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58 Cards in this Set

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15-75%, steady burning pain or paroxysmal lancinating pain.
Typically in pts >50, 50% occurence in pts >65
-3% lasts more than one year
Post-herpetic neuralgia
Tx of post-herpetic neuraglia
amitryptiline, topical capsaicin
droplets- 1-3 weeks after strep A infection- or if not documented infection, check for one, sudden erruption of small papules with silver scaling
guttate psoriasis
Tx of acute urticaria
-usually start w/ bendaryl or tagament, if not working- oral steroids or IV steroids if any angioedema
Porphyria, PKU, Dx- distribution in light-exposed areas
Photodermatitis
Drugs that cause phtodermatitis
TCN, sulfas, chlorothiazides, phenothiazides, NSAIDS
erythorogenic toxin-sandpaper rash neck, abdomen, circumoral pallor, strawberry tongue- skin deaquamates in 4-5 days
-Kawasaki's-unknown etiology- trunk induration, edema and magenta spots on hands and feet-lymphadenopathy
Scarlet fever-type rashes
Trnk, induration, edema and magenta spots on hands and feet- lymphadenopathy, s. aureus, fever, strawberry tongue, vomiting, prostration, hyypotension
Kawasaki's
Another name for Kaswasaki's
Mucocutaneous lymph node syndrome
Name some systemic causes of pruritis
#1 uremia, then obstructive biliary disease, leukemia, lymphome, lalignancies, fe deficiency anemia
Tx of pruritis
PUVA
Painful nodules on anterior shins-no ulceration; female>male, infection, drugs, pregnancy, bcp, IBD (TB, fungus, strep RF, sarcoid)
Erythema nodosum
Tx of erythema nodosum
NSAID's, ASA corticosteroids
Due to corynebacterium, velvety red patches; floresces coral pink with Wood's lamp
Erythrasma
Tx of Erythrasma
E-mycin
Exfoliative dermatitis, total body erythema, edema, scaling and fissuring; idiopathic vs. drug reaction vs. systemic disease; can cause decreases in total blood volume, hyopthermia
Erythromderma
Tx of Erythroderma
oral steroids
2-3% of drug therapy-widespread symmetrical generalized escematous rash from PCN/AMP/Amox and TMP/SMZ- typically 10 days into therapy
Dermatitis medicamentosa
Sulfa, antiseizure meds cause this
SJS
Injury of skin causes lesions of same type-lichen planus, psoriasis
Koebner phenomenon
Psoriasis-punctate bleeding when scale removed
Auspitz sign
Atopic dermatitis-fold of skin below eyelids, and in fossae
Dennie's Lines
Dermatobribroma vs. malignant nodular melanoma
Dimple sign
Pemphigus- toxic epidermal necrolysis-twisting of skin with sloughing
Nikolsky's sign
Linchen planus- white, reticulated lines on plaue tops (vagina or inside of cheeks) causes lots of discharge in vagina
Wickham's stria
Urticularial flare after vigorous rubbing
Darier's sign
Idiopathic, pruritic- flat topped, plaue qith purplish hue, may be scaley, Wickham's striae, on ankles, writs, mucous membranes
Lichen planus
tx of Lichen planus
steroids
Misnomer-not infectious- a capillary hemangioma- bright rasberry nodule bleeds easily when traumatized- enlarge rapidly, no malignant potential- excise, curretage, cauterize
Pyogenic granuloma
dishydrotic eczema
pomphylox
Live on the keratin of the statum cornia, nail and hair (tinea corporis, tinea cruris, tinea captitis)- cause annular inflamed patches with elevates scaling and central clearing- (ringworm)
Dermatophytosis
Tx
KOH?? (not sure if this is the treatment or how you diagnosis it)
Intertrig areas, mucous membranes- red with satellite lesions, thrush
candidiasis
superficial skin fungus- red/brown/white patches, scaley, neck, trunk, upper arms; hypopigmented areas when sun exposed.
tinea versicolor
Tinea versicolor treatment
Selsun shampoo (selenium sulfide)
what are the 3 main types of oral fungal treatments?
1.Griseofulivin
2.Terbinafine (lamisil)
3.Azoles- (keto, fluconazole)
Tx of dermatophytes (not candida or tinea versicolor) but good in onychomycosis, tinea corporis which is extensive
Griseofulvin
SE of Griseofulvin
possible liver toxicity, decreases activity of warfarin, OC's phototixcity
Tx of dermatophytes = maybe candida
terbinafine (lamisil)
Tx of tinea versicolor and candida
Azoles (keto, flu)
Palpable purpuras
-vasculitis
-necrotizing angititis
-(immune complexes)
-LE/RA
Non-palpable purpuras
-thrombocytopenia
-DIC
-clotting abnormalities
antibiotics for acne
CleocinT, ATS, Benaclin (apply dialy or BID
Antibiotics for impetigo
mupirocin (Bactroban) ointment 2.5% BID
Retionids for acne
-isotretinoin (accutane)
-tretinoin (retin-A)
Antiparasitics for lice- body, and head
Kwell- OTC- avoid overuse, avoid in small children and pregnancy
Tx of scabiesq
Elimite (permethrin)- antiparasitic- preferred in chilren and pregnancy
Eczema
Steroids PLUS add:
-elidel BID
-Protopic BID
Steroid use for peds
only classes IV-VI
Steroids for faces and flexors
-absorb more (higher potency) or thicker keritnized skin
Antihistamines for pruritis
(systemic)
Benadryl (diphenhydramine) 25-50mgm. q 4 hr

Atarax (hydroxyzine)1-, 25, 50gmg. q 6 hrs
Systemic steroids for large areas, severe disease
Prednisone, medrol dose-pak
Tina capitus tx
Griseofulvin 6-8 weeks
Tx of tinea versicolor (after failure with selenium sulfide)
ketoconazole (nizoral)
Tx post-herpetic neuralgia
neurontin
amitryptiline
Tx hot tub folliculitis
-antibiotics- cipro
spares the face- usually over butt and thighs, sometimes over chest and back
hot tub folliculitis
Bug for hot tub folliculitis
pseudomonas