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93 Cards in this Set
- Front
- Back
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"stuck-on" appearance
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seborrheic keratosis
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red plaques with silvery-white scales and sharp margins
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psoriasis
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the most common type of skin cancer; the lesion is a pearly-coated papule with a translucent surface and teleangiectasias
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basal cell carcinoma
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honey-crusted lesions
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impetigo
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febrile patient with a history of diabetes presents with a red, swollen, painful lower extremity
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cellulitis
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positive Nikolskys sign
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pemphigus vulgaris
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negative Nikolskys sign
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bullous pephigoid
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a 55 year old obese patient presents with dirty, velvety patches on the back of the neck
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acanthosis nigricans --> check fasting blood sugar to rule out diabetes
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dermatomal distribution
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varicella zoster
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flat-topped papules
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lichen planus
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iris-like target lesions
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erythema multiforme
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a lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry
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contact dermatitis
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presents with a herald patch, Christmas-tree like pattern
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pityriasis rosea
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a 16 year old presents with an annular patch of alopecia with broken-off, stubby hairs
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alopecia areata (autoimmune process)
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pinkish, scaling, flat lesions on the chest and back; KOH prep has a "spaghetti-and-meatballs" appearance
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pityriasis versicolor
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four characteristics of a nevus suggestive of melanoma
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asymmetry, border irregularity, color variation, large diameter
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premalignant lesion fro sun exposure that can lead to squamous cell carcinoma
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actinic keratosis
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"dew-drop on a rose petal"
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lesions of 1st degree varicella
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"cradle cap"
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seborrheic dermatitis; treat with antifungals
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associated with propionbacterium acnes and changes in androgen levels
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acne vulgaris
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a painful, recurrent, vesicular eruption of mucocutaneous surfaces
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herpes simplex
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inflammatoin and epithelial thinning of anogenital area, predominantly in postmenopausal women
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lichen sclerosis
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exophytic nodules on the skin with varying degrees of scaling ulceration; the second most common type of skin cancer
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squamous cell carcinoma
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what vitamin do you supplement for a measles infection?
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vitamin A
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normal skin at birth that gradually progresses to dry, scaley skin = ??
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ichthyosis vulgaris, aka lizard skin
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dry, rough skin over extensor surfaces + horny plates = ??
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ichthyosis
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what vitamin supplement should be give for measles?
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vitamin A
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normal birth at skin that gradually progresses to dry, scaley skin = ??
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ichythyosis vulgaris, aka lizard skin
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dry, rough skin over extensor surfaces + horny plates = ??
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ichthyosis
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virus that causes measles
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paramyxovirus
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name of red spots with bluish specks over buccal mucosa and what disease it is associated with?
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Koblik spots, measles
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cough + coryza + conjunctivitis = ??
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measles
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well-circumscribed areas of depigmentation over arms/legs
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vitiligo
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autoimmune disease that attacks melanocytes and is associated with other AI diseases?
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vitiligo
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most common metal causing contact dermatitis
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nickel
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how do you rule out melanoma?
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excisional biopsy
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if a melanoma is >1mm deep what else must you do besides excise it?
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sentinal lymph node study
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poison ivy is what type of hypersensitivity exposure and what causes it? does it require prior exposure?
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type IV hypersensitivity, cell-mediated which means you need prior exposure
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what causes molluscum contagiosum?
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pox virus
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best method for photo-protection (avoiding sun burn)
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sun avoidance
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numerous umbilicated vesicles over healing atopic dermatitis = ??
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eczema herpeticm
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name the SIRS criteria
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1. fever/hypothermia
2. tachypnea 3. tachycardia 4. leukocytosis, leukopenia or bandemia |
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what is the normal course for impetigo?
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erythmatous macule --> vesicle --> pustule --> honey-colored, crusted exudates
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what causes hereditary angioedema?
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C-1 inhibitor deficiency
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what virus causes rubella?
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RNA togovirus
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what is the chronology for rubella?
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1. exposure
2. fever, malaise 3. suboccipital adenitis 4. maculopapular rash on face then trunk and extremities |
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treatment for tinea corporis
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terbinafine
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most common viral infection of hand
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herpetic whitlow; common in healthcare workers
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most common cause of acquired angioedema
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ACEI use
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what dermatological disorder is commonly seen with Parkinsons?
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seborrheic dermatitis
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which types of hypersensitivity are anti-body mediated?
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types I, II, III
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name the different types of hypersensitivity?
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type I - anaphylactic, atopic
type II - cytotoxic type III - immune complex, serum sickness, arthus reaction type IV - delayed, cell-mediated |
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polygonal + purples + pruritic + papules = ??
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lichen planus
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what type of hypersensitivity is psoraisis?
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T-cell mediated
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yellow, greasy, erythematous scaling patches/plaques = ??
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seborrheic dermatitis
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young person with severe seborrheic dermatitis --> what must you rule out?
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HIV
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what BSA defines Stevens-Johnsons and what is the treatment?
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<10% BSA, treat with analgesia and IVIG
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what skin disorder is commonly associated with other autoimmune disorders?
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vitiligo
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what is the most common cause of cellulitis and what is the treatment of choice?
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staph, treat with keflex
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what causes hot tub folliculitis?
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pseudomonas aeruginosa
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what is a kerion?
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inflammatory granulomatous reaction in children to tinea capitus
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bullseye rash
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Lyme disease
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treatment for lice
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permethrin shampoo
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dome-shaped with central umbilication
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molluscum contagiosum
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christmas-tree pattern with herald patch
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pityriasis rosea (HHV-6)
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what causes cervical CA?
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usually HPV 16, 18, 31, 33
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Shagreen patches with ashleaf spots
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tuberous sclerosis
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cafe-au-lait spots
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neurofibromatosis
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hemangioma/port-wine stain on face
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Sturge-Weber syndrome
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what are hemangiomas often indicative of?
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von Hippel-Lindau disease
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what is the sign of Leser-Trelat?
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multiple seborrheic keratoses erupting at once associated with underlying malignancy, often gastric cancer
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most common skin CA associated with sun exposure
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basal cell CA
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ABCD of melanoma
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Asymmetric shape
Borders irregular Color variation Diameter >6mm |
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what are strawberry hemangiomas and what do they indicate?
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they are benign vascular tumors of children that usually regress on their own at 5-8 years old
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what rash on the body does not appear scaly but will scale with scraping?
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tinea versicolor
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rosey-hue with teleangiectasias over cheeks, nose, chin
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rosacea
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treatment for moderate to severe acne, predominantly nodulocystic and firm
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oral isotretinoin
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what nail problems is psoriasis associated with?
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onycholysis and nail pitting
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what is erysipelis? what bacteria commonly causes it?
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commonly seen in patients with impaired lymph drainage who develop a rash that looks like "orange peels"; caused by strep pyogenes
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what are strong risks for a mole that is maligant?
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changes in size/shape/color/borders
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what anesthestic is used for suturing vessel-rich areas?
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1% lido with 1:100,000-1:400:000 epi
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what rash do you need to look for with warfarin?
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look for warfarin-induced necrosis that can occur within 1 week of beginning warfarin therapy; well-demarcated erythematous lesion that progresses to necrosis
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what is bullous pemphigoid? what do you see on immunoflorescence?
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it is an autoimmune bullous disorder in patients over 60 that present with wide-spread blistering over flexor and perianal surfaces; immunoflorescence will show epidermal basement membrane antibodies
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what is the most important factor in determining the resectable margins with a melanoma?
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depth of the tumor
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what is the most effective means to prevent death from melanoma?
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early clinical detection
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what is the most preventable risk factor for developing melanoma?
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chronic sun exposure
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what condition presents as a macular scaling behind the ears, on the scalp, eyebrow, nasal-labial folds? who commonly gets it?
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serborrheic dermatitis; common with patients that have neurological disorders or HIV
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what presents with erythematous plaques with silvery-white scales on the extensor surfaces?
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psoriasis
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what solution should be given during the first 24 hours following a burn injury?
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lactated ringers
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what is pemphis vulgaris? what do you see on immunoflorescence?
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it is an autoimmune disease of the skin that presents with painful, fragile blisters of the oropharynx, chest, face and perianal regions; look for antibodies to adhesion desmoglein molecules
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this disease results from a deficiency of hepatic uroporphyinogen decarboxylase and presents with chronic blistering of sun exposed regions and skin hyperpigmentation? who is it associated with?
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porphyria cutanea tarda; seen with alcoholics and hepatitis
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this disease presents with vesicular lesions and crusting erythematous plaques over the genital region, chest, neck and axilla with an malodorous discharge
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familial benign pemphigus
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what is Groves disease?
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it is a transient acantholytic dermatosis in men >50; appears as small red papules on back/chest
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