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SAPE October 2015 > DERM > Flashcards

DERM Flashcards

1
Q
  • Diffuse, non-purulent infection through epidermis and dermis.
  • Spreading port of entry infection.
  • Localized pain/tenderness, fever, erythema, chills, malaise, regional lymphadenopathy.
A

Cellulitis

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2
Q
  • Erythematous, well-defined with central clearing
  • Circular or half-moon shaped
  • Scaly
A

Tinea (capitis, corporis, cruris)

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3
Q
  • Usually caused by saprophytic yeast
  • Fawn/salmon colored macules with fine scaling
  • Lesions tend to coalesce to patches
  • Chest, shoulders, back
  • Recurrence in summer months
A

Tinea versicolor

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4
Q
  • Onset of “slapped cheek” rash
  • 2nd stage: lacy, reticular pattern on butt and extensor surfaces
  • 3rd stage: marked dissipation or increased severity of rash
A

Erythema infectiosum/Fifth’s disease

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5
Q
  • Prodrome of fever, cough, coryza, conjunctivitis
  • Koplik spots
  • Red maculopapular rash on face, behind ears, and on neck
  • Spreads inferiorly
A

Measles (rubeola)

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6
Q
  • Grouped vesicles on erythematous base
  • Painful vesicles erode and form crusts
  • Tingling, burning, or itching prior to outbreak
A

HSV 1 and 2

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7
Q
  • Pruritic, erythematous lesions between toes

- Fissures with opaque white scales onto soles/sides/dorsum of feet

A

Tinea Pedis

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8
Q
  • Intensely pruritic with inflammatory burrows and pinpoint vesicles (webs of fingers)
  • May see excoriation
A

Scabies

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9
Q
  • Milky white patches in mouth, can be wiped off to reveal erythematous base
  • Sometimes pinpoint bleeding
A

Oral candida

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10
Q
  • Prodrome: unilateral, pain, itching 2-5 days before rash

- Grouped vesicles on erythematous base in single dermatome

A

Herpes zoster (shingles)

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11
Q

-Pruritic scalp with visualization of louse or nits

A

Lice (pediculosis)

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12
Q
  • Inflammatory reaction involving epidermis and dermis, pruritic
  • Acute: vesicles
  • Subacute: erythema, fissuring, scaling
  • Chronic: scaling
A

Eczema

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13
Q
  • Superficial skin infection commonly on face and extremities
  • Honey colored crust with stuck on appearance
  • Pruritic
A

Impetigo

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14
Q
  • Genetic allergic condition of chronic, relapsing, pruritic eczema
  • Usually begins in infancy
  • Classic on face: erythema, scaling, oozing
  • Associated with asthma and allergies
A

Atopic dermatitis

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15
Q
  • Persistent keratotic lesion with telangiectasias
  • Itching, burning, mild hyperesthesia
  • Small, multiple red, pink, or brown macules, papules or plaques that are rough to palpation
  • Face, scalp, hands, neck
A

Actinic keratosis

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16
Q
  • Genetic predisposition
  • Well-defined red or salmon plaques with silvery, white scale
  • Koebner phenomenon (develops at site of trauma)
  • Auspitz sign (pinpoint bleeding when picked)
  • Extensor surfaces
A

Psoriasis

17
Q
  • Chronic condition in adults involving recurrent episodes of facial flushing, erythema, telangiectasias, and acne
  • Can be caused by hot liquids, spicy foods, alcohol or sun
A

Rosacea

18
Q
  • Multiple small papules and pustules with erythematous base pierced by a central hair
  • Pruritic and usually clustered in groups
A

Folliculitis

19
Q
  • Chronic inflammatory dermatosis
  • Face, back, chest, upper arms
  • Inflammatory lesions including papules, pustules or nodules
A

Acne vulgaris

20
Q

-Pale pink papules that coalesce to form cauliflower lesions

A

Condylomata accuminata

21
Q
  • Slow growing, non-healing sore
  • Pearly white to pigmented
  • Telangiectasias present
  • Rolled border
  • Face, ears, scalp, upper trunk
A

Basal cell carcinoma

22
Q
  • Primary: single, painless ulcer (chancre)

- Secondary: flu-like prodrome then maculopapular rash all over, usually palms and soles

A

Syphilis

23
Q

Koplik spots

A

blue, raised lesions on buccal mucosa during measles prodrome

24
Q

How is oral candida diagnosed?

A

KOH prep

25
Q

How is lice diagnosed?

A

visual or Wood’s lamp

26
Q

How is scabies diagnosed?

A

skin scrapings to view mites/eggs

27
Q

Koebner Phenomenon

A

-psoriatic plaques develop at site of trauma

28
Q

Auspitz Sign

A

pinpoint bleeding

29
Q

Gold Standard for Diagnosing Syphilis

A
  • dark field microscopy with spirochetes

- VDRL or RPR

SAPE October 2015 (12 decks)

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