Derm Flashcards

1
Q

Three main types of skin cancers.

A

Non-melanomas: squamous cell and basal cell
Melanoma

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2
Q

Where are squamous cell cancers usually found?

A

Sun exposed areas of head and neck

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3
Q

What is actinic keratosis?

A

Precancerous lesion due to sun exposure. Also called solar keratosis. Highly variable look but typically irregular, raised, rough, small, red with scaly top.

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4
Q

Basal cell carcinoma info.

A

Most common type of skin cancer
Least deadly
Rarely ever metastasize
Occur on sun exposed areas
Arise from epidermal basal layer
Can look like a sore that won’t heal
Can look pearly or shiny
Can be pink or white and waxy
Can have a center crust or ulcer

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5
Q

Squamous cell carcinoma info.
–Skway-mus–

A

Aggressive and can metastasize
Arises from keratinizing epidermal cells
Often occurs at base of actinic keratosis.
Can look like: Firm, red nodules
Flat sores with a scaly crust
An old scar or ulcer that has a new sore or raised area
Rough, scaly patches on your lips that can become open sores
Red sores or patches that appear on the insides of your mouth
Raised, red patches or sores that appear on your genitals

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6
Q

Melanoma info.

A

Prognosis is related to the thickness of tumor.
Most common site on women is legs.
Most common site on men is back and chest.
Scale to measure thickness is called Breslow scale.
Highly aggressive and metastasizes quickly.
Typically dark variegated color.

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7
Q

What is impetigo caused by?

A

Strep or staph bacteria.
Common in children and presents commonly as itchy, red blisters on face, mouth, nose. Crust over in a honey color. Highly contagious.

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8
Q

What is cellulitis?

A

Staph or strep infection with deep inflammation. Fever, tenderness, swelling in site. Injury, insect bites, break in skin, immunosuppression, diabetes increase risk.

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9
Q

What is a carbuncle?

A

Caused by bacterial infection. Cluster of boils

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10
Q

What is a furuncle?

A

A boil. Caused by a bacterial infection usually at hair root

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11
Q

What is furunculosis?

A

Recurring boils. More common in immunocompromised, diabetics, obese, areas exposed to chronic moisture.

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12
Q

What is folliculitis?

A

Inflamed hair follicles. Caused from bacteria. Usually from shaving. Common in neck on men and armpits on women.

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13
Q

What is erysipelas?

A

Bacterial infection more superficial than cellulitis.
Caused by strep
Most common on face (sometimes seen as a red butterfly patten)
and lower extremities.
Most commonly infects infants and elderly.
In infants it most commonly occurs around umbilicus or diaper region.
It is different than cellulitis in that it has pronounced edema.

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14
Q

What is med term for head lice?

A

Pediculosis capitis

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15
Q

What is med term for ringworm?

A

Tinea corporis

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16
Q

What is med term for nail fungus?

A

Onychomycosis

17
Q

What is med term for jock itch?

A

Tinea cruris

18
Q

What is med term for athlete’s foot?

A

Tinea pedis

19
Q

What is urticaria?

A

Hives

20
Q

What is pruritis?

A

Itching

21
Q

What is another name for eczema?

A

Atopic dermatitis

22
Q

What are ABCDE of skin assessment?

A

Asymmetry, Border, Color, Diameter, Evolution

23
Q

What are good questions to ask when assessing skin problems?

A

When did start?
Anyone else in house have this?
Family history of skin problems?
New medications?
When does it bother you?
What makes it better/worse?

24
Q

What is lichenification?

A

Thickening of epidermis with washboard markings. Caused by chronic scratching/rubbing

25
Q

What is a dysplastic nevi?

A

Atypical mole (larger than 5mm)
Irregular borders with more than one color

26
Q

Name for shingles.

A

Herpes Zoster

27
Q

Difference between herpes simplex 1 and 2.

A

1: cold sore
2. genital warts

28
Q

What are plantar warts caused by?

A

Human papillomavirus HPV

29
Q

What are verruca vulgaris?

A

Warts (caused by HPV virus too)

30
Q

How do you spot scabies infestation?

A

Bites in webbing of fingers, armpits, flexor surfaces of wrists and genitalia.
Severe itching at night.

31
Q

How do you spot bedbug infestation?

A

Bites in groups of 3’s
May see on clothes
Wheal surrounded by flare

32
Q

What is a lipoma?

A

Non cancerous fatty tumor under skin. Rubbery and round
Most common on trunk, neck, arms

33
Q

What is seborrheic keratoses?

A

Warty, brown spots that look like they are stuck on skin. Sometimes hard to tell the difference from actinic keratosis

34
Q

What is xerosis?

A

Dry skin

35
Q

When advising patients about stress in their lives, how should we word it?

A

Do not advise patients to “remove stressors”. Help them identify ways to cope with stress.

36
Q

How to tell the difference between a vaginal yeast infection and bacterial vaginitis?

A

Smell.. bacterial vaginitis will have strong smell

37
Q

What is seborrheic dermatitis?

A

Dandruff. Can happen in anywhere on body though.

38
Q

What is hand, foot and mouth disease caused by?

A

Virus. Blister like sores in mouth and rash on hands and feet. Will resolve on its on