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58 Cards in this Set
- Front
- Back
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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
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Tx of post-herpetic neuraglia
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amitryptiline, topical capsaicin
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droplets- 1-3 weeks after strep A infection- or if not documented infection, check for one, sudden erruption of small papules with silver scaling
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guttate psoriasis
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Tx of acute urticaria
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-usually start w/ bendaryl or tagament, if not working- oral steroids or IV steroids if any angioedema
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Porphyria, PKU, Dx- distribution in light-exposed areas
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Photodermatitis
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Drugs that cause phtodermatitis
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TCN, sulfas, chlorothiazides, phenothiazides, NSAIDS
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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
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Trnk, induration, edema and magenta spots on hands and feet- lymphadenopathy, s. aureus, fever, strawberry tongue, vomiting, prostration, hyypotension
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Kawasaki's
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Another name for Kaswasaki's
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Mucocutaneous lymph node syndrome
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Name some systemic causes of pruritis
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#1 uremia, then obstructive biliary disease, leukemia, lymphome, lalignancies, fe deficiency anemia
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Tx of pruritis
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PUVA
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Painful nodules on anterior shins-no ulceration; female>male, infection, drugs, pregnancy, bcp, IBD (TB, fungus, strep RF, sarcoid)
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Erythema nodosum
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Tx of erythema nodosum
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NSAID's, ASA corticosteroids
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Due to corynebacterium, velvety red patches; floresces coral pink with Wood's lamp
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Erythrasma
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Tx of Erythrasma
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E-mycin
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Exfoliative dermatitis, total body erythema, edema, scaling and fissuring; idiopathic vs. drug reaction vs. systemic disease; can cause decreases in total blood volume, hyopthermia
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Erythromderma
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Tx of Erythroderma
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oral steroids
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2-3% of drug therapy-widespread symmetrical generalized escematous rash from PCN/AMP/Amox and TMP/SMZ- typically 10 days into therapy
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Dermatitis medicamentosa
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Sulfa, antiseizure meds cause this
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SJS
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Injury of skin causes lesions of same type-lichen planus, psoriasis
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Koebner phenomenon
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Psoriasis-punctate bleeding when scale removed
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Auspitz sign
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Atopic dermatitis-fold of skin below eyelids, and in fossae
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Dennie's Lines
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Dermatobribroma vs. malignant nodular melanoma
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Dimple sign
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Pemphigus- toxic epidermal necrolysis-twisting of skin with sloughing
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Nikolsky's sign
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Linchen planus- white, reticulated lines on plaue tops (vagina or inside of cheeks) causes lots of discharge in vagina
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Wickham's stria
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Urticularial flare after vigorous rubbing
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Darier's sign
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Idiopathic, pruritic- flat topped, plaue qith purplish hue, may be scaley, Wickham's striae, on ankles, writs, mucous membranes
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Lichen planus
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tx of Lichen planus
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steroids
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Misnomer-not infectious- a capillary hemangioma- bright rasberry nodule bleeds easily when traumatized- enlarge rapidly, no malignant potential- excise, curretage, cauterize
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Pyogenic granuloma
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dishydrotic eczema
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pomphylox
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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)
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Dermatophytosis
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Tx
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KOH?? (not sure if this is the treatment or how you diagnosis it)
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Intertrig areas, mucous membranes- red with satellite lesions, thrush
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candidiasis
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superficial skin fungus- red/brown/white patches, scaley, neck, trunk, upper arms; hypopigmented areas when sun exposed.
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tinea versicolor
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Tinea versicolor treatment
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Selsun shampoo (selenium sulfide)
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what are the 3 main types of oral fungal treatments?
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1.Griseofulivin
2.Terbinafine (lamisil) 3.Azoles- (keto, fluconazole) |
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Tx of dermatophytes (not candida or tinea versicolor) but good in onychomycosis, tinea corporis which is extensive
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Griseofulvin
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SE of Griseofulvin
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possible liver toxicity, decreases activity of warfarin, OC's phototixcity
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Tx of dermatophytes = maybe candida
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terbinafine (lamisil)
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Tx of tinea versicolor and candida
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Azoles (keto, flu)
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Palpable purpuras
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-vasculitis
-necrotizing angititis -(immune complexes) -LE/RA |
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Non-palpable purpuras
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-thrombocytopenia
-DIC -clotting abnormalities |
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antibiotics for acne
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CleocinT, ATS, Benaclin (apply dialy or BID
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Antibiotics for impetigo
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mupirocin (Bactroban) ointment 2.5% BID
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Retionids for acne
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-isotretinoin (accutane)
-tretinoin (retin-A) |
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Antiparasitics for lice- body, and head
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Kwell- OTC- avoid overuse, avoid in small children and pregnancy
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Tx of scabiesq
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Elimite (permethrin)- antiparasitic- preferred in chilren and pregnancy
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Eczema
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Steroids PLUS add:
-elidel BID -Protopic BID |
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Steroid use for peds
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only classes IV-VI
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Steroids for faces and flexors
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-absorb more (higher potency) or thicker keritnized skin
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Antihistamines for pruritis
(systemic) |
Benadryl (diphenhydramine) 25-50mgm. q 4 hr
Atarax (hydroxyzine)1-, 25, 50gmg. q 6 hrs |
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Systemic steroids for large areas, severe disease
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Prednisone, medrol dose-pak
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Tina capitus tx
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Griseofulvin 6-8 weeks
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Tx of tinea versicolor (after failure with selenium sulfide)
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ketoconazole (nizoral)
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Tx post-herpetic neuralgia
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neurontin
amitryptiline |
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Tx hot tub folliculitis
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-antibiotics- cipro
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spares the face- usually over butt and thighs, sometimes over chest and back
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hot tub folliculitis
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Bug for hot tub folliculitis
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pseudomonas
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