Dermatology Flashcards
(94 cards)
1
Q
Harold patch
A
Pitaryasis roses
2
Q
Open comedome
A
Blackhead; skin capped with blackened mass skin debris
3
Q
Closed comedome
A
Whiteheads; obstructed opening can rupture causing low-grade low Inflammation
4
Q
Severe inflamed cyst and nodules acne treatment
A
Oral anabiotic plus combination therapy OR
Oral isotretinoin
5
Q
How often should you follow up for acne vulgaris
A
Every 4 to 6 weeks until control
6
Q
Common oral anabiotic’s used in the treatment of acne for moderate or severe
A
Doxycycline, Erythromycin,minocycline
7
Q
Tretinoin is a ____.
A
Retinoid
8
Q
Don’t give tetracyclines an acne because….?
A
Can cause staining of the permanent teeth
Wait till 9 years front teeth are in; 12 all permanent teeth in
9
Q
First appearing lesion is known as
A
Primary lesion
10
Q
This lesion follows primary lesions
A
Secondary lesion
11
Q
Macule
A
A flat discoloration;Moles, freckle
12
Q
Patch
A
Flat discoloration looks like a collection of tiny multiple pigment changes
Mongolian spot,cafe au lait
13
Q
Nodule
A
Elevated firm lesion >1 cm; fibroma
14
Q
Tumor
A
Elevated firm lump; nodule that’s been there a while
15
Q
Papule
A
Small elevated firm skin lesion >1cm; ant bite, elevated nevis (mole) , wart
16
Q
Plaque
A
Scaly elevated lesion; psoriasis
17
Q
Vesicle
A
Small <1 cm papule Filled with serious fluid; herpes Symplex, varicella herpes zoster (shingles)
18
Q
Bulla
A
Serious fluid filled vesicle >1cm
19
Q
Wheal
A
Lesion raised above the surfacing standing a bit below the epidermidis, allergic reaction; PPD test, mosquito bite
20
Q
Pustule
A
Pus filled lesion <1cm
Acne , impetigo
21
Q
Abscess
A
Pus filled lesion >1cm
22
Q
Cyst
A
Large raised lesion filled with serious fluid, blood, and pus
23
Q
What does one lesion look like describes what
A
Morphology
24
Q
Where the lesion appears on the body or body part describes what
A
Distribution
25
Shape of the Lesion describes what
Configuration
26
A patient you’re taken care of just came from a burning building. What two signs during your assessment of ABC’s warrants Prophylactic intubation?
Singed nares or eyebrows
| Soot in mouth/nares
27
What is the first action of the provider in the event that a child is burned
Stop the burning process with a cool not icy water to prevent further damage and remove all burned clothing
Apply clean wraps to the burned area to prevent systematic hypothermia
28
Breakfast, lunch, dinner sign three linear erythematous papules in a row shows what type of derm problem?
Bedbug bites
29
Where does bedbug bites most commonly occur?
Exposed areas of the face, neck, arms, or hands
30
Pruritic , erythematous/Edematous papules in a linear array
Signs and symptoms of bedbug bites
31
Mangement for bedbugs
Antihistamines for itching
Wash things in hot water
Exterminator
32
Pediculosis
Head lice
33
How is head lice transmitted
Direct or indirect contact; does not jump; lives 30 days on single host and lays 100 nits
34
Small white flakes that do not wipe away easily seen on the scalp, body, pubic area
Lice
35
Mangement for pediculosis
Permethrin first choice
Remove Nits
Wash sheets, towels, clothing, cleanse environment
Vacuum
Place items that cannot be washed and dried plastic bag for two weeks
Soak brushes/hair accessories
36
Highly contagious skin infestation caused by parasitic might grows into the stratum corneum
Scabies
37
What is the transmission of scabies
Spread through direct or indirect contact with personal items
38
Child presents with intense itching, irritability, and linear curved boroughs that look like a snake & are found on the hands/soles/ abdomen/neck/ interdigital
Scabies
39
What does the scabies lesions look like
Red brown vasculopapular lesions
And linear or curved burrows /snake like
40
Diagnostics for scabies
Skin scrapings (show might, ova, or feces); not typically indicated
Burrow ink test
41
Scabies treatment
Permethrin (Nix) 5% rinse —-First treatment leave on for 8 to 14 hours, repeat in one week
Ivermectin (don’t use on pregnancy/lactating) kills eggs& mom
Wash items/store items for two weeks
42
After a scabies treatment what are some anticipatory guidance for parents regarding their child’s rash and symptoms
Rash can last one week; itching can last three weeks repeat if new papule’s
43
A mother complains that a child recently has a bite that started inching instantly but has stopped today. Chad has a small vascular papular rash, with no local adenopathy on his lower limb.
Flea bite
Local adenopathy is not common
Common on lower limbs and itch the day they bite you
44
Acne is more severe in males or females
Males
45
What does acne caused by
Activated by hormones androgens and genetically predisposed individuals not food
46
Tinea corporis
Fungal infection of the body
47
Tinea capitis
Fungal infection of the face or head
48
Tinea Curis
Fungal infection of the groin —- JOCK ITCH
49
Tinea manumission/pedis
Fungal infection of the feet
50
Erythematous scaly define borders with a central clearing
Ringworm, annular, oval, lesions with red scaly borders and central clearing; prominent over hair follicles——tinea
51
Evaluation of Tinea
KOH treated scrapings:hyphae /spores
| Woods lamp does not fluoresce most tinea
52
Treatment for tinea coporis
Topical antifungal‘s miconazole 2% or ketoconazole 2% until lesion has resolved 2 to 3 days; treat beyond edge 1 inch
53
Treatment for tinea capitis
Griseofulvin 20 MG/kg/day
Eat fatty foods helps absorption
Treatment 4 to 6 weeks
54
Treatment for Tinea Curis
Micanazole or ketoconazole
turbinafine cream BID x7 days
Griseofluvin —-severe cases
55
Tinea pedis
Aluminum subacetate solution ——soak 20 minutes b.i.d.
Stage 2 dry and scaly—-Miconazole or ketoconazole
Identify treat contacts
56
How long should a student stay away from school after treatment of tinea pedis?
Exclude from daycare or school until 24 hours of treatment
57
Multiple scaling macule/patches, with pigment changes in a raindrop pattern occurring on back and upper shoulders
Tinea versicolor
| Superficial fungal infection
58
Small vesicular papular rash with local adenopathy initially started on lower limbs, and now has a itch
Vericella
Itches later, adenopathy is common, initially on lower limbs is common—-macular—papules—vesicle erupt
59
Vericella caused by what virus
Herpes virus
60
How long our patients with chickenpox contagious for?
Infected individuals are contagious for 48 hours before outbreak in until lesions are crusted over
61
What medication can we give her vericella within 24 hours of infection
Oral acyclovir /also for immunocompromised; antihistamine;calamine lotion
62
Pearly yellow, 1-3 mm diameter papules On face, chicken, forehead On a newborn baby
Milia
63
When will Millia resolve
During the first month of life without treatment can persist for several months
64
One week old infant has Erythematous 1 to 2 mm papules and pustules called “prickly heat”; commonly occurs on forehead, upper trunk, flexural or covered surfaces
Miliaria rubra
Comes and goes throughout infancy/cool skin and loose and clothes
65
Multiple yellow papules that cluster around the nose after birth
Sebaceous gland hyperplasia will resolve within 4 to 6 months
66
Molluscum contagiosum
Common benign viral skin infection, itchy @ site
67
Molluscum contagiosum found in Genital area
Can be related to sexually active or abuse children
68
Molluscum contagiosum treatment
Resolve spontaneously 6-9 months if left alone; mechanical removal;curettage ; Silver nitrate/liquid nitrogen/tretinoin
69
What is the difference between irritant diaper dermatitis and fungal diaper rash (candidiasis)?
An irritant diaper dermatitis creases are spared; shiny and erythematous; no satellite lesions
70
Candidasis usually occurs shortly after this___!
Fungal infection
| Recent anabiotic or diarrhea
71
Treatment for irritant contact dermatitis
Air dry, 0.5% to 1% hydrocortisone, frequent diaper change, gentle cleansing, barrier cream
72
Treatment for Candidiasis
Same as irritant contact dermatitis and antifungal cream (nystatin)
73
Bacterial dermatitis is treated with
Nystatin if yeast is present, mupirocin, Augmentin or Keflex
74
Flaky crust of yellow, greasy scales on scout face and diaper area that are not itchy
Saborrheic dermatitis
Cradle cap in infants; dandruff in adolescence
75
Saborrheic dermatitis Management
Antifungal agents: Azoles , selenium sulfide
| anti-inflammatory : topical steroids
76
In eczema dry skin management what can be used
Moisturizing lotion immediately after bathing and anti-histamine
77
Topical steroids used in a topic dermatitis
HydroCortisone
78
Systematic steroids and atopic dermatitis are used when?
Severe cases
79
In acute weeping of atopic dermatitis what treatment can be used?
Saline or aluminum subacetate solution/colloidal oatmeal baths
80
Lesions are red, sharply defined plaques with silvery scales /Soap suds Lesion
Psoriasis
81
Pitting of nails is strongly suggestive of
Psoriasis
82
Auspitz sign
Droplets of blood when you remove a scale from psoriasis
83
Diagnostics for psoriasis
Clinical exam
84
Cole tar exposure and UVB light if more than 30% of the body services involved is the indicated management for____
Psoriasis
85
Psoriasis treatments
UVB light\cole tar
| Moisturizers
86
Mild a cute inflammatory disorder lasting 3 to 8 weeks in the self limiting; common females . Patient report uRI typically before
Pityriasis rosea
87
Pruritic rash in Christmas tree pattern found on the trunk and proximal extremities
Pityriasis rosea
| Initially starts with a initial lesion known as a Herald patch
88
Transient benign self-limited skin rash with lesions of varied morphology happening in full term or post term baby within the first 48 hours of life
Erythema toxicum neonatorum
| Weights stained smear dx tool
89
Erythema toxicum neonatorum Management
Self-limited; resolves 5 to 7 days
90
Benign flat light red orange single or multiple vascular birthmark on head or face seen on nape of the neck, eyelid, or occiput
Salmon patch/nevus Simplex
91
Red purple vascular lesion covering half the face
Port wine stain rule out Sturge-Weber
92
MILD ACNE TX
Benzoyl perioxide and retinoid (retinoid acid or tretinoin)
93
Moderate acne TX
Cyclones followed by macrolides
Doxycycline — 100 mg BID
Erythromycin — 1 g 2-3 divided doses
Minocycline — 50-100 mg BID daily
94
Insect bite sting how to remove
Flicking off DO NOT SQUEEZE
