Derm Flashcards
(34 cards)
Lyme Disease
Def: caused by B. Bugdorferi
SS:
target lesion
fatigue
myalgia
Eval:
Lyme screen
Txt:
doxycycline 100 mg po bid x 14 days
Rocky Mountain Spotted Fever
Def: Ricksetta rickettii
SS: fever rash N/V myalgia HA
Eval:
CBC
LFT
Serology
Txt:
Doxycycline 100 mg po
Alopecia areata
Def: acute hair loss recurrent
SS:
bare areas with short/no hair
Eval:
clinical
Txt:
steroids
Telogen Effluvium
Def: loss of hair with stress
SS:
pull out more than 5 hairs
Eval:
clinical
Txt:
none
Folliculitis
Def: inflammation/infection of hair follicle
SS:
itchy
erythematous papillose
Eval:
Clinical
skin culture
Txt:
abx
Furuncle/Carbuncle
Def: deep inflammatory nodule in hair follicle
SS: erythematous pain drains pus friction and sweat areas
Eval:
clinical
Txt:
warm compress
abx
drain
Onychomycosis
Def: fungal infection of nail
SS:
thickened nail
subungual debris
discoloration of nail
Eval:
clinical
fungal culture
Txt:
antifungal
Paronychia
Def: infection of hand via nail
SS: local pain swelling tenderness purulent material
Eval:
Clinical
Txt:
warm soak
abx
incise and drain
Atopic dermatitis
Def: chronic pruritic dry skin
SS: pruitis flaky dry red
Eval:
clinical
Txt:
moisturize
steroids
Seborrheic Dermatitis
Def: cradle cap infants
SS:
itching
crusty, scaly patches
Eval:
Clinical
Txt:
shampoo
Acne Vulgaris
Def: cutaneous disorder of pores
SS:
open/closed comedones
pitting
scaring
Eval:
Clinical
Txt: trentinoin - qhs gel 0.01% benzoyl peroxide - 2.5 % gel bid oral abx - doxycycline 100 mg, 50 mg qd isotrentinoin
Rosacea
Def: facial flushing and vacularaty
SS:
facial flushing
telangiectasias
erythema
Eval:
clinical
Txt:
avoid triggers
abx
Hidradenitis Suppurativa
Def: chronic cutaneous process with inflammation of apocrine glands
SS: intertriginous areas painful papules draining
Eval:
clinical
Txt:
hygiene
warm compresses
surgical
Cellulitis
Def: inflammation of dermis and subcutaneous tissue
SS: ill defined border warm erythematous tender fever
Eval:
culture
clinical
Txt:
cephalexin 500 mg po qid
Erysipelas
Def: infection dermis
SS: tender peau d' orange sharp margins warm
Eval:
clinical
culture
Txt:
abx
Impetigo
Def: “honey crusted lesions”
SS:
honey crusted lesions
Eval:
clinical
Txt:
abx
Candida types
Balantis - penis intertrigo - superficial oral (thrush) - mouth and tongue angular chelitis - angle of mouth Tinea versicolor - hypo/hyper- pigmented skin tinea capitis - head tinea corporis - ring worm tinea cruris - groin tinea manus - hand tinea pedis - feet
Eval:
KOH prep
wood lamp
Txt:
antifungal
Varicella
Def: dew on rose petal
SS:
vesicles
erythematous
various stages
Eval:
Clinical
tzanck smear
Txt:
supportive
Herpes Zoster
Def: shingles
SS:
vesicles on dermatome
painful
Eval:
clinical
tzanck smear
Txt:
antivrial
Warts
Def: viral infection HPV
SS:
skin-colored papules
painful on feet
Eval:
clinical
Txt:
supportive
chemical
Itchthyosis Vulgaris
Def: scaling of skin
SS:
dry
fine, white
rectangular scales
Eval:
clinical
Txt:
emollients
Pityriasis Rosea
Def: viral infection
SS:
Herald patch
“christmas tree” distribution
Eval:
clinical
Txt:
supportive
Urticaria
Def: immune reaction
SS:
hives/wheals
erythema
Eval:
clinical
Txt:
antihistamine
Erythema Multiforme
Def: acute inflammatory disease
SS:
prodrome (fever, itch, burn, cough)
target lesions
Eval:
Clinical
biopsy
Txt:
supportive
antiviral
