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63 Cards in this Set

  • Front
  • Back
What is this?
What is this?
A macule

(This one is cafe-au-lait)
What are the properties of a macule?
Flat
Color change
What are causes of macules?
Hyperpigmentation
Hypopigmentation
Vascular abnormalities
Dilated capillaries
What is this?
What is this?
Papule
What is the difference between a papule and a plaque?
Papule: < 1 cm

Plaque: > 1 cm
What is this
What is this
Plaque
What is this?
What is this?
Nodule
What are the properties of nodules?
BIg, spherically enlargedpapule.

Use different adjecties: firm, painless/painful, etc.
What is this?
What is this?
Bulla
What is the difference between a vesicle and a bulla?
Vesicle: < .5 cm

Bulla: > .5 cm
What kinds of fluids can be inside a vesicle/bulla?
Serum
Lymph
Blood
What is the definition of a pustule?
Circumstcried, elevated lesion containing a purulent fluid

Neutrophils always, bacteria some of the time.
What are the small bumps on the man's face?
What are the small bumps on the man's face?
Pustule
What is the definition of an erosion?
Loss of epidermus resulting in a circumscribed, moist, depressed lesion
What is this?
What is this?
Erosion
What is this?
What is this?
Crust
What composes a crust?
Dried serum, blood, or purulent exudate
What kind of a lesion is this?
What kind of a lesion is this?
Annular lesion

Active periphery, the middle is less active.
What kind of a lesion is this?
What kind of a lesion is this?
Targetoid
What kind of a lesion is this?
What kind of a lesion is this?
Arciform
What kind of a lesion is this?
What kind of a lesion is this?
Serpiginojs
If vesicles are grouped, what do you call it?
Herpetifom
If lesions follow a dermatome, what do you call it?
Dermasomal

OR

ZOSTERIFORM
What kind of a lesion is this?
What kind of a lesion is this?
reticular
What types of lesions are seen in impetigo?
Vesicula/Bulls
What are the causes of impetigo?
Gram + bacteria:

S. aureus, S. pyogenes
How is Impetigo spread?
Direct person-person contact
What's the most common kind of impetigo?
Non-bullous
What bacteria usually causes Non-bullous impetigo?
S. aureus

Some are caused by S. pyogenes
What are the properties of lesions from non-bullous impetigo?
Red macule-->vesicle-->crust
Generally, where does non-bullous impetigo occur?
Nose, mouth, extremities

Sites of trauma
What bacteria causes Bullous impetigo?
S. Aureus

A toxin causes the problems.
What population gets bullous impetigo?
Neonates
What are the treatments?
Clean skin/remove crust

Ointment
Widespread papula on a 18 year old who has a hot tub: what do you think?
Pseudomonas folliculitis
What is the time course for pseudomonas folliculitis?
Starts up 8 - 48 hours after exposure
What's the treatment of pseudomonal folliculitis?
It's normally self-limited

IF IMMUNE COMPROMISED:
Oral fluoroquinolone
What is the cause of lyme disease?
Borrelia burgdorferia
What are the initial findings of Lyme disease?
Erythema migrans
Erythema migrans
What is the treatment of lyme disease?
Doxy
Amoxicillin
Grouped vesicles are seen in what disease?
Herpes simplex
What type of herpes usually causes orolabial herpes? Genital?
Orolabial: HSV-1
Genital: HSV-2
What is the mechanism of transmission of herpes?
Direct contact
what are the symptoms of an active herpes infection?
Pain
Tenderness
burning
Fever
ymphadenopathy
How does herpes establish latency?
Skin--> Dorsal root ganglion along the nerve

It can then go back down to the skin to reactivatex
What virus causes chicken pox?
VZV
What's the transmission of VZV?
Airborne droplets

DIrect contact with the vesicles
What's the typical pattern on the body for VZV?
Scalp-->trunk-->extremities
In what stage is VZV contagious?
When things aren't crusted over.
What disease should you think of when they say, "Dew drop on a rose petal?"
VZV
What virus causes shingles? How does it happen?
VZV

You get a reactivation of the VZV
What condition causes a reticular pattern?
Erythema infectiosum
What virus causes erythema infectiosum?
Parvovirus B19
How is erythema infectiosum transmitted?
Respiratory droplets
What is the pattern of the rash travelling in erythema infectiosum?
Initial rash on the cheeks

Later, a reticulate rash on the extremities
What are serious complications to erythema infectiosum?
ANEMIA

Can happen seriously in newborns
What causes swimmers itch?
Schistosomes
What animals are involved in swimmers itch?
Duck are the host, crap out the eggs, gets picked up in the snails, then humans can get it.

Causes lots of papules.
What causes a serpingenous lesion?
SCABIES!

They show a burrow sign
What are the symptoms of scabies?
ITCHING!
How do you diagnose scabies?
Look for the little bugger in the skin: scrape it and look in a scope.
What is this?
What is this?
Erosion/ulceration
What kind of a spider can cause an ulcerating lesion?
BROWN RECLUSE!