Dermatology Flashcards

(35 cards)

1
Q

What is eczema?

A

Chronic inflammatory skin condition with dry, scaly and itchy red skin often on face and scalp

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2
Q

Name some eczema triggers

A

Soaps, detergents, synthetic fabrics, perfumes, pets, pollens, stress, diet

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3
Q

Where is eczema typical in infants?

A

Flexures, face and scalp

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4
Q

What is a topical cream for eczema?

A

Hydrocortisone

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5
Q

Name 2 complications of eczema

A

Bacterial infection with staph aureus
HSV

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6
Q

What is the atopic march?

A

Children with eczema will develop hay fever or asthma in the future (1/3 of them)

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7
Q

What is Stevens Johnson Sydnrome?

A

A disproportional immune response results in blistering and shedding of the top layer of skin

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8
Q

What can cause Stevens Johnson Syndrome?

A

Anti-epileptics, antibiotics, allopurinol, NSAIDs, HSV, CMV, HIV

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9
Q

What are the symptoms of Stevens Johnson Syndrome?

A

Non-specific fever, cough, sore throat, sore mouth and eyes, itchy skin
Develops to a purple or red rash that spreads across the skin and blisters
Skin starts to break away and shed to leave raw skin

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10
Q

Name 3 complications of Stevens Johnson Syndrome

A

Secondary infection - cellulitis and sepsis
Permanent skin damage
Visual complications - blindness

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11
Q

What is allergic rhinitis?

A

IgE mediated type I hypersensitivity reaction

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12
Q

What is the presentation of allergic rhinitis?

A

Runny, blocked and itchy nose
Sneezing
Itchy, red and swollen eyes

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13
Q

Name a non-sedating antihistamine

A

Fexofenadine

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14
Q

Name a sedating antihistamine

A

Chlorphenamine (Piriton)

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15
Q

What is the presentation of anaphylaxis?

A

Urticaria, itching, angio-oedema with lip and eye swelling, SOB, abdominal pain, wheeze, tachycardia, collapse

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16
Q

What is the treatment for anaphylaxis?

A

IM adrenaline 500mcg

17
Q

What is measured after anaphylaxis?

A

serum mast cell tryptase

18
Q

What is a hemangioma?

A

A strawberry or deep birth mark

19
Q

What is a salmon patch?

A

Harmless clusters of blood vessels

20
Q

What is a stork bite?

A

A salmon patch on the back of the neck

21
Q

What is a port wine stain?

A

A birth mark that can be red or pink and can darken with age
Treat with pulse dye laser

22
Q

What are cafe au lait spots?

A

Form when skin cells produce excess melanin
6 or more may be linked to neurofibromatosis type I

23
Q

What is psoriasis?

A

Immune mediated T cell disorder with scaly plaques classically on elbows, knees and scalp

24
Q

What is guttate psoriasis?

A

Often triggered by strep throat infection - raised papules on trunk and limbs when turn to plaques

25
What is Pityriasis Rosea?
Caused likely secondary to reaction to viral infection Or herpes virus
26
What is the presentation of pityriasis rosea?
A herald patch and then a christmas tree distribution
27
What is erysipelas?
Superficial skin infection
28
What is cellulitis?
Deeper subcutaneous tissue infection
29
What can be given as acne treatment?
Topical retinoids, Topical benzoyl peroxide Oral retinoids Topical antibiotics
30
How does Roaccutane work?
Reduces production of sebum, reduces inflammation and bacterial growth
31
Give some side effects of roaccutanne
Teratogenic, headaches, dry skin and lips, photosensitivity, suicidal ideation
32
What is the treatment for scabies?
Oral Ivermectin
33
Give 2 features of mild eczema
Dry skin, infrequent itching and there may be redness
34
Give 2 features of moderate eczema
Dry skin, frequent itching, redness
35
Give 3 features of severe eczema
Continuous itching, lichenification, systemic symptoms, redness and widespread areas of dry skin