Dermatology Final Set 3

Front 1

Back 1

Beau’s Lines
-if single nail = trauma
-if all nails = systemic

Front 2

Back 2

Beau’s Lines
-if single nail = trauma
-if all nails = systemic

Front 3

Back 3

Onychomadesis (nail shedding)
-nail shedding, detaching from prox aspect
-multiple digits = systemic cause

Front 4

Back 4

Pitting - Punctate depressions are focal abn. keratinization areas in the prox nail matrix; caused by psoriasis (irregular), alopecia areata (small + geometric), eczema

Front 5

Back 5

Onychorrhexis - longitudinal fissures + ridges w/ thinning; caused by lichen planus, trauma, tumors compressing nail matrix.
-Mild = normal aging

Front 6

Back 6

Onychorrhexis in lichen planus: Tx - inject prox nail fold w/ kenalog

Front 7

Back 7

Onychorrhexis - longitudinal fissures (lines w/ lateral nail fold)

Front 8

Back 8

Onychorrhexis

Front 9

Back 9

Trachyonychia - rough nails, thin, sandpaper nails; caused by proximal nail matrix damage from psoriasis, alopecia areata, lichen planus, eczema: Tx - biotin

Front 10

Back 10

Trachyonychia - rough nails, thin, sandpaper nails; caused by proximal nail matrix damage from psoriasis, alopecia areata, lichen planus, eczema: Tx - biotin

Front 11

Back 11

Koilonychia - lung issues, iron deficiency

Front 12

Back 12

Koilonychia - lung issues, iron deficiencies

Front 13

Back 13

Onycholysis - distal nail plate detaches; seen in psoriasis + onychomycosis

Front 14

Back 14

Onycholysis

Front 15

Back 15

Onycholysis

Front 16

Back 16

Habit Tic Deformity - push cuticles back

Front 17

Back 17

Onychauxis - thickens nail appearance due to subungual hyperkeratosis; caused by psoriasis / onychomycosis

Front 18

Back 18

Splinter hemorrhage:
-subacute bacterial endocarditis
-trauma

Front 19

Back 19

Nevi

Front 20

Back 20

Nevi

Front 21

Back 21

Nevi

Front 22

Back 22

Subungual hemorrhage

Front 23

Back 23

Subungual hemorrhage

Front 24

Back 24

Subungual Hematoma

Front 25

Back 25

Subungual Hematoma

Front 26

Back 26

Hutchinson’s sign and Melanoma

Front 27

Back 27

Hutchinson’s sign and Melanoma

Front 28

Back 28

Hutchinson’s sign and Melanoma

Front 29

Back 29

Amelanotic Melanoma

Front 30

Back 30

Squamous on great toe

Back 31

Congenital Malalignment of Great toes

Front 32

Back 32

Congenital Malalignment of Great toes

Front 33

Back 33

Pachyonychia Congenita

Front 34

Back 34

Psoriasis: Tx - tazorac, oral cyclosporine, topical steroids, Vit D Dovonex, Remicade

Front 35

Back 35

Psoriasis: Tx - tazorac, oral cyclosporine, topical steroids, Vit D Dovonex, Remicade

Front 36

Back 36

Psoriasis: Tx - tazorac, oral cyclosporine, topical steroids, Vit D Dovonex, Remicade

Front 37

Back 37

Lichen Planus

Front 38

Back 38

Alopecia Areata

Front 39

Back 39

Eczema

Front 40

Back 40

Clubbing: COPD/Heart issues, Lova bonds angle

Front 41

Back 41

Distal Lateral Subungual: T. Rubrum

Front 42

Back 42

Proximal Subungual: T. Rubrum

Front 43

Back 43

White superficial: T. mentagrophytes and Non­dermatophyte molds

Front 44

Back 44

Not so typical­­­ - Pseudomonal infection

Front 45

Back 45

Paronychia

Front 46

Back 46

Onychocryptosis

Front 47

Back 47

Pincer Nail

Front 48

Back 48

Verruca

Front 49

Back 49

Onychogryphosis

Front 50

Back 50

Onychogryphosis

Front 51

Back 51

Onychogryphosis

Front 52

Back 52

Pyogenic granuloma - outpouching of vasc tissue: Tx - bovi; DDx - amelanotic melanoma

Front 53

Back 53

Fibroma - outpouching of nail matrix into nail plate; Tx - anesthetize + curette to remove in total

Front 54

Back 54

Koenen’s Tumor/Tuberous Sclerosis: Multi subungual fibroma in mentally handicapped children

Front 55

Back 55

Koenen’s Tumor/Tuberous Sclerosis - Multi subungual fibroma in mentally handicapped children

Front 56

Back 56

Fibromas

Front 57

Back 57

Fibromas

Front 58

Back 58

Glomus - looks blue; Tx - take off plate + excise tumor

Front 59

Back 59

Glomus - looks blue; Tx - take off plate + excise tumor