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75 Cards in this Set

  • Front
  • Back
when assessing pt with skin disorder what systemic diseases should you ask about
renal
hepatic
cardiac
a lesion that rise from perviously normal skin is primary or secondary
primary
a lesion that you may see loss of skin or gathering of material on skin is primary or secondary
secondary
flat, non palpable lesion LESS THAN 1CM in diameter
macule
flat, non palpable lesion GREATER THAN 1 CM in diameter
patch
SOLID elevated lesion LESS THAN 0.5 CM in diameter
papule
elevated lesion GREATER THAN 0.5 cm in diameter with minimal depth
plaque
TRANSITORY PAPUPLE OR PLAQUE DUE TO EDEMA OF THER DERMIS
wheal

usually involves an allergic reaction
a TB shot can cause what type of primary lesion
wheal
blister less than 0.5 cm in diameter FILLED WITH CLEAR FLUID
vesicle
vesicle filled with PURULENT FLUID
pustule
vesicle of MORE THAN 0.5 CM in diameter
bulla
lesion GREATER THAN 0.5 CM in both width and depth
nodule
a nodule containing liquid or semisolid which can be expressed/drained
cyst
solid lesion greater than 2 cm in both width and depth
tumor
what are examples of scarring
stretch marks
keloids
a thin tear of the epidermis which may extend to the dermis
fissure (athletes foot can lead to fissures)
lesion wider than a fissure but limited to the epidermis
erosion
exudate from a lesion which has dried on the skin
scab/crust
excoration
scratch
destruction of the epidermis with or w/o dermal injury which exposes the dermis
ulcer
do purpura and petechia blanch
no
what are spider angiomas and do they blanch
abnormal growth of BV

yes, but once the pressure is removed they return to normal
what nail disorder can indicate psoriasis
pitting of the nails
hirsutism is a common symptom of what type of disease
endocrine
is it hypo or hyperthyroidism that you'd see a 1/3 loss of someone's eye brow
hypo
what are some drugs that can cause acne
anabolic steroids
corticosteroids
iodides
phenytoin
what are some drugs that can cause a fixed drug reaction
APAP, ASA, NSAIDS
antibiotics (PCN, sulfonamides, tetracyclines, metronidazole)
quinone
ORAL CONTRACEPTIVES
drug exposure that results in reaction in the same area each time
fixed drug eruption
hives: itchy raised red and white bumps
urticaria
what are some drugs that cause Urticaria
ASA
antibiotics - PCN
CCB
ACE-I
histamine releasing agents (amphetamines, atropine, opiates)
NSAIDs
swelling of the face, lips, and tongue
angioedema
this is a measle like rash that may appear 2 days - 3 weeks after medication exposure, and MAY NOT RECUR WITH SAME DRUG EXPOSURE
morbiliform
what is the difference b/t phototoxicity and photoallergy
phototoxicity - looks like exagerated sun burn and found in AREAS OF SUN EXPOSURE

photoallergy - may be seen in NON SUN EXPOSED AREAS
what are some drugs that cause induced photosensitivity
tetracycline
TZD
sulfonamides
sulfonylureas
antihypertensives
what are examples of hemmorrhages in the skin that don't blanch
petechia
purpura
what drugs can cause petechia/purpura
anticoagulants
diuretics
pruritic target lesions on skin and mucous membrane
erythema multiforme
treatment of what can cause erythema multiforme
tetracycline treatment in HSV infection
in the prodromal phase of SJS what is seen
flu like syndrom with skin and joint pain
what is the most sever form of SJS and what can it lead to
toxic epidermal necrolysis (TEN) rash progresses to sloughing of large areas of epidermis
what are some drugs that can cause SJS
sulfonamides
NSAIDS
HTN/DM meds
when looking at a pt with contact dermititis what is it important to note
pattern of distribution
is this contact or candida diaper rash/dermititis

-due to overly long exposure to urine in diaper
contact
is this contact or candida diaper rash/dermititis

-worse in creases
candida/yeast
is this contact or candida diaper rash/dermititis

-groin creases are rash free
contact
is this contact or candida diaper rash/dermititis

- rash edges less clear and with satellite lesions
candida/ yeast
is this contact or candida diaper rash/dermititis

-rash edges well demarcated
contact
is this contact or candida diaper rash/dermititis

-check for thrush
candida/yeast
infections of hair follicle
folliculitis
skin infections usually due to staph or strep
furuncles and carbuncles
what is a nother name for furuncles and carbuncles
boils
pediculosis
lice
tinea what affects the head
capitis
tinea what affects the groin
cruris
tinea what affects the hands
manis
tinea what affects the feet
pedis
in measles when does the fever peak
with rash appearance
what is another name for measles
rubeola
how does the rash start with Measles
begins in face and spreads downward to trunk and extremities

lasts 6 days
what systemic disease would you find a "butterfly rash"
lupus
what systemic disease would you find aconthosis nigricans
DM - see hyperpigmentation of the skin

this may be an indicator of insulin resistance
what systemic disease will you find lesions typically on the shins
erythema nodosum
what is granuloma annulare
benign vascular tumor common in diabetics
what kind of lesions are seen in candida
satellite
what is lipoatrophy and what was it commonly seen from
disappearance of fat tissue

seen w/ insulin of non human origin
what are lipid deposits in the skin
xanthomas
what are common sites of xanthomas
elbows
knees
eyelids
hands
what is the most common type of skin cancer
basal cell - not deadly, but can be disfiguring
what is the most dangerous form of skin cancer
melanoma
what is the ABCD rule of melanoma
A asymmetry of lesion
B borders are irregular
C color is blue/black or variegated
D diameter > 6mm (pencil eraser)
what stage of pressure ulcer is - most superficial and the epidermis remains intact
stage 1
what stage of pressure ulcer is - damage to the epidermis extending into BUT not deeper than the DERMIS
stage 2
what stage of pressure ulcer is - involves full thickness of the skin extending into, but not through SUBCUTANEOUS TISSUE LAYER
stage 3
what stage of pressure ulcer is - extending into muscle, tendeon
stage 4