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44 Cards in this Set

  • Front
  • Back
MC type of melanoma
superficial spreading
MC melanoma found in blacks and asians
acral lentiginous melanoma
MCC of cellulitis in the US
group A strep
MC type of burn
scald burn
MC topical burn ointment
Silvadene (sulfadiazine)
MC complication associated with burns
infection
Necrotizing faciitis TRIAD
-Elevated WBCs >14,000
-Elevated BUN >15
-Hyponatremia <135
"Rasberry-like nodules" described what condition
Pyogenic granulomas (capillary hemangiomas)
Pt c/o fawn colored scaling macules that do not tan.
KOH prep shows "spaghetti and meatball" (hyphae and spores).

DX?
Tinea versicolar (pityriasis versicolor)
This condition has a "tapioca-like" appearance with vesicles on the palms and soles
Dyshidrosis
Wickham's striae are seen in what condition
Lichen planus
Lichen planus is described with the 5 P's
-Pruritic
-Purple
-Planar
-Polygonal
-Papule
Pt has a herald patch and a Christmas tree like distribution of a rash. Pt had a mild URI prodrome before onset of rash.

DX?
Pityriosis rosea
Golden, honey yellow lesions
Impetigo
Fiery red rash of face
erysipelas
What is a Curling ulcer?
gastric ulcer that results as a complication of a burn
What is a Marjolin's ulcer?
a chronic healing burn wound that undergoes malignant transformation into SCC
S-shaped burrows on the skin and in web spaces.

DX?
Scabies
Oncholysis with oil spots.

DX?
Psoriasis
"hot tub folliculitis" caused by what pathogen?
Pseudomonas aureginosa
A (+) Nikolsky's sign (manual pressure on a bullae separates the epidermis more from the dermis) can be seen in what 2 conditions?
Pemphigus vulgaris

Toxic epidermal necrolysis
"coin-shaped" or "discoid" plaques with vesicles and papules.

DX?
Nummular eczema
flesh colored pearly papules with umbilicated centers
Molluscum contagiosum
Pt has silvery-white scaling plaques on extensor surfaces, a (+) Auspitz sign (peeling a scab results in pin point bleeding) and (+) Koebner's phenomenon (scratching leads to more lesions)

DX?
Psoriasis
What kind of drugs can cause a photosensitive rash
Tetracyclines and sulfa drugs
Use a Wood's light to DX what condition
Erythrasma
KOH prep to DX what conditions?
fungus and candida- see hyphae and buds
Beefy red, sharp bordered rash in groin (infants), under breast folds with "satellite lesions".

DX?
TX?
Candida

TX with nystatin/lotrimin cream QID x14d
Warm, erythematous, tender skin with possible induration or fluctuance.

DX?
Cellulitis
Red, less distinct borders. Coral red fluorescence under Wood's lamp examination.

DX?
Erythrasma
Rash with distinct, sharp raised demarcated border. pattern seems to follow lymphatic vessels Also fever, chills, and Group A strep infxn.

DX?
Erysipelas
Flesh-colored, pink or yellow-brown lesion with rough, sandpaper feel, at sun-exposed area.

DX?
Actinic Keratosis
Non-pruritis, raised, warty brown-black plaque, greasy, and "stuck on appearance"

DX?
Seborrheic keratosis
Raised pearly borders, telangiectasia, central ulcer.
Also called a "rodent ulcer"

DX?
Basal cell carcinoma
Pt has erythematous, annular patch with distinct borders and a central clearing.

DX?
Tinea infection

Hyphae on KOH prep
Thick, yellow, brittle nails.

DX?
TX?
Onychomycosis

TX with PO terbinafine
Infant with erythematous, scaly crusty lesions at vertex of scalp.

DX?
"Cradle Cap" (Seborrheic dermatitis)
Dark skinned person with "whitening or lightening" of skin. Hx of pernicious anemia or other autoimmune dz

DX?
Vitilligo

Skin BX to DX
Pt has dull, red urticarial papules with "bullseye/target" lesions on palms/soles. May progress to involve mucous membranes.

DX?
Erythema multiforme (EM)
Pt has lesion that is sinking macule, pale grey in color, slightly eroded in the center and has a halo of very tender inflammation and hemorrhage.

DX?
Brown recluse bite
Older pt with a HX of sun exposure presents with a keratotic, scaby eroded papule/plaque that won't heal.

DX?
Squamous cell CA
Pt presents with a painless, deep,punched out lesion over the malleoli, the plantar surface of the feet, or the toes.

DX?
TX?
Diabetic ulcer

-Debride in necessary
-wet to dry dressings or hydrogels
Pt presents with a lesion that is wide but not deep, with irregular, undulated edges and a clean base. Elevating the limb eases the pain.

DX?
TX?
Stasis ulcer from chronic venous stasis

-Elevate limb, whirlpool, gentian violet, Unna boot, compression stockings
Pt presents a painful ulcer, pulses are diminished, and the distal area is cold.

DX?
TX?
Arterial ulcer

-Debride in necessary
-wet to dry dressings or hydrogels