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38 Cards in this Set
- Front
- Back
what tx therapy can increase [p acnes] at high doses?
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accutane
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what is the MOA of propecia?
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5-alpha reductase-2 inhibitor
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what type of drug therapy has both anti-inflamm and immunosupp act?
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corticosteroids
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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 |
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what is dysplastic nevi?
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abnL growth pattern & cytologic abnL of melanocytes
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what is cutaneous histiocytosis X
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prolif of Langerhan cells in skin & lymph
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what is mycosis fungoides?
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a/w presence of malig T cells in periph blood & erythematous scaling of body surface
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what is a xanthoma?
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a/w aggregates of histiocytes w/ foamy cytoplasm & presence of Touton giant cells
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clinical presentation of basal cell carcinoma?
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- h/o slow growing nodule on upper eyelid
- pearly nodule - nests of small cells w/ radial arrangement at periph --> infilt of epidermis into dermis |
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what type of skin ca responds to imiquimod?
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superficial type of BCC
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what is the most malig type of melanoma?
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one w/ superficial spreading
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when is resection of involved regional lymph nodes required?
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congenital hairy nevus overlying axillary nodes (brewslow 1.80mm into reticular dermis)
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what is telangiectasia?
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serpiginous, threadlike red lesions w/ blanch on diascopy
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clinical presentation of SCC
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- black pt w/ pigmented streaking on L thumbnail plate
- present for sev mos & growing - asymptomatic and irreg in width |
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what does "B" stand for in melanoma classification - ABCDE?
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bord3r
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solar lentigines
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- ship captain (sun exposure)
- multiple oval-to-round brown macules on back of forearm & dorsum of hands |
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squamous cell carcinoma clinical presentation
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- dome shaped, reddish, smooth, firm nodule w/ center crust
- on forehead, slowly enlarging - extensive sun damage around lesion |
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Morpheaform BCC clinical presentation
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- waxy, white-to-yellow lesion on L cheek x 1 yr
- sclerotic plaque w/ indistinct margins - telangiectasia |
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what is granulation tissue?
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capillaries & inflamm cells
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what is a clean wound?
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<100,000 organisms/gram of tissue
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describe inflamm phase of wound healing
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no collagen
M-phi & PMNs present |
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how are burns classified?
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depth of injury
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how do partial thickness burn wounds vary?
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in amt of pain
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what are the MC bacT infecting burn wounds?
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staph
strep |
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what is involved in the initation of tx for burn pts?
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first stopping burn process
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what lifestyle ds inc incidence of wound infection?
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DM
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give an example of a contaminated wound that would require sx
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colon resection for ruptured diverticulum
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when are perioperative abx most effective in preventing infxn?
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given as close to time of sx as possible
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CREST syndrome is best characterized by what?
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calcinosis
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what is an important features of SLE?
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false + syphilis serology
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what is the MC presenting feature in scleroderma?
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Raynaud's phenomenon
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what are glucocorticoids most likely used for?
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inhibiting formation of prostaglandins
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topical glucocorticoids have benificial effect of?
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atrophy of hypertrophic scars
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what are chemical peels used to tx?
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hyperpigmentation psoriasis
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what is sclerotherapy indicated for?
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varicose & telangietic veins
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what is the best topical acne therapy?
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clindamycin
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what is a common and effective keratotic plug
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alpha-hydroxy acid (fruity acid)
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what is PUVA used for?
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psoriasis
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