• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/60

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

60 Cards in this Set

  • Front
  • Back

Impetigo: Either Staph or Strep


- Thin Vesicles w/ Honey Covered Crust


- Can Resemble HSV


TX: Topical - Bactroban, Oral - Keflex

Impetigo: Either Staph or Strep


- Thin Vesicles w/ Honey Covered Crust


- Can Resemble HSV


TX: Topical - Bactroban, Oral - Keflex

Staph Folliculitis: Small dome shaped yellow pustules w/ hair shaft in center


- Burning, itching


TX: Good Hygiene, PO Ab for scalp or hairy areas

Gram Negative Folliculitis:Small dome shaped yellow pustules w/ hair shaft in center


- Burning, itching


TX: PO Isotretinoin

Hot Tub Folliculitis: Small dome shaped yellow pustules w/ hair shaft in center


- Burning, itching


Tx: Cipro

Pseudofolliculitis: Common in black men and curley hair


-pustules/papules located at the side of the hair follicule


- Ingrown hairs

Furuncle: Staph Aureus


-Risk factors: Diabetes, IV drug users, HIV, Allergy injections, hospitalization, sport teams, prision/military, Homless,


- Tx: Warm compresses and soaks, po Ab

Carbuncle: Several Furuncles developing in adjoining follicles


- Deeply situated mass, multiple drainage points


- Tx: I &D, Systemic Ab

Cellulitus: Staph or Strep, Tx: Iv Ab



Diffuse spreading infection of dermis/Subq tissue, Redness/swelling/warmth/tenderness, Well defined borders that change (spread) rapidly, Develops secondary to wound or skin breakdown, Fever/chills common finding, Patient becomes progressively more ill as affected area enlarges/spreads, Facial cellulitis can cause visual damage if spreads to the eyes

Erysipelas: Grp A Strep


-Occurs on the cheek, can occur from an y break in skin


- Pain malaise, moderate fever


- plaque w/ sharply demarcated/glistening/smooth and hot


Paronychia: Staph Aureus, Infection of lateral nail fold, can be chronic and reoccurring, throbbing swelling, tenderness


Tx: Warm soapy soaks, PO Ab Finger cot for comfort

HPV: Human Papilloma Virus: Condyloma acuminata


- Some have a role in Skin and mucosal malignancy


Tx: Cryo. Category X (Podophyllum), laser surgery


Prevention: Gardasil, Cervarix

Cutaneous Warts


Tx: Spontaneous resolution, duct tape, cryo, salicylic acid

Molluscum Contagiosum: (POX VIRUS) VERY CONTAGIOUS (Self and others)


- Single or multiple 2-5 mm rounded flesh colored/waxy/dome shaped papules


- Face/hands/lower abd, genitals


Uticaria (Hives): IgE mediated response that results in the release of histamines from mast cells


- Widespread/ superficial/ well defined wheals of various shapes and sizes: Intensely pruritic


- potential to progress to angioedema

Angieoedema: IgE mediated response (System wide)


5 "I"s Insects/ Infection/ Ingestion/ Inhalation/ Injection



- Widespread inflammation, vasodilation,


- Drop in BP


- Edema of airway and resp. distress


_ MAY BE FATAL

Erythema Multiforme: Presents w/o prodrome


- Dull red macules/papules/ vesicles/bullae


- Target /Iris Lesions Classic - most often on hands and feet


Steven - Johnson Syndrome: Most commonly caused by drugs


- Most common sites Eyes and mouth


- Classic Hemmorragic Crusts


- Prodrome: Sore throat/cough/headache/burning sensation

TEN: Toxic Epidermal Necrolysis


- Severe form of Steven - Johnsons


- >30% pts will shed entire skin



Nickolskys Sign: Slight Rubbing or pressure results in skin exfoliation



- Need to be admitted to burn unit and treated with fluid replacement, skin grafting and watch for sepsis

Tinea Capitus: Dermatophytes on head

Tinea Unguium: Toe nails

Tinea Barbea: Beard

Tinea Corporis: RING WORM

Tinea Manuum: Hands

Tinea Pedis: Feet " Athletes Foot"

Tinea Cruris "Jock Itch"

Tinea Versicolor: of the skin causing rounded, sharply demarcated macules of variable color


- Usually on trunk and upper arms

Oral Candidiasis ( Thrush) ( Candida Albicans)


- Healthy Neonates


- Immunocompromised patients

Systemic Candidiasis: System wide



Immunosupressants

Diaper Dermatitis- Cutaneous Candidiasis:


Tx: Nystatin Powder

Cutaneous Candida

Vaginal Candida: Yeast infection


Secondary to : Ab, Pregnancy, Diabetics, Oral contraceptives

Seborrheic Keratosis: Benign Plaque lesion


- Brown Beige black


- 3-20mm


- Velvety wart "stuck On"


- Common in elderly


- Tx: Cryo, excision

Actinic Keratosis: Small macules or papules


- Flesh colored


- Scaly crusted, ulcerated


- Sun exposed area


- Consider premalignant--- Squamous Cell Carcinoma


Squamous Cell Carcinoma: Slow growing, Yellowish, skin colored papules or plaques, usually found on sun exposed skin


- Good prognosis if found early


- Biopsy, pt. education,

Basal Cell Carcinoma: Least Malignant type of cancer


- Most common type of skin cancer


- Grow very slow


- Leasions are waxy/firm/papules or nodules


- 85% found on head and neck


- Biopsy and Moh's Surgery

Malignant Melanoma: Melanocytes


- MOST DEADLY


- ABCD rule


- Metastasize to lymph nodes


Surgical excision/chemo/radiation/ sentinel lymph node biopsy

Irrantant Contact Dermatitis: Skin is red/scaly/irritated


- No vesicles or crusting

Allergic Contact Dermatitis:


- Hair products


- Jewelry (especially nickel)


- Topicals


- Plants/weeds

Allergic Contact Dermatitis: Poison Ivy/Oak/Sumac

Diaper Dermatitis: Variant of contact dermatitis


- may be allergies or irritant ( Diapers, wipes, lotion, food, drink etc)

Seborrheic Dermatitis: Overproduction of Sebum (Malassezia Furfur believed to play a role)

Lichen Simplex Chronicus: Self Perpetuating Disorder due to chronic scratch itch cycle


- Itching worse at night

Litchen Planus: Skin lesions with distinctive papules


- Classic Triad


- Six "P"s Planar (flat topped), purple, polygonal (many sides), pruritic, papules, plaques


Lichen Planus: Genital Lesions

Lichen Planus: Oral Lesions

Pityriasis Rosea: Mild acute inflamatory


- Harold Patch ( 1st lesion larger)


- Collarette of Scale (Crinkled)


- Viral


- Self resolving


- Christmas tree Pattern

Psoriasis: Chronic immune-mediated inflammatory


- Genetic component


- Triggers: Smoking, Alcohol, infection, endocrine disorders, medications,


Medication triggers: Beta blockers, lithium, antimalarials, NSAIDS, Tetracyclines

Guttate Psoriasis: more common in children and young adults

Pustular Psoriasis

Erythrodermic Psoriasis: High risk of complications, admit and consult with derm


- loss of barrier protection


- scaling from head to toe


- Worry about fluid loss, sepsis

Black Widow: Muscle cramps, leg, back pain and spasms

Black Widow

Brown Recluse: Mild urticara - full thickness necosis

Brown recluse

Scabies: Spread skin to skin ususlly from shared bedding


- Look at heels of palms, wrists, elbows, waist, buttock, genital, breast


- Need to treat all people in the household otherwise it will re-infest


- Pt. education on household clean up

Scabies Burrows

Pediculosis Capitis: Head Lice


- May be spread by sharing combs, brushes, hats


- Adult= Louse


- Nits = Eggs


- Attach to hair shaft

Pediculosis Corporis: Body Lice


- More common in homeless/refugees


- Look on clothing seams


- Carrt Trench fever, Typhus (Nit in US)

Pediculosis Pubis: "Crabs"


- Can be sexually transmitted


- Spread via bedding/clothing


- can spread to lower abd on very hairy guys