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69 Cards in this Set
- Front
- Back
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What are the 1st degree burns?
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Red epidermis
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what are 2nd degree burns?
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blisters
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what are 3rd degree burns?
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painless neuropathy dermis
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What diseases has palms and soles rashes?
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"TRICKSS"
Toxic Shock Synddrome Rocky mountain spotted fever Coxsackie A: hand and foot mouth disease Kawasaki Scarlet fever Staph Scaled Skin Syphillis |
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Treatment for Toxic Shock syndrome
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Clindamycin + 20L IVF
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Treatment for Rocky mountain spotted fever
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doxycyline
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Erythema Multiforme
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Target lesions (viral, drugs)
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Steven Johnson syndrome
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Erythema multiforme major
(mouth, eyes and vagina) |
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Toxic epidermal necrolysis
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steven johnson with skin sloughing
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pemphigus vulgaris
Ab presentation Tx |
Ab against desmosomes
=> circular immunofluorescence in epidermis oral lesions Tx: high dose steroids |
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Bullous Pemphigoid
Ab presentation |
Ab against hemidesmosomes
=> linear immunofluoresence subepidermal, "floating" keratinocytes and eosinophils |
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bullous Pemphigoid Tx
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Steroids
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Eczema
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Dry flaky dermatitis in flexor creases
"itch that rashes" |
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nummular dermatitis
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circular eczema
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spongiotic eczema
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weeping eczema: scratching cause oozing "like a sponge"
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lichenification
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scratching => thick leathery skin
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pityriasis Rosea
describe tx pattern |
herald patch that follow skin lines
(tx: sunlight) "C-mas tree pattern" |
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lichen planus
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polygonal pruritic purple papule
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scabies
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linear excoriation "burrows" in webs of fingers, toes, belt line (sarcoptes feces)
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scabies tx:
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permethrin cream
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UV-A cause
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Aging
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UV-B cause
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burns and cancer
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what are the ABCD's that indicate worse prognosis of skin cancer
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Asymetric
Borders (irregular) Color differences Diameter (>4 mm) |
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What does clark level tell you?
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invation of melanoma
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what does breslow's classification tell you?
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depth of melanoma
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where are malignant melanomas usually found?
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Males: back
Females: leg |
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what is the precursor of malignant melanoma?
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Hutchinson' freckle
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what are the 4 types of malignant melanomas?
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superficial spreading
Nodular letigo maligna melanoma acral lentigous |
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superficial spreading malignant melanoma
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most common, flat and brown
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Nodular Malignant melanoma:
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worst prognosis, black, dome-shape
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letigo maligna melanoma Malignant melanoma:
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elderly patients, fair skin
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acral lentigous malignant melanoma:
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AIDs patients, dark skin
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where are squamous cells usually found?
biopsy |
flat flaky stuff on lower face, keratin pearls
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what is the precursor of squamous cell carcinoma?
how does it present? |
actinic keratosis (red scaly plaque)
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what are the types of squamous cell carcinomas?
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Bowen's disease
Verrucous carcinoma |
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SCC: Bowen's disease
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SCC in situ on uncircumcised penis dorsum
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SCC: Verrucous carcinoma
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wart on foot
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where are basal cells carcinomas usually found?
describe prognosis |
pearly papules on upper face, palisading nuclei, good prognosis
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what are the 4 types of basal cell carcinomas?
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nodular, pigmented, superficial, sclerosing
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nodular basal cell carcinoma:
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waxy nodule with central necrosis
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pigmented basal cell carcinoma:
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looks like melanoma
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superficial basal cell carcinoma:
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red scaly plaques, like eczema
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sclerosing basal cell carcinoma:
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yellow waxy plaques
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what is Acne Rosacea? and Tx
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blush all the time, worse with stress/ alcohol.
Tx: erythromycin, metronidazole |
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what is a brown recluse spiderbite? Tx
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painful black necrotic lesion. Tx: dapsone
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what is cellulitis? Tx
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warm red leg
Tx: cephalosporin and vancomycin |
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what is cutaneous anthrax?
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painless black necrotic lesion
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what is decubitus ulcer? Tx
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Bedsore
Tx: surgery |
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what is DVT? Tx:
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blood clot in veins, associated with hypercoagulable state
Tx: warfarin |
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what is Erysipelas?
associated with what bug? tx (2) |
shiny red raised, does not blanch, usually on face associated with strep pyogenes
Tx: cephalosporin, macrolide |
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ichthyosis
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gradual lizard skin
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miliaria
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"heat rash": burning, itching papules on trunk.
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what is molluscum contagiosum?
pathogen Tx: |
fleshy papules with central dimple
pox virus (STD) Tx: freezing |
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what is psoriasis? Tx
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silver scales on extensors, nail pitting,
differentiatied too fast, worse with stress Auspitz sign and koebner's phenomenon. Tx: topical coal tar, calcipotriene, PUVA, UVB, steroids, alephaet (anti- CD2 Ag) |
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Psoriasis: Auspitz sign
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pinpoint bleeding
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psoriasis: koebner's phenomenon
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lesions at sites of skin trauma
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pyogenic granuloma
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vascular nodule at site of previous injury
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seborrheic dermatitis
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dandruff in eyebrows, nose and behind the ears
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seborrheic keratosis
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rubbery warts with aging, greasy
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thrombophlebitis and Tx
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vein inflammation with thrombus.
Tx. NSAID, warm morning compresses |
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vitiligo
describe ab |
white patches, anti-melanocyte Ab
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xeroderma pigmentosa
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bad DNA repair
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erythema chronicum migrans
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lyme disease (solitary lesion that spreads)
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erythema infectiosum
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fifth disease"slapped cheeks" due to parvovirus B19
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erythema marginatum
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rheumatic fever, red margins
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erythema multiforme
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target lesions due to HSV, Phenytoin, barbs, sulfas
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erythema multiforme major
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stevens johnson syndrome (>1 mucosal surface)
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erythema nodosum
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fat inflammation (painful red nodules on legs sarcoidosis)
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erythema toxicum
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newborn benign rash (looks like flea bites with eosinophils)
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