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Clinical Prep > Derm- my own review > Flashcards

Derm- my own review Flashcards

1
Q

Rosacea

A

small, red, pus filled bumps

Middle aged woman (30-50)

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2
Q

Tx for Rosacea

A

Mild: Flagyl (metronidozaole)
Mod- severe: Tetracyclines
Severe: Accutane

Tx the Redness: Brimonidine “Mirvaso” causes constriction of the tiny blood vessels

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3
Q

Tx of mild Folliculitis

A

Mupirocin “Bactroban”

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4
Q

Tx of more sever Folliculitis

A

Keflex

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5
Q

Tx for Superficial ThromboPhlebitis

A

Elevation
Compress
NSAIDs
Antibiotics (sever)

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6
Q

Cause of Superficial Thrombophlebitis

A

blood clot just below surface of skin

inflammatory condition of the veins

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7
Q

What causes Stasis Dermatitis

Scaly, itchy, red-brown plaque, fine fissuring, erosions, crust

A

Venous insufficiency

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8
Q

What causes Venous insuff

A

valves of the deep veins aren’t working properly so the blood backs up into the superficial veins

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9
Q

Stasis Dermatitis can lead to —>

“inverted champagne bottle”

A

LIpodermatosclerosis

chronic inflammation and fat necrosis

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10
Q

Loss of hair
Shiny, atrophic skin
Elevating legs does NOT help
Pain/claudication at rest

A

Arterial insuff

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11
Q

Pyoderma Gangrenosum is a

A

Derm emergency

Tx with Steroid and Tacrolimus

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12
Q

Tacrolimus

A

non-steroid

treats itch and inflammation

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13
Q

What is Tacrolimus

A

an immunosuppressant

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14
Q

Tx for Tinea on the Foot

A

Terbinafine “Lamisil”

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15
Q

Lamisil is a brand name for

A

Terbinafine

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16
Q

Which one of the tinea is not caused by fungus, but actually a YEAST

A

Tinea Versicolor

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17
Q

Tx for Tinea Versicolor

Topical shampoos including:

A

Selenium sulfide
Ketoconazole
Zinc

Leave on for 10 min then rinse

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18
Q

Visible scale that is not visible until rubbed w finger

A

Tinea Versicolor

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19
Q

Low potency steroids

A

Desonide

Hydrocortisone

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20
Q

Tx for Candidal Intertrigo

A

Clotrimazole cream

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21
Q

Erythema Multiforme

A

Hypersensitivity rxn

Infection or
Meds

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22
Q

Erythema Multiforme presentation

A

Target lesions

dusky central area surrounded by pale ring of red

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23
Q

Where is Erythema Multiforme usually located?

A

Trunk and Arms/Legs

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24
Q

Nikolsky sign

A

when the skin detaches after you touch it

NOT present in Erythema Multiforme

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25
Q

Tx for Erythema Multiforme

A

Steroid
Lidocaine
Benadryl

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26
Q

Tx for Erythema Multiforme if Mycoplasma related

A

Abx

If HSV–> Acyclovir

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27
Q

SJS

A

<10 %

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28
Q

TEN

A

> 30%

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29
Q

Most common Med Culprits of SJS/TEN

A

Sulfa
Anticonvulsant
Lamotrigine “Lamictal”

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30
Q

“Lamictal” aka Lamotrigine

A

Tx Seizures, Bipolar

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31
Q

Tx for SJS/TEN

A

Burn unit
Pain control
Stop offending med

Fluid, electrolyte replacement

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32
Q

Common Anticonvulsants

A 
Carbamazepine
Lamictal (Lamotrigine)
DiazePAM
LorazePAM
Ethosuximide
ClonazePAM
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33
Q

Paronychia

A

infection around lateral and proximal nail folds

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34
Q

Tx of Paronychia

A

Mupirocin “Bactroban” (ointment)

Oral Keflex, Dicloxacillin (a PCN)

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35
Q

Tx of Paronychia if a/w Nail Biting

A

Augmentin

Clindamycin

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36
Q

Which one of the spider bites has Antivenom available?

A

Black Widow

but only used if other stuff doesnt work, often after consult with Toxicology

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37
Q

Tx of Black Widow bite

A

Local sx: pain at bite site
Systemic sx: muscle pain!! spasm, rigid

Wound care, Pain control, NSAIDs, opioids, Muscle Relaxants

38
Q

Classic view of Black Widow bite

A

Blanched circle w surrounding Red perimeter, central punctum

“target lesion”

39
Q

Black Widow bite

A

Muscle spasm, pain, rigid BUT

usually self-resolve within 1-3 days

40
Q

Brown Recluse bite

A

Nastier looking bite, but stays local

Necrotic
Burning and Redness
“red halo” –> hemorrhagic bulla that turns eschar formation

41
Q

Tx of Brown Recluse

A

Wound care, Pain control (NSAIDs)
Tetanus

Debridement if necrotic
Abx is secondary infection

42
Q

5th disease
Erythema Infectiosium
Parvovirus

A

Lacy, reticular

Malaise –> red rash –> “Slapped cheek”

43
Q

Bad, bad things about Erythema Infectiosum

A

Fetal loss during pregnancy

Aplastic crisis in Sickle cell

44
Q

Tx for 5th Dz, Erythema Infectiosum

A

Anti-inf: NSAIDs

45
Q

Koplik spots then Brick red rash starting at forehead and –> towards toes

A

Rubeola (Measles)

46
Q

3 C’s

A

Measles:

cough, coryza (swollen nares), conjunctivitis

47
Q

Tx options for Measles

A

Tylenol, Ibuprofen, hydrate
Vitamin A

high risk for comp: Measles immune globulin

48
Q

Complications of Measles (Rubeola)

A

Diarrhea most common, but

PNA most common cause of DEATH

49
Q

Summer fall
Fecal oral or oral-oral spread
Painful vesicles on hand,feet,mouth

A

Hand foot and mouth
Coxsackie

Supportive tx: antipyretics, hydrate, Topical Lidocaine for the painful vesicles

50
Q

Complications of Hand foot and mouth

A

Aseptic meningitis

Guillian Barre

51
Q

Guillan Bare

A

starts at feet—–> spreads upwards
“Ascending paralysis”

plasma therapy and immune globulin can help

52
Q

TRAb antibodies

A

Grave’s dz

53
Q

TPO and TgAb antibodies

A

Hashimoto’s

54
Q

Main cause of Cellulitis and Erysipelas

A

Strep, (GAS)

55
Q

Tx for Cellulitis

A

Keflex

Dicloxacillin (a PCN)

56
Q

Tx for Cellulitis if caused by Cat, dog, or human bite

A

Augmentin

57
Q

If you suspect MRSA for Cellulitis

A

Oral: Doxy, Clinda
IV: Vanco

58
Q

Erysipelas

A

sharply demarcated borders

often a/w SYSTEMIC MANIFESTATIONS (fever, chills, elevated wbc)

59
Q

Oral tx for Erysipelas

A

Keflex, PCN, Amoxicillin

60
Q

A safe grab to treat Cellulitis, Erysipelas, and Lymphangitis

A

Keflex (oral)

61
Q

Lymphangitis

A

the red streaks that can come from cellulitis site

62
Q

Treatment for MRSA

A

Doxy, Clinda

63
Q

What is the most common type of Impetigo?

“honey crusted”

A

Nonbullous

papules, vesicles, and pustules with weeping –> honey crusted

64
Q

Most common cause of Impetigo

A

Staph

65
Q

Tx for Impetigo

A

Mupirocin 3x/day for 10 days

“Bactroban”

66
Q

If Impetigo becomes systemic, what can you use to treat it?

A

Keflex

surprise surprise

67
Q

What types of lesions are flat?

A

Macule (<10 mm)

Patch (>10 mm)

68
Q

Tx for Tinea Capitis

on the head

A

Griseofulvin

69
Q

Tx for Tinea Cruris “Jock itch”

A

Topical antifungal

Clotrimazole
Terbinafine

70
Q

Tx for Tinea Corporis “Ringworm”

wrestlers

A

Topical antifungal “azoles”

Clortimazole
Ketoconazole

71
Q

Intertrigo (skin folds)
yeast

Tx

A

Ketoconazole
Nystatin
Clotrimazole

72
Q

Tx for Scabies and Lice

A

Permethrin cream

73
Q

Highly contagious, dome shaped pearly-white waxy papules 2-5 mm wtih central umbilical

A

Molluscum Contagiosum

74
Q

Tx for Molluscum Contagiosum

A

generally not needed, most resolved in 3-6 mo

75
Q

Tx for severe Molluscum

A

Topical Retinoid

76
Q

HPV warts “Condyloma Acuminata”

A

painless, soft, cauliflower like

Dx: whitening of lesion with Acetic Acid application

77
Q

Tx for HPV warts

A

80% have spontaneous resolution

Cryotherapy
Electrocauterization
Surgical excision, all can lead to scarrin

78
Q

Vaccine for HPV warts

A

“Gardisil 9”

if younger than 15: 2 shots
if older: 3 shots

79
Q

Fair skinned old person

Velvety warty lesion, “stuck on” appearance

A

Seborrheic Keratosis

No tx needed
If cosmetic desire: Cryotherapy

80
Q

AK

Actinic Keratosis

A

most common Pre-CA condition

—-> Squamous cell

81
Q

2nd most common type of skin CA

A

Squamous cell

82
Q

What is the Pre-CA that can lead to Squamous cell?

A

AK

Actinic Keratosis

83
Q

“sandpaper” pre-CA

A

Actinic Keratosis, AK

84
Q

Bowen’s Dz

A

Squamous cell CA that is only in the epidermis, has not invaded the dermis

85
Q

Clinical sx of Squamous Cell CA

A

White scaly or crusted
Nonhealing ulcer
Hands, neck, head, lips

86
Q

Tx of Squamous Cell CA

A

Surgical excision w clear margins

87
Q

What is the big concern with Melanoma?

A

Agressive, can become systemic and METS

88
Q

Most common type of Melanoma

A

Superficial spreading
Men: Trunk
Women: Legs

89
Q

Diagnosing Melanoma

A

Full thickness wide excision
+
lymph node biopsy

90
Q

Tx for Melanoma

A

Get it out!
wide surgical excision
+ don’t forget to biopsy the lymph nodes

91
Q

Most common type of skin CA

A

Basal cell
slow growing
Small, raised, rolled borders and central ulcer, overlying telangiectasia
Bleeds easily

92
Q

Tx for Basal cell ca of face

A

Mohs

Clinical Prep (41 decks)

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