Derm Flashcards
(122 cards)
1
Q
acanthosis nigricans
A
darkening of the skin caused by elevated glucose
2
Q
treatment of acanthosis nigricans
A
glucose control and weight loss
3
Q
Etiology of acne vulgaris
A
-sebum
-bacteria
-inflammation
4
Q
categories of acne
A
-mild: <20 comedones, <15 pustules
-moderate: 20-100 comedones, 15-50 pustules
-severe: >100 comedones, >50 pustules, any cysts/nodules
5
Q
treatment of mild acne
A
-BPO
-tretinoin
-topical antibiotics
6
Q
treatment of moderate acne
A
-BPO
-tretinoin
-doxycycline
7
Q
treatment of severe acne
A
-same as moderate
-can try accutane
8
Q
actinic keratosis
A
precancerous lesion on sun exposed area of skin
9
Q
s/s of AK
A
flat, scaly, rough lesions
10
Q
treatment of AK
A
cryo
5fu
11
Q
etiology of androgenic alopecia
A
genetic
12
Q
s/s of angrogenic alopecia
A
-gradual thinning
13
Q
diagnosis of androgenic alopecia
A
-clinical
-biopsy
14
Q
etiology of alopecia areata
A
autoimmune
15
Q
treatment of androgenic alopecia
A
topical rogaine
men: finasteride
16
Q
s/s of alopecia areata
A
-patchy hair loss
-black dots (exclamation hairs)
17
Q
diagnosis of alopecia areata
A
biopsy
18
Q
treatment of alopecia areata
A
midoxinil + topical steroid
19
Q
s/s of basal cell carcinoma
A
pink/red pearly nodule with visible vessels
20
Q
ulcerating BCC
A
like nodular but with central ulcer
21
Q
sclerosing BCC
A
plaque, scar like lesion
22
Q
diagnosis of BCC
A
biopsy
23
Q
treatment of BCC
A
mohs
24
Q
etiology of bullous pemphigoid
A
autoimmune disorder
25
s/s of bullous pemphigoid
-large, tense, firm topped lesions
-painful erosions after rupture
-negative nikolsky
26
diagnosis of bullous pemphigoid
perilesional biopsy
27
treatment of bullous pemphigoid
prednisone
28
cellulitis vs erysipelas
-cellulitis doesn't have distinct boarders and erysipelas does
29
Treatment of Cellulitis & Erysipelas
-MRSA risk: clinda, bactrim, or doxy
-no MRSA risk: keflex
-bite: augmentin
30
etiology of condyloma
HPV 6 and 11
31
s/s of condyloma
-flat topped papules
-cauliflower lesions
-flesh colored
32
diagnosis of condyloma
-typically clinical
-pap smear
33
treatment of condyloma
-imiquimod
-cryo
-surgical removal
-may resolve on own
34
etiology of eczema
IgE mediated
35
s/s of eczema
-red, scaly, plaques or papules
-itchy
36
diagnosis of eczema
clinical
37
treatment of eczema
-low strength steroid
-moisturizer
-antihistamines
38
etiology of seb derm
yeast
39
s/s of seb derm
-greasy, yellow scales
-erythematous base
40
diagnosis of seb derm
clinical
41
treatment of seb derm
-ketoconazole shampoo
-topical steroids
42
s/s of fixes drug eruption
-erythematous plaque or patch that recurs in the same site if reexposure occurs
43
treatment of drug eruption
-d/c drug
-topical steroid
-topical abx if eroded
44
s/s of dyshidrotic eczema
-tapioca like vesicles
-on fingers
45
s/s of dyshidrotic eczema
-tapioca like vesicles
-on fingers
46
treatment of dyshydrotic eczema
topical steroids
47
etiology of erythema multiforme
-infections and drugs
48
s/s of erythema multiforme
-erythematous, papular lesion
-tense, firm topped
-contain serous or hemorrhagic fluid
-positive nikolsky sign
49
treatment of EM
-topical steroids
-recurrent: daily prophylactic antiviral
50
s/s of measles (rubeola)
-URI sx
-koplik spots
-rash starts on face and trunk and spreads to limbs
-then fades in the same pattern in 6 days
51
s/s of rubella
Maculopapular rash that starts on the head and travels down the body after if fades from face
52
etiology of erythema infectiosum
Parvovirus B19
53
s/s of erythema infectiosum
-slapped cheek rash
-then spreads distally
54
etiology of roseola infantum
HHV 6/7
55
s/s of roseola infantum
-abrupt onset of high fever
-fever drops and rash appears
56
s/s of folliculitis
infection of the hair follicle with pus in the ostium of the follicle
57
treatment of folliculitis
-mild: BPO wash
-moderate: topical abx
-severe: oral abx
58
s/s of HS
-open comedones
-nodules with sinus tracts
-abscesses
-scarring
59
management of HS
-intralesional steroids
-doxy
-i&d
-biologics
60
s/s of impetigo
-honey colored crust
61
treatment of impetigo
Mupirocin
62
kaposi sarcoma
-cancerous condition starting as purple or brown papules on the lower extremities that spreads through the skin to the lymph nodes and internal organs
-frequently seen with AIDS
63
treatment of kaposi sarcoma
HAART
64
treatment of lice
Permethrin
65
s/s of lichen planus
-flat topped papules
-whickham striae
66
diagnosis of lichen planus
biopsy
67
treatment of lichen planus
topical steroids
68
lichen simplex chronicus
lichenified plaques from excessive rubbing and scratching
69
treatment of lichen simplex chronicus
stop itch scratch cycle with antihistamines or topical steroids
70
s/s of epidermal cyst
-raised nodule with central punctum
71
treatment of epidermal inclusion cyst
-if inflamed or infected, I&D
-surgical excision
72
s/s of melanoma
-asymmetry (not round or oval)
-irregular border
-uneven color
-diameter >6 mm
-elevation/change from flat
73
diagnosis of melanoma
biopsy
74
treatment of melanoma
surgical excision
75
melasma
hyperpigmentation on the face in sun exposed areas
76
treatment of melasma
tri-luma
77
s/s of molluscum
small, smooth, umbilicated papules
78
treatment of molluscum
-typically heal on their own
-cryo
-salicylic acid
79
nummular eczema
coin shaped scaly plaques
80
treatment of nummular eczema
same as atopic
81
onychomycosis
fungal infection of the nail
82
diagnosis of onychomycosis
-clipping or scraping
-biopsy or KOH
83
treatment of onychomycosis
-topical antifungal for a year
-terbinafine or 6-12 weeks
84
paronychia
inflammation of the nail fold with abscess formation
85
treatment of paronychia
-I&D
-oral abx
86
pilonidal cyst
cyst above gluteal cleft
87
treatment of pilonidal cyst
I&D of the abscess followed by sterile packing
88
s/s of pityriasis rosea
-single herald patch
-then generalized rash in christmas tree pattern
-remits in 6 weeks
89
treatment of pityriasis rosea
self remitting
90
s/s of psoriasis
erythematous plaque with white scales
91
diagnosis of psoriasis
clinical
biopsy
92
treatment of psoriasis
topical steroids
calcitriol
biologics
93
s/s of rosacea
-erythema
-papules
-telangiectasias
-sensitivity
94
treatment of rosacea
-lifestyle changes
-metronidazole
-azelaic acid
95
s/s of scabies
-night itching
-black speck
-burrow
96
diagnosis of scabies
-scabies prep
-jetliner with its trail on dermoscopy
97
treatment of scabies
Permethrin
98
s/s of seborrheic keratosis
-stuck on
-dark, rough lesions
99
treatment of seborrheic keratosis
-only removed for cosmetic reasons
-cryo
100
s/s of black widow bite
-htn
-tachycardia
-palpitations
-SOB
-excessive salivation
-n/v
-fang marks and halo around lesion
101
s/s of brown recluse bite
-pain
-swelling
-bullae
-necrosis
-hemolysis
102
treatment of spider bites
-wound irrigation
-cold compress
-symptomatic treatment
-tetanus
-antivenom
103
etiology of SJS/TEN
drugs
104
s/s of SJS/TEN
-epidermal detachment
-positive nikolsky sign
105
SJS vs TEN
SJS <10%
TEN >30%
106
treatment of SJS/TEN
-fluids
-pain meds
-wound care
-steroids and IVIG
107
tinea capitis
-grey, scaly patches on scalp
-black dot
108
diagnosis of tinea capitis
KOH prep
woods lamp
109
treatment of tinea capitis
-terbinafine for adults
-griseofulvin for kids
110
tinea cruris
large scales with central clearing of the groin
111
treatment of tinea cruris
topical antifungal
112
tinea corporis
ringworm
113
treatment of tinea corporis
topical antifungal
114
tinea pedis
erythema, scaling, and maceration of the foot
115
treatment of tinea pedis
topical antifungal
116
tinea versicolor
overgrowth of malassezia furfur
117
s/s of tinea versicolor
-itching
-hyperpigmented and erythematous
118
diagnosis of tinea versicolor
KOH shows budding yeast and hyphae
119
treatment of tinea versicolor
topical antifunfals
120
treatment of warts
-SA
-cryo
-cantharadin
121
s/s of vitiligo
loss of pigmentation with sharp margins
122
treatment of vitiligo
none
