Dermatological Pathologies Flashcards

(113 cards)

1
Q

3 layers of the skin

A
  • epidermis (superficial)
  • dermis (middle)
  • endodermis (deep)
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2
Q

Function of the skin

A

interface between the body and external environment
- protection
- environmental sesnation
- thermoregulation
- proprioception and kinesthetic
- synthesis of vitamin D
- human communication

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3
Q

Lesion

A

abnormal tissue

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4
Q

Pruritic

A

itchy

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5
Q

erythema

A

redness

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6
Q

dysplastic nevi

A

atypical moles

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7
Q

exudate

A

seeping fluid

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8
Q

Primary skin lesions

A

caused by condition or disease
- maculae
- wheal
- tumor
- plaque
- papule
- vesicle
- bulla
- pustule

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9
Q

Macule

A

(Primary lesion)
- flat, discolored area
- non-palpable
(i.e. freckles)

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10
Q

Wheal

A

(Primary lesion)
- temporary inflamed solid bump
(i.e. mosquito bite)

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11
Q

Tumor

A

(Primary lesion)
- mass lesion (malignant of benign)
(i.e. inflammatory reaction)

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12
Q

lesionPlaque

A

(Primary lesion)
- flat, raised patch
(i.e. dental plaque)

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13
Q

Papule

A

(Primary lesion)
- small, solid bump (under 5 cm)
(i.e. mole or warts)

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14
Q

Vesicle

A

(Primary lesion)
- small, fluid-filled blister (under 5 cm)
(i.e. herpes simplex)

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15
Q

Bulla

A

(Primary lesion)
- Fluid-filled blister (above 5 cm)
(i.e. blister)

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16
Q

Pustule

A

(Primary lesion)
- elevated lesion (filled with WBC or bacteria)
(i.e. acne)

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17
Q

Secondary Skin Lesions

A

Caused by external forces
- excoriation
- fissure
- erosion
- ulcer
- crust
- scale
- scar
- keloid

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18
Q

Excoriation

A

(secondary lesion)
- abrasion
- (i.e. scratch)

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19
Q

Fissure

A

(secondary lesion)
- split through all layers of dermis
(i.e. athletes foot)

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20
Q

Erosion

A

(secondary lesion)
- Loss of epidermis
(i.e. ruptured chickenpox vesicle)

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21
Q

Ulcer

A

(secondary lesion)
- loss of skin through dermis
(i.e. stasis ulcer)

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22
Q

Crust

A

(secondary lesion)
- Dried exudate on skin
(i.e. impetigo)

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23
Q

Scale

A

(secondary lesion)
- plates or plates on skin
(i.e. psoriasis scale)

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24
Q

Scar

A

(secondary lesion)
- Fibrotic change in tissue
(i.e. acne scar)

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25
Keloid
(secondary lesion) - Obvious & prominent raised scar tissue (i.e. post acne scar)
26
Dermatitis
An inflammatory of skin - Contact: caused by direct contact with an allergen - Actinic: caused by exposure to sunline or another irritating light source
27
Dermatitis S&S
- Redness - inflammation - itching - lesion of rash
28
Dermatitis Treatment
- Cleanse area - avoid triggers - ice - corticosteroid creams - oral corticosteroids - antihistamines
29
Eczema
Most common inflammatory disease - chronic dermatitis that consists of erythema, scales, and vesicles
30
Eczema S&S
- red, swollen, itchy skin - tiny red vesicles - thickened, cracked, crusty, or scaly skin
31
Eczema Treatment
Hormone Care: - ice, corticosteroid cream, light therapy Meds: - oral corticosteroids, antihistamines, immunimodoulators
32
Psoriasis
- A genetic, chronic, and recurring disorder that begins in childhood - scaling, papular infection - can lead to psoriatic arthritis that affects the interphalangeal joints of the fingers and toes
33
Psoriasis S&S
Salivary white plague surrounded by erythema (extensor surfaces, scalp, fingers, gluteal folds)
34
Psoriasis Treatment
- moisturizes, corticosteroid cream, retinol cream, salicylic acid cream, light therapy - Meds: anthralin (normalizes DNA activity) & Retinoids (reduces skin cell production)
35
Rosacea
A chronic skin disorder which affects the central facial area (most often affects fair-skinned people who blush easily) Triggers: - sun, stress, hot weather, wind, alcohol, heavy exercise
36
Rosacea S&S
Early stages: - redness of nose, cheeks, chin, or forehead Later stages: - visible blood vessels, swelling, or skin eruptions similar to acne Advanced: - nose may become enlarged and bulbous (rhinophyma)
37
Rosacea Treatment
- Prescription gels or creams (ClinaMax) - antibiotics to treat swelling/redness (erythromycin) - laser treatment of visible blood vessels
38
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Staph infection that is resistant to certain antibiotic treatment -
39
Methicillin-Resistant Staphylococcus Aureus (MRSA) S&S
- begins as small, pimple-like lesion or abrasion then becomes inflamed and painful - red and sometimes purple - may contain pus - surrounding skin is warm to touch - fever
40
Methicillin-Resistant Staphylococcus Aureus (MRSA) Treatment
easily treatable in early stages but can lead to death if left untreated - Aspiration - tetracycline meds - hospitalization
41
Methicillin-Resistant Staphylococcus Aureus (MRSA) Prevention
avoid touching infected skin or contaminated objects & proper hygiene
42
Cellulitis & Eryspipelas
Acute bacterial infections (typically at site of previous wound
43
Cellulitis & Eryspipelas S&S
- redness, swelling, and warmth at site of infection - systemic (fever & malaise) - looks like the skin of an orange - Cellulitis (raised red plaque takes days to develop) - Erysipelas: superficial, raised, red plaque
44
Cellulitis & Eryspipelas Treatment
- antibiotics - incision & drain
45
Folliculitis
Bacterial infection of hair on the face, chest, axilla, buttocks, groin, and legs - most caused by shaving with a razor, friction from sports equipment, excessive perspiration, and hot tubs
46
Folliculitis S&S
cluster of small/tender/red papules or bumps in the hair follicles with a hair shaft within the papule
47
Folliculitis Treatment
topical or oral antibiotics, warm saline compress and aspiration, wash area multiple times a day with antibacterial soap, change razors after each use
48
Abscess
A collection of pus that can arise anywhere on the body
49
Abscess S&S
- painful swollen bump - redness - skin warmth
50
Abscess Treatment
- incision and drainage - antibiotics
51
Furuncle
a furuncle, or boil, is a walled-off abscess containing pus that usually develops in a pre-existing site of folliculitis - usually occur at sites of trauma or friction
52
Furuncle S&S
- painful pea-sized red bump - increases in size over a few days - may develop a white tip of pus
53
Furuncle Treatment
- warm compress followed by incision and drainage - antibiotics
54
Carbuncle
collection of several coalescing furuncles, such as MRSA
55
Acne Vulgaris
- commonly occurs where sebaceous and sweat glands are located - equally common in both males and females during the adolescent years (caused by overproduction of oil and the buildup of bacteria)
56
Acne Vulgaris S&S
- small raised bumps - whiteheads or blackheads - skin tenderness - papules/pustules/deep cysts
57
Acne Vulgaris Treatment
- benzoyl peroxide - salicylic acid - topical prescriptions - light/laser therapy - microdermabrasion - antibiotics - oral contraceptives
58
Necrotizing Fasciitis
- rare, but serious bacteria that causes tissue death - aka "flesh-eating bacteria" - caused by streptococcus bacteria that grows and released toxins that directly kill cells, occludes blood flow to tissues, and spreads quickly
59
Necrotizing Fasciitis S&S
- starts as small, red, painful bump - becomes quick growing painful bronze or purple patch - center of tissue may turn black - may have fluid discharge - flu-like symptoms - shock
60
Necrotizing Fasciitis Treatment
(fatal if not treated) - IV antibiotics - skin grafts - limb amputation - hyperbaric oxygen therapy
61
Herpes Simplex
Extremely contagious with more than 80 types - HSV-1: herpes labialis, herpes gladiatorum - HSV-2: sexually transmitted genital herpes Commonly affects the mouth, lips, fingers, and genitals - Transmission: infected saliva and direct skin-to-skin contact
62
Herpes Simplex S&S
- blisters or ulcers with redness - enlarged lymph nodes
63
Herpes Simplex Treatment
- shower with antibacterial soap - wash towels and uniforms daily - antiviral medications with increased fluid intake
64
Herpes Labialis
- cold sore - fever blister - triggered by exposure to sun, emotional stress - reporting tingling or burning prior to apperance
65
Herpes Gladiatorum
- commonly affects wrestlers - open wounds necessary to occur - presents with clustered vesicular lesions on erythematous base - systemic symptoms: fever, chills, sore throat, headache, malaise, myalgia, regional lymphadenopathy
66
Herpes Simplex RTP
Athletes cannot participate in contract sports until: - they are asymptomatic - no new lesions are found for 3 days - they take antiviral meds for 5 days - there is a firm, adhered crust on each lesion
67
Molluscum Contagiosum
Spread through direct skin contact
68
Molluscum Contagiosum S&S
- white, pinkish, skin-colored dome-shaped papule - center dimple - individual or group lesions
69
Molluscum Contagiosum Treatment
- destruction of papules - topical agents - NCAA requires papules to be curetted or removed and covered with gas permeable dressing
70
Warts
Caused by viral infection, specifically by one of the many types of HPV - majority are harmless - they spread through skin-to-skin contact and occur at sites of abrasive trauma
71
Warts S&S
- small, painless growth - can become rough, flat, callused lesions - sone have small black dots in the middle from coagulated blood
72
Warts Treatment
- OTC creams - liquid nitrogen - salicylic acid - HPV Gardasil vaccine
73
Ringworm
- Transmitted through direct skin-to-skin contact - fungus develops in dark, humid, damp conditions
74
Tinea Corporis
RW of the body
75
Tinea Capitis
RW of the scalp
76
Tinea Unguium
RW of the nails
77
Ringworm S&S
- circular rash that is red and inflamed around the edges - itchy - slightly raised/scaly skin
78
Ringworm Treatment
- OTC antifungal creams - shower daily - clean towels/clothes - oral antifungals
79
Ringworm RTP
athletes may return to contact activities after 3 days of treatment, but the rash must be completely covered by adhesive dressing
80
Jock Itch
Tenia Cruris affects the skin of the inner thighs, buttocks, and genitals - most common in men - caused by friction from sweating of clothing and is spread through direct contact or sharing infected towels of clothes
81
Jock Itch S&S
- itching and redness in groin area - burning sensation - scaly rash
82
Jock Itch Treatment
- OTC antifungal cream/powder/spray - wear loos fitting clothes - dry off completely after showering - oral antifungals
83
Athletes Foot
Tinea Pedis develops in moist areas around toes
84
Athletes Foot S&S
dry, scaly, itchy, red lesions between and around toes
85
Athletes Foot Treatment
- OTC creams and powders - oral antifungal meds
86
Yeast Infection
- Tenia Versicolor is not contagious and found mostly on the trunk, groin, arms, neck, and mouth in high humidity climate - yeast is naturally occurring in the skin but can cause infection in warm.moist places
87
Yeast Infection S&S
- multiple small, round, scaly patches - white, brown, or pink - may or may not itch
88
Yeast Infection Treatment
- OTC antifungal shampoo, lotion, cream with selenium sulfide for 7 days - oral antifungals
89
Head Lice
- pediculosis (capitis) - tiny insects that live on the scalp and feed on human blood - multiply quickly by laying eggs at the base of the hair shafts - spread by: close contact with infected person & sharing combs, towels, hats, and clothes
90
Head Lice S&S
- intense itching - small red bumps on scalp - tiny white specks at base of hair follicle
91
Head Lice Treatment
- OTC 1% permethrin shampoos and lotions - remove eggs with metal fine-toothed comb - wash all clothes and bed linens - vacuum floor and furniture - recheck for live every 2-3 days for 2 weeks after treatment
92
Scabies
- infestation of small mites that burrow into the skin and deposit eggs (eggs mature in 21 days) - spread by skin-to-skin contact and sharing infested clothes/bed linens - commonly seen on the hands, wrists, fingers, genitals, and abdomen
93
Scabies S&S
-small red bumps - itching - thin/pencil-mark lines
94
Scabies Treatment
- 5% permethrin cream - wash clothes, towels, and linens - vacuum floor and furniture
95
Bed Bugs
- small, oval, brownish insects that love on the blood of animals or humans - they are active mainly at night and feed by piercing the skin and withdrawing blood through an elongated beak
96
Bed Bugs S&S
initially painless red sports on any area of the body, become itchy welts over time
97
Bed Bugs Treatment
- treat symptoms - remove/clean all linens - clean mattress/pillow/carpet - exterminator
98
Insect stings/bites S&S
- often result in pain, redness, and swelling, blistering Spider bites: - brown recluse: blistering, abdominal pain, nausea, vomiting, chest pain - black widow: more systemic; abdominal pain, nausea, vomiting, chest pain
99
Insect stings/bites Treatment
depends on bug species
100
Cholinergic Urticaria
occurs during or shortly after exposure to heat or overheating
101
Cholinergic Urticaria S&S
- itching/burning/tingling/warmth/irritation of the skin - wheezing - high core temp
102
Cholinergic Urticaria Treatment
- limit strenuous exercise/stressful environments - antihistamines
103
Cold/Solar Urticaria
Cold - exposure to cold Solar - exposure to UV light
104
Cold/Solar Urticaria S&S
hives lasting for 1-3 hrs after removal of stimulus
105
Cold/Solar Urticaria Treatment
- antihistamines - avoid triggers - proper clothing
106
Poison ivy/oak/sumac
allergic reaction to an oily resin that is on the leaves, stems, or roots of poison ivy, oak, or sumac
107
Poison ivy/oak/sumac S&S
- redness - itching - blisters - swelling
108
Poison ivy/oak/sumac Treatment
- natural resolution in 2-3 weeks - oral corticosteroids - calamine lotion - cool-water bath or shower
109
Non-melanoma Skin cancer
Basal cell carcinoma: - look like open sores, red patches, pink growths, shiny bumps, or scars Squamous cell carcinoma: - scaly red patches, open sores, elevated growths with central depression, or wards - may crust or bleed
110
Non-melanoma Skin cancer Treatment
- surgical removal - electrodesiccation - cryotherapy - topical chemotherapy - Mohs micrographic surgery: traditional cancer treatment if metastasized
111
Melanoma Skin Cancer
- melanoma arises from melanocytes - found in stratum basal, eye, inner ear, meninges, heart, and bone
112
Melanoma Skin Cancer Types
Superficial Spreading: - 70% of melanomas, asymptomatic brown or black macule with irregular borders, does not have tobe sun-damage and my grow from an existing mole Nodular: - most common melanoma in fair-skinned individuals, bluish-black/reddish-pink nodule on sun-exposed skin, grows deeper into skin
113
Melanoma Skin Cancer Treatment
- excision - lymph node treatment - chemotherapy - chemo/radiation/immunotherapy/biochemotherapy/molecular target therapy