Concert Exam rashes

Question 1

Erythema Multiforme

Answer 1

Target Lesion (central is darker like Target Store)
Men > Female
Causes:
Mycoplasma
HSV
Meds (Sulfa)
prognosis - Self limited (versus TEN/SJS)

Question 2

Erythema Infectiosum

Answer 2

Fifths disease / Slapped cheek
Cause - Parvo B19
presentation - fever, myalgias, rash 2 - 3 days after
danger associated with fetal deaths in pregnant patients
patients with chronic hemolytic anemia ( ie Sickle cell) can have aplastic crisis

Question 3

Chicken Pox (verus small pox)

Answer 3

Varicella
no preceding illness
mostly trunk
no palms and soles
rash in different stages
superficial pocks

Question 4

Small Pox (versus chicken pox)

Answer 4

VariOla (Oh crap I have small pox) 
prodromal illness
mostly face and extremities
palms and soles are affected
lesions are all same stage
deep pocks

Question 5

Measles (Versus German measles)

Answer 5

RubeOla (Oh crap I have measles)
Kolicks spots (white papules with erythematous base
no lymphadenopathy

Question 6

German Measles

Answer 6

Rubella
pinpoint petechia on soft palette
post auricular lymphadenopathy

Question 7

Mumps

Answer 7

Cause- paromyxovirus, resp droplets
bilateral non-supparative parotid swelling
RX - analgesis and antipyretics

Question 8

Erythema Nodosum

Answer 8

Presentation-tender nodules on extensor surfaces
Underlying causes:
group a streptococcus
tuberculosis
inflammatory bowel syndromes
malignancy  (cancer)
sarcoidosis
treatment-throat culture,  NSAIDS

Question 9

Erythema Chronicum migrans

Answer 9

Lyme disease
tick - borrelia Burgdorferi
Tick needs to be attached for 2 to 3 days
 target lesion with central clearing (versus erythema multiforme)
 stage I-rash, central clearing
stage II-carditis (A/V  blocks)
arthritis
Bell's palsy
stage III-chronic arthritis

Question 10

Erysipelas

Answer 10

More superficial than cellulitis
shortly defined
caused by: strep progenies
treatment-Augmentin

Question 11

Kawasaki (mucotenous lymph node syndrome)

Answer 11

Must have four of the five:
- desquamation
-rash  (polymorphous)
-lips (Fissured)
-Eyes (injected)
-cervical LAD
 treatment-ASA / Gamma Globulin
complications-coronary artery aneurysm

Question 12

Erythema Marginatum

Answer 12

-Smoke like
-one of the criteria for rheumatic fever
-history of sort throat one month ago
cause-group a beta hemolytic strep
Jones criteria-
J-joints (migratory)
H-heart/carditis
N-nodules (extensor surfaces)
E - Erythema Marginatum
S - Sydenham’s Chorea - is a disease characterized by rapid, uncoordinated jerking movements affecting primarily the face, feet and hands.

Question 13

Herpatic Stomatitis

Answer 13

Anterior mouth / lips / gums

coxsackie (posterior)

Question 14

coxsackie

Answer 14

Hand foot and mouth disease
oval lesion (herpangina) soft palette mostly
visa fever strike that-fever/headache/dysphagia

Question 15

Disseminated gonorrhea

Answer 15

Young sexually active
hemorrhagic macules on distal extremities
migratory poly arthralgia
gram-negative intracellular diplococci

Question 16

Causes of migratory poly arthritis

Answer 16

• Lyme disease
• hepatitis
• SBE
• gonorrhea

Question 17

Pyoderma Gangrenosum

Answer 17

-ulcerative cutaneous lesion
-painful
associated with inflammatory bowel disorders
treatment-NSAIDS

Question 18

Kerion (to scalp)

Answer 18

Allergic reaction to fungus
body tender scalp swelling associated with hair loss and purulent drainage
do not I&D
oral steroids + antifungal medicine

Question 19

Dacryocystitis

Answer 19

(s epidermis, S Aureus, S pneumonia)
Treatment:
augmentin
warm compress
massage
no I&D

Question 20

Necrotizing fasciitis

Answer 20

Cause: group Beta hemolytic strep