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Derm Flashcards

(46 cards)

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1
Q

greater with pale skin

sun-exposed areas

A

Cutaneous Malignancies
Dx: biopsy
Tx: surgical removal

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2
Q

Flexor surfaces

Asthma, allergic rhinitis,

A

Atopic Dermatitis (Eczema)

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3
Q

Silvery, scaly plaques

A

Psoriasis

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4
Q

Herald patch spares palms and soles

looks like secondary syphilis

A

Pityriasis Rosea

Tx: UV light or steroids

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5
Q

Dandruff

Tx: steroids and antifungal agents

A

Seborrheic dermatitis

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6
Q

Pemphigus Vulgaris

Bullous Pemphigoid

A

Blistering Diseases

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7
Q

ABCDE

A

Malignant Melanoma

Diameter of >6 mm

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8
Q

Tx Malignant Melanoma

A

Full thickness biopsy

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9
Q

Pt. who had organ transplant and looks like a ulcer

A

Tx: biopsy and remove

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10
Q

Waxy, shiny like a pearl

A

Basal cell carcinoma

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11
Q

Tx for Basal cell Carcinoma

A

Mohs microsurgery

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12
Q

Most common skin cancer

A

Basal cell carcinoma

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13
Q

Reddish/purple spots

A

Kaposi sarcoma

Mediterranean and HIV

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14
Q

Virus with Kaposi sarcoma

A

HHV8

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15
Q

Kaposi Tx

A

treat the AIDS
Kaposi will resolve as CD4 increases
Vincristine or interferon
chemo if all else fails: liposomal doxorubicin

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16
Q

can progress to squamous cell carcinoma

A

Actinic keratoses

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17
Q

Tx for Actinic Keratosis

A

Curettage, cryotherapy, laser, topical 5-fluorouracil, imiquimod

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18
Q

Molluscum contagiosum Tx

A

Imiquimod

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19
Q

Stuck on appearance

liver spots

Study These Flashcards
A

seborrheic keratoses

20
Q

Seborrheic Keratoses Tx

Study These Flashcards
A

cryotherapy
surgery
laser
removal is only for cosmetic reason

21
Q

Eczema Tx

Study These Flashcards
A 
Topical corticosteroids
Tacrolimus and pimecrolimus
Antihistamines
Antibiotics
UV light
22
Q

Tx Psoriasis

Local

Study These Flashcards
A

Topical high potency steroids
Vitamin A and D
Coal Tar
Pimecrolimus and tacrolimus

23
Q

Tx Psoriasis

Extensive

Study These Flashcards
A

UV Light
TNF inhibitors
Methotrexate

24
Q

Drugs that induce Pemphigus vulgaris

Study These Flashcards
A

ACE I
Penicillamine
Phenobarbital
Penicillin

25
Biopsy shows autoantibodies on IF studies
Pemphigus vulgaris
26
Pemphigus Vulgaris Tx
Steroids Azathioprine or mycophenolate Rituximab or IVIG
27
Bullous pempigoid Tx
Prednisone use azathioprine, cyclophosphamide, or mycophenolate to decrease steroid uses Mild disease uses erythromycin, dapsone, nicotrinamide
28
Hx of those with Porphyria Cutanea Tarda
``` Liver disease Hepatitis C Alcoholism Estrogen use Iron overload ```
29
Porphyria Cutanea Tarda | Test
Increased uroporphyrins on 24 h urine Def. of Uroporphyrin decaroxylase activity
30
Impetigo Staph look?
superficial bacterial skin infections
31
Tx Impetigo
Mild: Muciprocin, bacitracin, retapamulin Severe: dicloxacillin or cephalosporin MRSA: doxycyclin, clindamycin, TMP/SMX
32
Erysipelas Strep Look?
Bright, red, hot swollen Lesion on face Leukocytosis
33
Erysipelas/Cellulitis | Tx
Mild: oral: Dicloxacillin, cephalexin, cefadroxyl Penicillin allergy: erythromycin, clarithromycin, clindamycin MRSA: doxycyclin, clindamycin, TMP/SMX --------------------------------- Severe IV: oxacillin, nafcillin, cefazolin Penicillin allergy: clindamycin, vancomycin MRSA:Vancomycin, linezolid, daptomycin, tigecycline, cetaroline
34
Folliculitis/Furuncle/Carbuncle | Tx
Ox/Clox/Diclox/Naf
35
Penicillin Allergy mild rash | Tx with?
cephalosporin
36
Penicillin allergy anaphylaxis mild infection Tx with?
Macrolide, clindamycin, doxycycline, TMP/SMZ
37
Penicillin allergy anaphylaxis | severe infection Tx with?
vancomycin, linezolid, daptomycin, or tigecycline
38
Fungal infection topical antifungal | tx?
Clotrimazole, ketoconazole, econazole, miconazole, nystatin, ciclopirox
39
Fungal infection of hair and nails tx?
Terbinafine | itraconazole
40
Drugs that cause hypersensitivity reactions
``` Penicillin Sulfa drugs (thiazide, furosemide, sulfonylureas) Allopurinol Phenytoin Lamotrigine NSAID ```
41
drugs that cause hypersensitivity reactions also cause?
hemolysis interstitial nephritis thrombocytopenia
42
Morbiliform Rash
no mucous membrane involvement | No treatment
43
Erythema Multiforme
"target" lesions mucous membrane not involved from herpes or mycoplasma tx: steroids might help
44
Stevens-Johnson Syndrome | Toxic Epidermal Necrolysis
Tx: IVIG
45
Staphylococcal Scalded skin syndrome Toxic Shock Syndrome
TSS multiorgan involvement: hypotension, renal dysfunction, liver dysfunction, CNS involvement
46
SSSS and TSS | Tx?
Antistaph meds oxacillin or nafcillin effective cefazolin essentially equal

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