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38 Cards in this Set

  • Front
  • Back
what tx therapy can increase [p acnes] at high doses?
accutane
what is the MOA of propecia?
5-alpha reductase-2 inhibitor
what type of drug therapy has both anti-inflamm and immunosupp act?
corticosteroids
what is a good/the best prognosis w/ melanoma?

what is a bad/the worst prognosis w/ melanoma?
1. in ext & infiltration of lymphocytes in tumor

2. vertical growth & inc # of mitotic figures
what is dysplastic nevi?
abnL growth pattern & cytologic abnL of melanocytes
what is cutaneous histiocytosis X
prolif of Langerhan cells in skin & lymph
what is mycosis fungoides?
a/w presence of malig T cells in periph blood & erythematous scaling of body surface
what is a xanthoma?
a/w aggregates of histiocytes w/ foamy cytoplasm & presence of Touton giant cells
clinical presentation of basal cell carcinoma?
- h/o slow growing nodule on upper eyelid

- pearly nodule - nests of small cells w/ radial arrangement at periph
--> infilt of epidermis into dermis
what type of skin ca responds to imiquimod?
superficial type of BCC
what is the most malig type of melanoma?
one w/ superficial spreading
when is resection of involved regional lymph nodes required?
congenital hairy nevus overlying axillary nodes (brewslow 1.80mm into reticular dermis)
what is telangiectasia?
serpiginous, threadlike red lesions w/ blanch on diascopy
clinical presentation of SCC
- black pt w/ pigmented streaking on L thumbnail plate
- present for sev mos & growing
- asymptomatic and irreg in width
what does "B" stand for in melanoma classification - ABCDE?
bord3r
solar lentigines
- ship captain (sun exposure)
- multiple oval-to-round brown macules on back of forearm & dorsum of hands
squamous cell carcinoma clinical presentation
- dome shaped, reddish, smooth, firm nodule w/ center crust
- on forehead, slowly enlarging
- extensive sun damage around lesion
Morpheaform BCC clinical presentation
- waxy, white-to-yellow lesion on L cheek x 1 yr
- sclerotic plaque w/ indistinct margins
- telangiectasia
what is granulation tissue?
capillaries & inflamm cells
what is a clean wound?
<100,000 organisms/gram of tissue
describe inflamm phase of wound healing
no collagen
M-phi & PMNs present
how are burns classified?
depth of injury
how do partial thickness burn wounds vary?
in amt of pain
what are the MC bacT infecting burn wounds?
staph
strep
what is involved in the initation of tx for burn pts?
first stopping burn process
what lifestyle ds inc incidence of wound infection?
DM
give an example of a contaminated wound that would require sx
colon resection for ruptured diverticulum
when are perioperative abx most effective in preventing infxn?
given as close to time of sx as possible
CREST syndrome is best characterized by what?
calcinosis
what is an important features of SLE?
false + syphilis serology
what is the MC presenting feature in scleroderma?
Raynaud's phenomenon
what are glucocorticoids most likely used for?
inhibiting formation of prostaglandins
topical glucocorticoids have benificial effect of?
atrophy of hypertrophic scars
what are chemical peels used to tx?
hyperpigmentation psoriasis
what is sclerotherapy indicated for?
varicose & telangietic veins
what is the best topical acne therapy?
clindamycin
what is a common and effective keratotic plug
alpha-hydroxy acid (fruity acid)
what is PUVA used for?
psoriasis