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20 Cards in this Set

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Hypertrophic scars
Resemble Keloids, but do not extend beyond the original borders of the injury or incision.
They may fade w/time & tend to improve w/tx.
Keloid S/Sx
shiny, hard, smooth, often dome shaped, & slightly pink.
Keloid D/Dx
Hypertrophic scars.
Keloid Management
Keloids do not respond to Tx very well.
Direct Corticosteroid injection.
Surgical or laser excision.
Cryosurgery (sm keloids)
Keloid Prevention
Silastic gel sheeting covering injury sites.
Dosage Corticosteroids for keloid management.
(kenalog) up to 10mg/lesion injected into the base of the lesion monthly. (very painful)
Dysplastic Nevi
Atypical moles-flat raised dark skin growth. Bigger than ordinary moles (>0.5 in across) & not necessarily round. Vary in color from tan to dark brown, usually on a pink background.
Dysplastic Nevi
Lesion Distribution
May appear anywhere on the body.
More common on covered areas, such as; buttocks, breasts & scalp.
Dysplastic Nevi
Risk factors
A person w/atypical moles & 2 or more close family members w/atypical moles & melanoma, have a high risk for developing malingnant emlanoma.
Dysplastic Nevi
Management
Look for changes (in color & size)
See practioner to check yearly.
Any change mole should be removed.
Avoid excessive sun exposure, wear sunblock at least (15)
Mole
Circumscribed pigmented macules, papules, or nodules domposed of clusters of melanocytes or nevus cells.
Tinea Capitis transmission
Direct contact, barber, hats, airline & theatre seating.
Dermatophyte
A fungal parasite that grows in or on the skin. Dermatophytes rarely penetrate deeper than the epidermis or its appendages—hair and nails. They cause skin diseases such as favus, tinea, ringworm, and eczema.
Dermatophyte infections 3 principle fungi are:
Microsporum
Trichophyton
Epidermophyton
Dermatophytosis is also referred to as
Tinea (ie. Tinea pedis, Tinea capitus, Tinea cruris)
Tinea Capitis S/Sx
usually hair loss (alopecia), hair shaft breaks off close to the scalp.
Tinea Capitis Dx
KOH prep may reveal spores around the hair shaft.
Wood's lamp should reveal bright green hair shafts.
Tinea Capitis
4 Types of lesions and skin changes.
"Gray Patch" (ringworm)
"Black Dot" (ringworm)
production of Kerion
Favus
"Gray Patch"
Tinea Capitis (ringworm): Brittle hair, shafts break off close to the sclap.
"Black Dot"
Tinea Capitis (ringworm): Closely broken-off hair looks like "dots". Appearance is diffuse & poorly circumscribed.