Derma general Flashcards

(69 cards)

1
Q

Raised solid skin lesion is also called

A

Nodule

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2
Q

Non palpable small skin bleeding is also called

A

Patechiae

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3
Q

Large arreas of skin hemorrhage may be palpables is also called

A

Purpua

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4
Q

Patechiae saize

A

< 3 mm

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5
Q

Purpura size

A

3-10 mm

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6
Q

Skin bleeding > 10 mm is called

A

Ecchymosis

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7
Q

Urticaria 3 R’s

A

Raised
Red
Rounded

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8
Q

Round lesion=

A

Annular

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9
Q

Coin shaped lesion=

A

Nummular

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10
Q

Give example for skin codition with coin shaped lesions

A

Nummular eczema

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11
Q

2 types of urticaria

A

Acute < 6 weeks

Chronic > 6 weeks

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12
Q

Urticaria may be the result of

A
Acute infections
SLE
Idiopathic
ACE inhibitors
ARB's
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13
Q

Urticaria definition

A

Prurititc transient swelling of the upper dermis mediated by histamine release

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14
Q

Urticaria classification based on etiology

A

Immunological
Non immunological
Underlying disease

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15
Q

Immunological urticaria can be (3)

A

IgE mediated
Immune complex mediated
Autoimmune

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16
Q

Non-Immunological urticaria can be (3)

A

Direct
Physical forms- heat, cold pressure
Intolerance

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17
Q

Urticaria treatment

2

A

Oral H1 antihistamines
Oral glucocorticoids- Prednisone
+ Epi

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18
Q

Hereditary Angioedema long term treatment

A

Danazol

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19
Q

Atopic dermatitis is in connection with

A

Rhinitis
Asthma
Food allergy

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20
Q

Etiology of Atopic dermatitis

A

Epidermal barrier dysfunction
Fillagrin mutation
Immune dysregulation

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21
Q

Atopic dermatitis skin symptoms by age

A

0-2 extensor surface face cheeks
2-16 flexors, Lichenification
Adults flexors hands face, Lichenification

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22
Q

Major criteria for Atopic dermatitis

A

Pruritus
Typical morphology and distribution
Chronic
Family history

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23
Q

Atopic dermatitis basic therapy

A

Skin hydration

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24
Q

Atopic dermatitis active treatment

Milt to moderate

A

Topical steroids

Topical calcineurin inhibitors

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25
Atopic dermatitis active treatment | Severe
Phototherapy Oral cyclosporin Dupilumab
26
How much time is safe to put topical corticosteroids?
2-4 weeks
27
Side effects topical corticosteroids
Stria Atrophy Teleangiectasis Superinfections
28
Alternative to topical corticosteroids
Local calcineurin inhibitors
29
Contact dermatitis can be (2)
Allergic | Irritative
30
Allergic Contact dermatitis=
``` Type IV HSN Sensibilization Erythematous placque Dissemination- Papules and vesicles Itching Patch test ```
31
Irritative Contact dermatitis=
``` Toxic irratation No Sensibilization Sharply localized No distant spreading Burning sensation NO patch test ```
32
Endogenous eczema
``` Atopic dermatitis Seborrheic dermatitis Dyhidrosis Stasis dermatitis Nummular dermatitis ```
33
Seborrhoic dermatitis mainly affects
Sabeceous gland rich regions of face, scalp and trunk
34
Nummular dermatitis causes
S. Aureus | Alcohol
35
Seborrhoic dermatitis causes
Malassezia Genes Stress Immunosupp.
36
3 most serious types of drug rashes
Erythroderma Toxic Epidermal Necrolysis Anticonvulsant HSN Syndrome
37
Urticaria can be caused by which drugs?
Aspirin NSAID's Penicillin
38
Erythema Multiforme can be caused by which drugs?
Anticonvulsant | Sulfonamides
39
Erythroderma can be caused by which drugs?
Alluporinul Gold Sulfonurea
40
TEN can be caused by which drugs?
Penicillin NSAID's Carbamazepine
41
Impetigo, describe it
Exudative ereas Honey colored crust Spread by direct contact
42
If Impetigo extend to the dermis it is called
Ecthyma
43
Impetigo treatment
Flucidic acid | Povidone iodine
44
Folliculitis treatment
Local AB- Flucidic acid | Erythromycin
45
Describe erysipales lesion
Well defined Placques Erythematous
46
Exogenous TB skin infection (2) | When do they occur
Primary inoculation TB- Non immune | TB Verrucosa Cutis- Previously exposed patients
47
Endogenous TB skin
Orificial TB- small yellowish | Acute milliary- exanthem
48
Atypical mycobacteria infections (3) Lesion Treatment
M. Marinum- Crusted lesion. Clarithromycin M. Ulcerans- Deep painess ulcer. Heat, surgey M. Fortuitum Complex- Dark red nodules, abscess. Ciprofloxacin
49
Tuberculoid leprosy skin lesion Treat with
Well defined hypopigmented macule/plaucqes with raised erythematous edges. Atrophy at the center Painless Dapsone
50
Lepromatous leprosy skin lesion
``` Skin thickenning Loss of eyebrows Nerve involvement Papules and nodules Erythema nodosum leprosum ``` Rifampin and Dapsoe
51
What causes cutaneous leishmania?
Leishmania tropica
52
What causes muco-cutaneous leishmania?
Leishmania Brazilensis Ulceration
53
Cutaneous leishmania lesions
Single or multiple papules Prurtitic sometimes Stibogluconate Amphotericin B
54
Benign lesions caused by HPV | Describe the lesion
Verruca vulgaris- Firm papule, Hyperkeratotic Plantar warts- flat or papule/plaque Condyloma acuminatum- 6,11,30
55
2 types of Verruca vulgaris
Filiform warts | Butcher warts
56
Treatment of benign HPV lesions
Salicylic acid Cryosurgery with liquid nitrogen Electrosurgery CO2 laser surgery
57
Malignant lesions caused by HPV
Cervical carcinoma SCC Carcinoma in situ
58
Chicken pox lesions
pruritic vesicles pustules and crust
59
Complication of HSV
Erythema multiforme
60
Pitryasis versicolor treatment
Selenium sulfide -azoles Terbinafine
61
Dermatophytes common terms and how the lesion looks like
Ringworm- Patch with central clearing and scaling Onychomycosis- Nail Tinea-
62
Scabies causes
Infestation by mite of Sarcoptes scabiei
63
Two types of Scabies
Classic- Knots on a rope. Pruritic papules | Crusted- Norwegian!! Immunosupp. Scaling and crusting, fisuring
64
Scabies skin distribution
Webs of fingers Axillae Areola Genitalia
65
Scabies treatment
Topical Permethrin | Ivermectin
66
Pompholyx is also called
Dyshidrotic eczema
67
Pompholyx symp.
Tiny blisters on fingrs and palms | Intense itching and burning
68
Cutaneous candidiasis
Intertrigo Interdigital Diaper Follicular
69
Cutaneous candidiasis treatment
``` Wash with benzoyl peroxide Miconazole powder Castellani's paint Nystatin cream Azole cream ```