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239B > cumulative part fo 439B final > Flashcards

cumulative part fo 439B final Flashcards

(67 cards)

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1
Q

papule

A

elevated round <1 cm

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2
Q

plaque

A

palpable, elevated, depressed, >1cm

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3
Q

macule

A

flat, non-pal <1cm

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4
Q

patch

A

flat, >1cm (interchange with plaque)

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5
Q

vesicle

A

fluid filled <1cm

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6
Q

bullae

A

fluid filled >1cm

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7
Q

postules

A

pus filled vesciles

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8
Q

urticaria

A

wheals/hives, elevated, red ,pruiritic lesions

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9
Q

nodule

A

firm, palpable, extend into dermis or sq tissue

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10
Q

scale

A

scaley

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11
Q

crust

A

crust

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12
Q

petechiae

A

pinpoint non-blanchable red purple spots

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13
Q

telangiectasia

A

spider veins

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14
Q

risk facotrs SCC

A 
elderly and Caucasian
cumulative UV exposure
fair skin
male 
>50 YO
inflammatory skin DO
exposure to carcinogens
HPV infection
immunosuppression (transplant pts)
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15
Q

Immunosupression transplant pts in SCC

A

65 fold increase risk

more aggressive and freq metastases than traditional SCC

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16
Q

actinic keratosis

A

chronic UV exposure
rough, scaly plaques
<1 % progress to SCC
topical or cryo

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17
Q

bowens disease

A

chronic sun exposure or viral infection like HPV 16 or 18
up to 25% can become invasive SCC into dermis
red brown plaque with crusted scale
tx sx chemo or cryo

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18
Q

SCC metastases

A

2-6%

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19
Q

SCC variants

A

keroacanthoma- can regress- resembles SCC
verrucous carcinoma- giant warts
marjolins ucler- AGGRESSIVE, scc developing from ulcer or wd
Mucosal SCC- more aggressive than usual scc 20-70% mets

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20
Q

BCC risk factors

A 
elderly and caucasians
austrilians
hihg UVB exposure
ionizing radiation (xray ) exposure
exposure to carcinogenic chemicals
genetic syndromes
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21
Q

s&S BCC

A

pearly nodule, head and neck with CENTRAL ucler

- can be pigmented, raised, shiny pearly borders

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22
Q

BCC tx

A 
biopsy if suspicious-refer to derm
curettage/electo <1cm, cure 95%
cryosurgery- cure 90%
topical chemo- 75% (superficial BCC only)
radiation- 80%
surgical excision ** gold** 95%c cure
mohs micrographic surgery (for aggreesive BCC) cure 95%
vemuragenib - local chemo
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23
Q

fragility fx

A

low trauma fall from standing height or lower that occurred during injury

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24
Q

Plaquenili

A 
- photosensitivity
renal issues- renal toxicity
opthlamology at baseline
skin changes
n/v/ tinnitus
-continue dose even with SE
tx lupus
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25
OA and RA on xray
RA has erosion of bone, OA shows osteophytes, malalignment, bone on bone (narrow space) xray may NOT correlate with s&S
26
plantar fascilitis
painful DO involving plantar aspect of heel acute or chronic -point tenderness tx rest, footwear, NSAIDS, ice, massage
27
mortons neuroma
irritation of interdigital nerve btwn the metetarsal heads and beneath the overlying tranvserve ligament - point tenderness btwn 3 and 4th toes - mudlers sign (click or palpation tender) - women with high heeled shoes, walk on marble, burning pain
28
metatarsal stress fx
initally pain occurs with activity only point tenderness xray- stress fx rarely visible until 2-6 weeks MRI support dx TX: heel without immoblization as long as causative activity stopped -wt bearing painful- crutch/pwb 4-8 wks resume
29
normal abi
1-1.4
30
abnormal abi
0.9 or less
31
non-compressible abi
>1.4
32
severe ischemia abi
<0.5 intermittent claudication
33
vascular surgery Referral
abi <50, urgent referral for ABI 0.4 with gangrene
34
Tdap
1 dose of tdap for Td Booster then Td every 10 years | tdap if not as a kid for 11 YO >, prego ok
35
varicella vaccine
2 doses not for prego ok to hold off if past zoster/chicken pox
36
HPV female vaccine
3 doses up to 11- 26 YO | nont for prego
37
HPV male vaccine
3 doses up to 21 YO and up to 26YO with risk (immunocompromised) not for prego
38
Zoster vaccine
only for 60>YO 1 dose regarless prior hx zoster not for immunocompromised or prego
39
MMR vaccine
1 or 2 doses up to 55 YO (if not as a kid) prior to 1957 ok- no vaccine not for prego
40
PNA vaccine
> 65 YO 1 dose
41
Meningococcal
1 or more doses any age | college up to 21 YO
42
HEP A vaccine
2 doses at any age | risks: MSM, liver DO, healthcare,
43
Hep B vaccine
4 doses at any age | risk:MSM, increased risk STD, ESRD
44
hiB
1 or 3 doses at any age -adults with hematopoietic stem cell transplant - 6-12months after, asplenia or sickle cell disease
45
vaccines recommend off of
age, prior vaccine, health conditions, lifestyle, occupation and travel
46
influenza vaccine
annually prego ok 6m and older
47
inactivated vaccines ok for immunosuppressants
pna meningococcal influenza (inactive)
48
ABI
right ankle systolic pressure/right brachial systolic pressure and left ankle systolic pressure/left brachial sytolic pressure- lower # drives interpretation/care
49
sausage digits
psoriatic arthirtis
50
ithcy rash on Forehead and chin with b/l knee pain, ANA titer 1:40
low probability of SLE
51
swollen PID
Bouchards Nodes
52
swollen DID
Herbedens nodes
53
24 YO AFF with SLE has + prego
anti-phospholipid syndrome- cause death
54
gout patho
under excrete of uric acid
55
superficial spreading melanoma
caucasian male 70% of melanomas
56
what aggravates acne
dilantin
57
ACL
lachman
58
Menisucus
Mcmurray | lock/catch
59
theaters sign
patellar syndrome
60
Thompson test
squeeze and illicit Achilles reflex
61
Squeeze test
syndresmosis test
62
atopic dermatitis
folds/elbows/knees
63
MCP jts
RA
64
antifungal
elevated boarder but central clearing- ok
65
prego __ gets better
RA | lupus it worsens so REFER
66
seborrhatic dermatitis
itchym nasal folds and eyebrows
67
osteoporosis drugs
give biphosphonates first before $$ meds

239B (14 decks)

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