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6 Cards in this Set
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1 wk old several vsicles on scalp, F 100.8, irritability, less PO, what's dx, how dx, and tx?
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HSV2,
-DX: Tzanck smear: epidermal gian cells, OR DX: Identify virus by culture or ag by rapid testing techniques; -Tx: IV acyclovir |
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9 yo F w/ 2 well demarcated areas of hair loss of pareital scalp, NO inflammatin of skin, underlying skin - smooth, soft;
-what's dx, ~ with; when regrows? |
-Alopecia areata, ~ nail problems: pitting; ~ autoimmune lymphocyte mediated injury to hair follicle
-regrowth of hair w/in 1 yr |
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6 yo w/ 1 mo h/o patchy alopecia in occipital region; well-circumscibed area of hair loss w/ all hairs: broken off at scalp surface;+ occitpital LAD; what's dx, how dx, tx?
-what's most common pathogen, how aq'd? |
Tinea capitus;
-trichophyton tonsurans ,most common bug, from human-human; get by sharing hats, brushes, combs; -other bug: microsporum canis from dogs, cats; : thick white broken hairs, these only flruoresce under woods light TX: oral griseofulvin x 6-8 wks |
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5 yo M w/ 6 wk h/o scaling, nongreasy papules, plaques in occiptial region of scalp and in inguinal region; have silvery scale appearance; what's dx adn tx? how dx?
-what can you tell me about? |
psoriasis -*silvery scale
-tx: Koebner phenomenent: new lesions develop at sites of skin injury; - Autosomal dominant; common to have scalp involvement, not alopecia |
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10 yo F w/ malaise, HA, then 4 d later w/ body rash; exam: 3 cm red plaque on upper arm, oval red macules, papules on back that follow skin lines;
-what's dx, tx? |
pityriasis rosea, reassurance only; hypersenstiivty rxn to viral infx;
-cz ? ; tx: resolves w/o meds |
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13 yo w/ scattered open and closed comedones on forehead, nose; what's dx and tx?
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noninflammatory acne; Benzoyl peroxide: good for both inflamm and noninflamm
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