Lecture 1 Introduction to General Dermatology Flashcards

1
Q

What’s the largest organ in the body

A

Skin

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2
Q

What type of structures does the skin contain

A

Adnexal structures: hair, nails, glands, sensory structures

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3
Q

What is the epidermis

A

Outer layer- 3 cell types keratinocytes (squamous cells) majority of cells. Avascular

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4
Q

What is the dermis

A

collagen and elastin matrix with mucopolysaccharide gel also fibroblasts, dermal dendritis cells and macrophages

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5
Q

What is the hypodermic

A

(subcutaneous tissue): fat energy store, insulation, fibrous bands anchor skin to fascia

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6
Q

What are Melanocytes

A

makes melanosomes (collection of melanin) excreted and phagocytoses into keratinocytes

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7
Q

What are Langerhans

A

process antigens and migrate to lymph nodes to induce an immune response. Found in epidermis

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8
Q

Name the layers of the epidermis

A
Stratum corneum
Stratum lucidum
Stratum granulosum
Stratum spinosum
Stratum basale
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9
Q

What is the nail matrix

A

Where the nail starts to grow from

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10
Q

What is the hair cycle

A

Anagen- active goring phase
Catagen- 2-3 week phase growth stops/follicle shrink
Telogen- resting phase

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11
Q

What is the function of this skin

A
Thermoregulation
Immunity
Barrier
Sensation
Vitamin D synthesis
Interpersonal Communication
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12
Q

Name external causes of skin disease

A

– Temperature, UV, chemical (allergen or irritant), infection, trauma (Dermatitis Artefacta)
– Photosensitivity- antibiotics, NSAIDs, anti-hypertensives
– Cold Injury
– Frostbite, Chilblains
– Skin Necrosis
– Cold Urticaria

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13
Q

Name internal causes of skin disease

A

– Systemic disease, genetics, drugs, infection
– Genetic- neurofibroma, Ichthyosis
– Drug reaction
– Autoimmune- Bullous Pemphigoid

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14
Q

What classifies as a small lesion

A

Less then 5mm

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15
Q

What is a macule

A

small circumscribed area (flat, discolouration)

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16
Q

What is a patch

A

larger circumscribed area (flat, discolouration)

17
Q

What is a papule

A

small raised area

18
Q

What is a plaque

A

large raised area

19
Q

What is a vesicle

A

small fluid filled

20
Q

What is a bulla

A

large fluid filled

21
Q

What is a pustule

A

small pus filled

22
Q

What is a abscess

A

large puss filled

23
Q

What is an erosion

A

Loss of epidermis

24
Q

What is an ulcer

A

loss of epidermis and dermis

25
Q

What is Leukocytoclastic Vasculitis

A

Small blood vessels in skin that become inflamed and burst causing a purpuric rash

26
Q

Cutaneous signs are useful in diagnosing conditions such as

A
  • Erythema Nodosum (TB, pregnancy, sarcoidosis)
  • Sarcoidosis
  • Vasculitis
  • Malignancy (paraneoplastic rashes)
  • Auto-immune conditions (Thyroid disease, Diabetes)
  • HIV
27
Q

What is Acanthosis Nigricans

A
  • Associated with insulin resistance, obesity, malignancy
  • Flexural distribution
  • Hyperkeratosis and Hyperpigmentation, papules
  • ‘velvety’ appearance
  • Type 2 DM
28
Q

Name a thyroid skin disease

A

Pretibial Myxoedema

29
Q

What investigation is sued of a bacterial infection is suspected

A

Charcoal swap
Microscopy
Culture
Sensitivity

30
Q

What investigation is done if a viral infection is suspected

A

• Viral swab for PCR

31
Q

What investigation is done if a fungal infection is suspected

A
  • Skin scraping
  • Nail clipping
  • Hair sample
  • Fungal cultures (take several weeks)