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32 Cards in this Set
- Front
- Back
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In allergic contact dermatitis, it takes _______ days for the immune cells to recognized the irritation.
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2-3 days
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_______ is the most common eruption of the eyelids.
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contact dermatitis
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what is the difference b/t contact dermatitis and allergic contact dermatitis.
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Contact comes from chemicals directly damaging the skin, allergic CD results from a SPECIFIC SENSITIVITY.
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_____ is the key diagnosis of contact dermatitis.
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History
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If a patient is allergic to neomycin, assume they are also allergic to _____.
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gentamycin, tobramycin (aminoglycoside related antibiotics)
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If allergic to neomycin--you should avoid both ___ and ___ related antibiotics.
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systemic and topical
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When is there an increased risk for being allergic to neomycin? (not when used on cuts)
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when treating stasis dermatitis, otitis externa or stopic dermatitis(more prone to getting contact dermatitis)
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What are 3 differential diagnoses for contact dermatitis?
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1- atopic dermatitis
2- psoriasis 3- seborrheic dermatitis |
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What is the treatment plan for contact dermatitis?
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1- avoidance
2- topical steriods 3- cool compresses (alternative: immunomodulators) |
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What is patch testing?
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a standard allergen panel of 52 allergens and a corticosteriod series
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____ is a chronic inflammatory dermatitis where 75% of people show signs early in life. &0% also have asthma, hayfever or atopic dermatitis.
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Keratoconjunctivitis (aka atopic dermatitis)
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In atopic dermatitis: in the babies (2-24 months) the lesions are _______.
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exudative, blisters, crusty
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In atopic dermatitis: in older children and adults the lesions are ______
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lichenification and on flexural areas (periorbital)
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What is a characteristic sign of atopic dermatitis?
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double lid fold (lower lid??) Dennie-morgan
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What is the main treatment for atopic dermatitis? alternative treatment?
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1- topical steriods and oral antihistamines
alternative: systemic corticosteroids and mast cell stabilizers |
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What are 6 ophthamalic findings with atopic dermatitis?
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1- blepharitis
2- conjunctivis 3- TRANTAS DOTS 4- cataract 5- keratoconus 6-GPC (in lower lid) |
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Where is GPC located in VKC?
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upper lid
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When is the onset of psoriasis?
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15-30 years old
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If the scale of the psoriasis plaque is removed and you see pin point bleeding--what is this called?
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Auspitz sign
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T or F: psoriasis of the eyelid can occur, but it is rare.
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true
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What is the treatment of choice for psoriasis?
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Tazarotene + topical steroid
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What does PUVA stand for--what is used for?
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Psorlan + UVa
to treat psoriasis |
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What 3 things do you see with seborrheic dermatitis?
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1- increased meibomian gland secretion
2- inflamed eyelide margins 3- oily skin |
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What 3 situations is seborrheic dermatitis most often seen with?
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1- AIDS
2- parkinsons 3- alcoholics |
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Seborrheic dermatitis occurs in mostly _____ (men/women)
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men
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How do you treat the scalp of seborrheic dermatitis?
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1- selenium sulfide
2- tar preps |
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What are 5 characteristics of Rosecea?
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1- patchy erythema
2- teleangietectasia 2- small papules 4-pustules 5- hypertrophic sebacesous glands |
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Rhinophyma (in rosecea) occurs in ______.
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men only
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What 2 organisms cause rosecea?
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H. pylori
D. folliculorum |
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Persistent redness of the central face is common in ____.
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rosecea
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The guidelines for diganosing rosecea must include _______ primary features and ____- a secondary feature.
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1 or more primary and may include a secondary
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List some primary features of roscea?
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1- flushing
2- nontransient erythema 3- papules/pustules 4- teleangiectasia |
