Dermatology Day 1

Question 1

what do you have to do with derm patients?

Answer 1

get them naked!

Question 2

what is a macule?

Answer 2

circumscribed, flat lesion <0.5cm

Question 3

what is a flat discoloration >0.5cm

Answer 3

patch

Question 4

what is actinic keratosis?

Answer 4

SCCA confined to the epidermis, lesions are common caused by CHRONIC PROLONGED SUN EXPOSURE

Question 5

what is an elevated solid lesion <0.5 cm?

Answer 5

papule

Question 6

what is a circumscribed, elevated, superficial solid lesion >0.5cm?

Answer 6

plaque/nodule

Question 7

what is a circumscribed collection of leukocytes and free fluid?

Answer 7

pustule

Question 8

what is a circumscribed collection of free fluid <0.5cm?

Answer 8

vesicle

Question 9

what is a circumscribed collection of free fluid >0.5cm?

Answer 9

bullae

Question 10

what are wheals?

Answer 10

edematous plque resulting from infiltration of the dermis with fluid (transient and lasts hours)

Question 11

what is excess dead epidermal cells produced by abn keratinization and shedding?

Answer 11

scale

Question 12

what is a collection of dried serum and keratin debris?

Answer 12

crust

Question 13

what is hyperkeratotic?

Answer 13

thickening of stratum corneum

Question 14

what does impetigo affect?

Answer 14

superficial layers of skin

Question 15

what does erysipelas affect?

Answer 15

infection extends into cutaneous lymphatics

Question 16

what does cellulitis affect?

Answer 16

skin and subcutaneous tissues

Question 17

most skin infections are caused by what kind of bacteria?

Answer 17

gram positive

Question 18

what is the most common contagious superficial skin infection?

Answer 18

impetigo

Question 19

impetigo is a common complication is in which condition?

Answer 19

atopic dermatitis

Question 20

what do you do with recurrences of impetigo?

Answer 20

use bactroban BID x10 days to everyone in the house

Question 21

where do you harvest the scraping from when you want to do a KOH prep?

Answer 21

outside border of the lesion

Question 22

what do hyphae look like?

Answer 22

tree branches

Question 23

what is leser-trelat sign?

Answer 23

dramatic increase in number of super itchy SKs can indicate an underlying malignancy

Question 24

what is the preferred lab test for nails and hair and sensitive skin areas to test for fungus?

Answer 24

fungal culture (turns pink in 6-7 dys)