Dermatology

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Back 1

macule

Hint 1

flat (you can't feel it);

less than 1 cm;

caused by color changes in epidermis or upper dermis

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Back 2

patch

Hint 2

flat but larger than a macule

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Back 3

plaque

Hint 3

raised lesions;

casts a shadow with side lighting;

proliferation of cells in the epidermis or superficial dermis

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Back 4

papule

Hint 4

L. papula (pimple);

raised lesion less than a cm;

proliferation of cell in epidermis or superficial dermis

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Back 5

nodule

Hint 5

larger deep papule;

proliferation of cells down to mid-dermis;

raised area in the skin where the overlying epidermis looks and feels normal

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Back 6

vesicle

Hint 6

fluid-filled papules;

small blisters less than a cm;

a bulla is a large blister greater than a cm

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Back 7

wheal

Hint 7

elevated and palpable (can be touched);

solid transient (changing);

variable diameter;

paler pink with lighter center;

Ex: urticaria, insect bites and dermatographism

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Back 8

cyst

Hint 8

elevated, palpable but deep;

circumscribed, encapsulated;

filled with liquid/semi-solid material;

Ex: epidermoid cyst

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Back 9

eczematous conditions

Hint 9

inflamed, pruritic (itchy), dry skin;

Papules/Patches;

Excoriations/Lichenification;

Fissures;

Erythematous/Inflamed;

Xerotic (dry);

moisturize and avoid hot baths/showers;

topical/oral corticosteroids;

anti-histamine for itch

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Back 10

eczema/atopic dermatitis

Hint 10

affects flexor surfaces;

barrier dysfunction relation;

treatment: control the itch/scratch cycle

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Back 11

nuclear eczema

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Back 12

dishydrotic eczema

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Back 13

scabies

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Back 14

psoriases

Hint 14

chronic and recurrent;

well-circumscribed, silvery, white scaling papules;

various-sized plaques;

scalp, extensor surfaces: elbows/knees, nail lesions

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Back 15

tinea corporis (ringworm)

Hint 15

skin-skin contact, sandboxes, pets;

lesions are round, oval with semicircular or annular appearance;

scaly patches with occasional secondary infection

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Back 16

Tinea Cruris

Hint 16

jock itch

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Back 17

Tinea Pedis

Hint 17

athelete's foot

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Back 18

onychomycosis

Hint 18

Treatment:

avoid warm, moist environment;

topical antifungals, oral in some cases

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Back 19

pityriasis rosea

Hint 19

roubd patch/plaque "herald patch"' that becomes a christmas tree pattern;

peaks in Fall and Spring;

lasts 5-6 weeks;

topical steroids: comfort;

oral antihistamines control itch; prodrome suggests viral infection

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Back 20

Tinea Versicolor

Hint 20

lesion: tan and irregularly shaped (macules/papules) on upper back, neck, chest and arms (may de-pigment);

recurrent for years and worse in the summer;

a KOH lab would show fungal spores;

wood lamp/ black light shows a yellow appearance

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Back 21

vitiligo

Hint 21

shows white on woods lamp and black light

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Back 22

Verrucae (warts)

Hint 22

most common skin viral infection;

common HPV;

rough with black dots, tender with pressure, no skin lines;

treat with liquid nitrogen and debulking

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Back 23

mollusocum contagiosum

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Back 24

basal cell carcinoma

Hint 24

most common skin cancer;

wound that won't heal;

sun exposure, fair skin and radiation exposure are risk factors

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Back 25

seborrheic keratosis

Hint 25

light tan macule than becomes more pigmented and elevated over time and becomes a plaque;

becomes a warty papule with greasy texture and stuck-on appearance;

can be left alone or removed with liquid nitrogen

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Back 26

Nevi

Hint 26

pigmented or nonpigmented skin tumors with nevus cells (orignate from melanocytes);

benign nevus pigmentosum,

dysplastic nevus,

melanoma

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Back 27

Asymmetry

Borders

Color

Diameter

Front 28

pigmented lesion biopsy

Back 28

punch or excisional

Front 29

surface lesion biopsy

Back 29

shave

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Back 30

Herpes Zoster (viral)

Hint 30

painful acute dermatomal infection with reactivation of dormant varicella zoster virus (VZV);

common in trunk and first branch of trigeminal nerve (forehead, eyes, nose);

nerves don't cross the midline;

pain, pruritus, dull ache in dermatome;

pustules, erosions and crusts;

grouped vesicles on erythematous, tender base;

fever, malaise, headache

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Back 31

folliculitis

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Back 32

foruncle

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Back 33

impetigo

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Back 34

cellulitis

Front 35

primary intention

Back 35

wound closed with sutures or staples (8 hour rule)

Front 36

secondary intention

Back 36

heals without closure

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tertiary intention

Back 37

closure attempted several days after injury (if no infection shown)

Front 38

face stitches

Back 38

3-5 days

Front 39

chest and ab stitches

Back 39

7-10 days

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back stitches

Back 40

10 - 12 days

Front 41

non-joint upper extremity stitches

Back 41

7 - 10 days

Front 42

joint upper extremity stitches

Back 42

10 - 12 days

Front 43

general lower extremity stitches

Back 43

7 - 10 days

Front 44

lower extremity knee stitches

Back 44

10 - 12 days

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Back 45

Systemic Lupus Erythemaosus (SLE)

Hint 45

malar rash associated with Lupus;

Skin, joints, lungs, kidneys, blood, heart, nervous system, and membranes of cavities;

fever, fatigue, arthralgia, arthritis, photosensitivity, anemia, hair loss, and skin rash;

joint tenderness and edema, symmetric polyarthritis

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Back 46

scleroderma

Hint 46

connective tissue disorder;

skin, joints, blood vessels and internal organs;

degenerative, inflammatory changes leading to intense fibrosis

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Back 47

dermatomyositis

Hint 47

reddish-purple inflammatory changes in eyelids, periorbital area and erythema of face, neck and upper trunk;

skin changes happen;

relates to muscle weakness;

Gottron's papules