Skin Flashcards

1
Q
  • most common skin cancer

- waxy, pearly, indurated, rodent ulcer

A

Basal cell

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2
Q
  • skin cancer

- irregular, flaky (actinic keratosis)

A

Sqauamous cell

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3
Q
  • skin cancer
  • pigmented
  • multicolor
  • MOST invasive skin cancer
A

Melanoma

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4
Q

Precancerous lesions

A

Actinic keratosis - yellow

Leukoplakia - white

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5
Q

Folliculitis

A

Irritated hair follicles (groin, neck)

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6
Q

Psoriasis

A
  • silver scales (most significant feature is psoriatic plaques)
  • pitted nails
  • occurs on extensors
  • 15% joint involvement
  • hyperuricemia
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7
Q

Eczema

A
  • contact dermatitis
  • remove agent
  • flexors
  • “hold things with your flexors, therefore flexors get contact dermatitis”
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8
Q

3 diseases that destroy joints

A

OA- ones who abuse
RA- hereditary; systemic
Psoriatic - aggressive and mean

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9
Q

Pediculosis

A
  • lice (nits)

- special shampoo is used; then used again one week later to kill nits

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10
Q

Scabies

A
  • love warm damp, hairy spots

- ‘furrow and burrow in with all their mites”

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11
Q

Tinea capitis

A
  • ringworm

- “fungus among us”

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12
Q

Lyme disease

A

Spirochete carried by ticks

Bite => erythema migrans => central clearing => bull’s eye for 2-3 weeks

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13
Q

Erysipelas

A
  • purple
  • strep
  • shiny red vesicles
  • fever
  • patches
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14
Q

Pityriasis Rosea

A

“Such a pity they have a herald patch”

  • herald patch
  • 10-30 years old
  • fatigued
  • post viral infection
  • comes on fast
  • recedes slowly
  • on the torso => branches out into a Christmas tree
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15
Q

Seborrheic Dermatitis

A
  • dandruff on steroids
  • scaly
  • oily
  • itchy
  • erythema
  • painful (skinalgia)
  • binds hair (cradle cap)
  • blepharitis
  • tx: shampoo (sulfur and aspirin), steroid cream
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16
Q

Dermatomyositis

A

Rash (heliotrope [sun sensitive])

Eyelids and knuckles

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17
Q

SLE

A
  • butterfly rash (malar) heliotrope [sun sensitive]

- eyelids are preserved

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18
Q

Acne

A

Vulgaris - young; puberty

Rosacea - Nosey Rosey (bulbous unilateral nose growth); rhinoplasty

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19
Q

Impetigo

A
  • staph and strep
  • primary (vesicle and bulla)
  • secondary: crusty
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20
Q

Impetigo vs B2 riboflavin problems

A

Impetigo: erupts and oozes, crusty/honeycomb, very contagious

B2 riboflavin problem: cheilosis; not contagious

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21
Q

Tinea Versicolor

A
  • subcutaneous fungus causing white patches

- shows up in the summer

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22
Q

Vitiligo

A

Patchy absence of melanin

- 20’s and 30’s

23
Q

Lichenification

A
  • thickened epidermis induced by scratching (washboard)

- precancerous

24
Q

Epidermal nevus

A
  • group of hamartomas
  • brown
  • flat
  • warty
25
Q

Hemangioma

A
  • red elevated birth mark
26
Q

Mongolian

A

Flat, dark region

27
Q

Cafe au lait

A
  • fibrous dysplasia (coast of Maine) (affects a single bone)

- neurofibromatosis (coast of California)(von recklinghouse disease) (growing; significant problem)

28
Q

Purple list

A

Kapossi sarcoma - vessel cancer; purple black appearance; opportunistic cancer

Erysipelas - strep; so red they look purple

Lichen planus 
— oral: white, glossitis 
— nail: ridges
— purple skin: wrist, ankles
— purple papules
29
Q

Stomatitis

A

Mouth lesions

30
Q

Fordyce spot

A

Yellow

- mouth lesion

31
Q

Aphthous stomatitis

A

Yellow center, red halo

Canker sore/ cold sore

32
Q

Acrodynia

A

Mercury poisoning - children

- mouth lesion

33
Q

Mechanical mouth lesions

A
  • dentures, mouth appliances
34
Q

Glossitis

A

Swollen large tongue

Often vitamin B deficiency

35
Q

Leukoplakia

A

White, cannot peel it off

36
Q

Hairy leukoplakia

A
  • white, can peel it off (sort of)
37
Q

Thrush

A

White (can peel off)

38
Q

Diphtheria

A

Pseudo membrane in throat

Exotoxin

39
Q

Scarlet fever

A

Beefy red tongue

40
Q

Herpes

A

Vesicles, prodrome (itchy)

41
Q

Koplik

A

White spots on erythematous base

42
Q

Cleft palate

A
  • anomaly of soft, hard, or both palates
43
Q

-onychia

A

Inflammation of nail folds

44
Q

Clubbing nails

A
  • COPD, cancer, RA

—all three related to hypoxia

45
Q

Onychocryptosis

A

Ingrown toenails

46
Q

Pitted nails

A

Psoriasis

— “silver scales, pitted nails, and it occurs on extensors….PSORIASIS”

47
Q

Transverse grooves on nails

A
  • Beaux lines

- indicative of systemic illness

48
Q

Pachyonychia

A

Thickened nail beds

49
Q

Paronychia and onychia

A

Inflammation around nail bed

50
Q

Leukonychia

A

White nail bed, red mood

- “switching of moon”

51
Q

Splinter hemorrhages

A

SBE (subacute bacterial endocarditis)[strep infection]

—painful Osler’s nodes on tips of digits

52
Q

Koilonychia

A
  • “coil grows up”

- iron deficiency and fungus (lifting of the nail bed)

53
Q

Onychomycosis

A

Fungal infection

Common in geriatrics