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74 Cards in this Set
- Front
- Back
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What type of Herpes Simplex is an STD?
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HSV 2
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What is the most common type of Herpes?
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HSV 1
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What looks like "dew drops on a rose petal?"
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Herpes Simplex and Chicken Pox (hallmark)
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If someone has severe, persistent herepes outbreaks, what should you think?
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immunosuppressed
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What is the incubation period for chicken pox?
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14 days average
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How does the rash of VZV begin, and how does it progress?
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Begins on the trunk and spreads out
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What vesicular eruption is usually in a dermatomal distribution?
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Herpes Zoster (shingles)
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What are 2 tx options for shingles?
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Acyclovir, Prednisone
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What is a tx option for chicken pox?
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Zovirax
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What causes non-bullous impetigo?
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Strep Pyogenes
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What causes bullous impetigo?
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Staphycloccoal auerus
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What staph disease can bacteria NOT be cultured directly from?
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SSSS
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What disease consists of bullae occuring in the axillary, groin and fold areas?
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Bullous Impetigo
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What is the hallmark of Erythema multiforme?
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Target Lesions
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What does Erythema multiforme have a strong association with?
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Herpes simplex
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What drug may cause erythema multiforme?
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Sulfa
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What is Steven's Johnson Syndrome?
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Erythema Multiforme
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What type of contact dermatitis have irritants involved?
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Type 1
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What type of contact dermatitis have allergins involved?
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Type 2
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What disease has IgG directed agains desmoglein III?
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Pemphigus vulgaris
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What disease has IgG at the basement membrane attacking hemidesmesomes?
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Bullous Pemphicoid
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What disease would an elderly patient come in with severe pruritic symptoms that have been that way for a while?
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Bullous pemphicoid
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What disease would have blisters on the sights of sun, milia, scarring and hyperpigmentation?
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Prophyria Cutanea Tarda (PCT)
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What disease has a defect in heme synthesis and is associated with liver toxins?
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PCT
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What disease would show elevated uroporphyrin and copropporphyrin in urine?
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PCT
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What would a positive Nikolsky's sign indicate?
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Blister is easily wiped off
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What disease is associated with a gluten sensitivity?
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Dermatitis Herpetiformis
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What disease is associated with renal impairment is the young?
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SSSS
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What type of psoriasis peaks at age 10 and is caused by infection?
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Guttate
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What is a positive Auspitz sign?
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Scales bleed easily when scraped off
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What is the Koebner phenomena?
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When a disease developes after trauma to the skin (Psoriasis)
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What is the Auspitz sign in Psoriasis?
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+
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What disease is often associated with nail disease and scaled plaques on a red base?
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Psoriasis
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What mediates psoriasis?
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cytokines
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What disease is caused by hyperkeratosis?
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Psoriasis
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What is the tx for psoriasis?
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Remove scale with salicylic acid 5 % cream and use topical steriods. Phototherapy may also help.
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What type of psoriasis usually occurs in the fold areas?
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Inverse
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What type of psoriasis usually occurs on the trunk and proximal extermities?
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Guttate
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What type of psoriasis is localized to the hand and soles?
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Pustular
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What are 3 triggers to Psoriasis?
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Beta blockers, lithium, antimilarials
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What disease would be greasy appearing scaled red to brown patches?
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Seborrheic
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What disease has a possible connection to CNS disease?
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Seborrheic dermatitis
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What would you use to treat seborrheic dermatitis?
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Ketoconazole
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What is the difference between pemphigus vulgaris and bullous pemphicoid?
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Pemphigus vulgaris involves the skin and mucous membranes
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What disease has the hallmark of Wickham's striae and what is that?
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Classical Lichen Planus; white grroves or line on the surface of skin and oral lesions that cannot be wiped off
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What type of lichen planus involves scaring hair loss?
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Lichen Planopilaris
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Very thick plaques of scale over the lichen planus especially over the extremities and extensor surfaces
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Hypertorphic
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Immunoflorescense: - shaggy deposits of IGM along the basement membrane zone (unlike lupus which would have IGG)
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Lichen Planus
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What are 2 tx for lichen planus?
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Cyclosporin, heparin, topical steriods, oral steriods, Retinoids
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What specific tx would you use for lichen planopilaris (scalp)?
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Plaquenil
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What disease would you see on the wrists, shins and mucous membranes with Wickham striae?
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Lichen planus
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What drugs can induce lichen planus?
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sulfa, Thiazide, beta blockers
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What would a rash in actue lupus look like?
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Erythema butterfly rash and also on pohtosensitve areas
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What form of lupus is due to anti SSA or SSB antibodies?
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Sub acute lupus
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What would the rash of a sub acute lupus look like?
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Erythematous in the upper torso and extensor surfaces
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Infiltration and destruction of adipose tissue, especailly upper extremities
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Lupus panniculitis
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Very thick hyperkeratotic discoid lupus like lesions that usually occur on the extensor sun exposed surfaces
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Verrucous lupus
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What type of lupus has scarring with pits?
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Discoid Lupus
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What drugs may induce photosensitivity dermatitis?
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Thiazide diuretics and tetracylines
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What disease is total detachment of the dermis, similar to a 2nd degree burn?
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Toxic Epidermal Necrolysis
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What would Nikolsky's sign be in TEN?
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+
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What drugs may induce Erythema Multiforme and TEN?
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Sulfa, PCN, dilantin, tegretol
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What disease is the inflammation of fat cells under the skin, usually on shins
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Erythema Nodosum
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What disease would be panniculitis on the posterior legs?
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Erythema Induratum
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What is the difference between urticaria and angioedema?
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Urticaria are wheals in the upper dermis and may itch. Angioedema affects skin, SQ, sub muc, (eyes and lips) and is painful
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What should you do if urticaria and angioedema persist for more than 48 hours or looks atypical?
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Punch Bx to exclude vasculitis
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What are the 1st, 2nd and LAST choices to tx urticaria and angioedema?
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1st = second generation, non-sedating H1 blockers
2nd = first generation, sedating H1-blockers LAST - oral corticosteriod (prednisone) |
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Acid burns cause what type of necrosis?
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Coagulation
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Base burns cause what type of necrosis?
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Liquefaction
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What would you see in a 1st degree burn?
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Erythema, sunburn
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What would you see in a 2nd degree burn?
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Blistering (into dermis)
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What would you see in a 3rd degree burn?
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Painless
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What is the complication of Silvadene?
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neutropenia
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What temp would you do a rewarm for frostbite?
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104 F or 40 C
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