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25 Cards in this Set

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  • Back
What are the most common viral causes of myocarditis?
Coxsackie A and B and Echo. Also can be due to influenza, HIV, and CMV
What patient population is most likely to present with round, flat, coin-like plaques that appear "stuck on" with a velvety feel?
This is Seborrheic Keratosis and it occurs most at or beyond middle age.
A flesh-colored dome shaped nodule with a keratin filled plug found on the face and dorsum of the hands is most likely seen in what sex? How is it treated?
Male > Females.

This is a keratoacanthoma. It peaks at age 50 and is more common in Caucasians.

This can heal spontaneously.
A pearly gray lesions with telangiectasias is a
basal cell carcinoma
What is the etiologic agent for a thickened gray-white plaque in the genital region of a patient over 35 years old?
HPV (90%)- typically type 16.

this is Bowen Disease, which has a 10% transition to squamous cell carcinoma
What is the major difference between the prognosis for Bowen disease and Bowenoid papulosis?
Bowen Disease has 10% --> Squamous Cell Carcinoma.

Bowenoid Papulosis rarely progress.

(Both are seen in males older than 35, although BD can also be in women).
Shiny, red plaque(s) on the glans penis or prepuse are seen in patients of what age?
35 or older.
this is erythroplasia of Queyrat.
Which skin disease shows acantholysis and presents in 40-60 year olds.
Pemphigus.
This is an autoimmune disease that attacks keratinocytes, causing small vesicles and red patches. this is a lysis of intracellular adhesions sites.
Which skin disease shows sub-epidermal non-acantholytic blisters?
This is Bullous Pemphigoid.

These are tense bullae filled with clear fluid in an older population. Antibodies develop against the adhesions sites of the basal cells and basement membrane.
"Herald patch"
Pityriasis. This has an oval to round plaque rash on trunk, which spares the palms and soils. This is self-limited and will resolve in 2-8 weeks. These have a Christmas Tree pattern.
"Christmas Tree Pattern" rash
Pityriasis. This has an oval to round plaque rash on trunk, which spares the palms and soils. This is self-limited and will resolve in 2-8 weeks.

Preceeded by herald patch
A patient presenting with erythema, telangiectasia, superficial pustules, and frequent facial flushing should avoid what?
Heat, stress, emotional stimuli, Alcohol, hot drinks, and spicy food.

This is rosacea (>30 y/o, F>>>M).
What is a sequelae of rosacea?
Rhinophyma.

Due to connective tissue overgrowth.
What areas does psoriasis most strongly affect?
Elbows, knees, and scalp
What skin lesions is associated with Sturge-Weber?
Port-Wine Stain (Cavernous Hemangioma)

This is a congenital disease with faulty development of the mesoderm and ectoderm
What disease has anti-melanocyte Antibodies?
Vitiligo

ASx, flat, non-pigmented macules
A patient with metallic taste, n,v,d, increased salivation, liver and kidney damage who is a painter likely has
Cadmium poisoning

Also seen in welding
What poison meets the following criteria:
1. Acute poisoning is marked by a pink gastric lavage.
2. Causes dilated cardiomyopathy.
Cobalt poisoning. Associated with Vitamin B12, drilling or mining metals, and working in labs.
Burton's lines are seen in
Lead Poisoning.
Patients also have microcytic anemia, irritability, insomnia, decreased IQ, RTA, lead spots on KUB, lead lines in long bones, and wine urine
Signs and symptoms of chronic Mercury poisoning
Insomnia, colitis, black feces, gray skin, Burton's lines, RTA, paresthesia, tremor, ataxia, and blindness
Signs and symptoms of acute Mercury poisoning
Metallic taste, Vomiting dyspnea, cough, bleeding gums and bowels, burning in stomach and throat
Garlic breath, anxiety,diaphoresis, salivation, and colitis suggest
Acute Arsenic Poisoning
Apical plural thickening on the CXR suggests
Asbestos exposure
Exposure to what can result in an angiosarcoma?
Vinyl Chloride
A scent of bitter almonds is associated with
Cyanide poisoning