-thickness skin loss invovling epidermis, dermis or both; superficial lesion, erosion, blister or shallow ulcer
stage 3-full thicness skin loss subQ damage or necrotic; deep crater like
stage 4- full thick, necrosis, extends to mm, bone, tendons; sinus tracts

Front 108

pityriasis

Back 108

flaking or scaling of the skin

Front 109

major cause of mortality in DM

Back 109

CVD