Derm one Flashcards
Zoster, varicella, or both?
Presents with primary and secondary lesions including vesicles and crusts
Both
Zoster, varicella, or both?
Usually unilateral dermatomal pattern
Zoster
Zoster, varicella, or both?
MIld to moderately systemically ill with fever?
Varicella
Zoster, varicella, or both?
MIserable with pain, itch, usually without fever
Zoster
risk of disease development significantly reduced by vaccination.
Zoster, varicella, or both?
Both
Zoster, varicella, or both?
Treatment to minimize the severity of disease or complications includes oral acyclovir
Both
Single, uniformly brown-colored, slightly raised, irregularly-shaped with defined borders, 6 mm in diameter. Patient states “That mole on my shoulder hasn’t changed in years.” (See Figure 6-4)
macule
Single, flat, non-palpable area of discoloration, irregularly-shaped, and 0.5 cm at the widest diameter. Patient states “I’ve had that spot on my lower lip for years. (See Figure 6-5)
papule
Single, firm, smooth, raised, dome-shaped, fluid-filled, flesh-colored encapsulated lesion of 1.5 cm in diameter on back of neck. Patient states “A smelly liquid leaks out of it sometimes. (See Figure 6-6)
cyst
Raised, irregularly-shaped with defined borders, different color than surrounding skin, patches of >2 cm in diameter, located over the knees. Patient states “These patches have been here for years. When I pick at one, it bleeds just a drop or two.” (Auspitz sign) (See Figure 6-7)
psoriasis
Flat, non-blanchable, confluent, purple-colored irregularly-shaped lesions on skin ranging 2-20 mm in size. Patient states “These purple splotches appeared on my arms and legs following a round of chemotherapy.” (See Figure 6-8)
purpura
Clustered, smooth, slightly-raised, circumscribed, pruritic skin-colored lesions of various sizes up to 2 cm, surrounded by area of erythema
Patient states “This itchy rash appeared all over my body a few days after starting my antibiotic.” (See Figure 6-9)
wheal
true or false
When considering a diagnosis of phytodermatitis (poison ivy, poison oak, poison sumac), you anticipate finding three of the following,
-Vesicles
- Crusts
- Many lesions in a linear pattern
true
Ana is a 22-year-old well woman who presents with a four-day history of an intense itch with skin lesions on her hands and arms as well as her right cheek. She has used an over-the-counter hydrocortisone cream on the affected area with little effect and denies any other symptoms or previous history of similar rash. Ana denies recent travel, trauma, or exposure to new creams, soaps, or medications. She works as a landscaper. When considering a diagnosis of phytodermatitis (poison ivy, poison oak, poison sumac), you anticipate finding three of the following.
When evaluating Ana, you note that approximately 20% total body surface area is affected. You consider treatment with:
Topical application of medium-potency corticosteroid cream.
An oral antihistamine.
A systemic corticosteroid.
A topical antihistamin
Systemic Corticosteroid
what is the recommended length of therapy for skin or soft tissue infection?
5-7 days
