Dermatology by Dr Cintia Flashcards
(103 cards)
1
Q
Precancerous skin lesions
A
2
Q
Melanoma INVESTIGATION BEST
A
Surveillance:
- First 2 years: e/3m
- Next 2 years: e/6m
- After: e/1y
- 1st Deg Rel: Skin check
e/1y
3
Q
Melanoma TREATMENT
A
Excision margin:
- In situ: 0.5cm
- <1mm: 1cm
- 1-4mm: 1-2cm
>4mm: 2cm
If eye: Refer to plastic surgery
4
Q
NODULAR MELANOMA
A
5
Q
ACRAL LENTIGINOUS MELANOMA
A
6
Q
LENTIGO MELANOMA
A
7
Q
DESMOPLASTIC MELANOMA
A
8
Q
Squamous Cell
Carcinoma TREATMENT
A
Surgery with 3-5mm margin
9
Q
BOWEN DISEASE BEST INVESTIGATION
A
Shave or Punch Biopsy
10
Q
BOWEN DISEASE TREATMENT
A
Fluorouracil, Imiquimod
11
Q
KERATOACANTHOMA
A
12
Q
Basal Cell Carcinoma BEST INVESTIGATION
A
Biopsy
13
Q
Basal Cell Carcinoma TREATMENT
A
Mohs Surgery with 3-4mm excision
14
Q
Gas gangrene (Clostridial myonecrosis)
A
15
Q
Shingles
A
16
Q
Molluscus contagiosum TREATMENT
A
No tx needed.
Resolvesin 3-6m
No school exclusion necessary
Avoid sharing towels/baths
17
Q
Impetigo TREATMENT
A
- Topical mupirocin 2% OR
- cefalexin if widespread or large areas.
18
Q
Staphylococcal scalded skin syndrome
A
19
Q
Dermatophyte infections
A
20
Q
Tinea CLINICAL FEATURES
A
Ringworm
21
Q
Tinea TREATMENT
A
- Oral Griseofulvin/Terbinafine
22
Q
Scabies CLINICAL FEATURES
A
Common in nursing homes
23
Q
Scabies TREATMENT
A
1.Permethrin.
24
Q
Lice
A
25
Cutaneous larva migran
26
PAPULAR URTICARIA
27
CERCARIAL DERMATITIS Erythrasma
28
Dermatitis CLINICAL FEATURES
Itchy, rash
29
Dermatitis TREATMENT
1. Topical steroids & Moisturiser
30
Dermatitis Herpetiformes CLINICAL FEATURES
Assoc w/ Celiac Dx in elbows, knees, lumbosacral area
31
Dermatitis Herpetiformes BEST INVESTIGATION
Skin biopsy
32
Dermatitis Herpetiformes TREATMENT
1. Dapsone.
2. Gluten free diet
33
Atopic Dermatitis CLINICAL FEATURES
Kids in face, cubital, popliteal
34
Atopic Dermatitis TREATMENT
1. Topical Steroids & Moisturiser
2. Severe: Immunosuppressants - Infected: Swab then mupirocin/Dicloxacillin
35
Contact Dermatitis
36
Seborrheic Dermatitis CLINICAL FEATURES
Dandruff
37
Seborrheic Dermatitis
1. Dandruff Shampoo
2. Ketoconazole
38
Stasis Dermatitis
39
Discoid Dermatitis
40
ASTEATOTIC DERMATITIS
41
GENITAL DERMATITIS
42
Wound treatment
43
Wound Healing
44
SUNBURN
45
Solar keratose
46
SEBORRHOEIC KERATOSES
47
LENTIGINES
48
MELANOCYTIC NAEVI DYSPLASTIC
49
NAEVI TREATMENT
Surgery with 2mm margin
50
Acneiform Eruptions
51
Acne vulgaris
52
Rosacea
53
Lichen planus
54
Pityriasis rosea
55
Psoriasis CLINICAL FEATURES
Cause: Autoimmune, lithium, ACE inhs
56
Psoriasis TREATMENT
1. Tar
2. Steroids
3. Calcipotriol
57
FLUSHING-BLUSHING
58
Autoimmune blistering diseases
59
Porphyrias
60
Ichthyosis
61
Vitiligo
62
Neurocutaneous syndromes
63
Pityriasis alba
64
ALERGIC REACTIONS MULTI-SYSTEMIC CLINICAL FEATURES
ACUTE ANAPHTLAXIS - ANAPHYLACTIC REACTION
65
ALERGIC REACTIONS LOCALISED CLINICAL FEATURES
ANGIOEDEMA - URTICARIA
66
exanthematic
DRAFT: morbilliform; most common
67
urticarial phototoxic eruption lichenoid
68
cutaneous vasculitis fixed drug eruption
69
Stevens-Johnson syndrome toxic
70
epidermal necrolysis (TEN)
71
drug rash with eosinophilia and systemic symptoms (DRESS) acute
72
generalised exanthematous pustulosis (AGEP)
73
Androgenetic Alopecia TREATMENT
1. Topical steroids for 12w
2. Intradermal Steroid (Triamcinolone)
3. Minoxidil
74
Hirsutism CLINICAL FEATURES
Cause: Valproate, phenytoin, minoxidil, steroids, danazol
75
Hirsutism TREATMENT
1. Shave
2. Laser
3. Spironolactone
76
NAILS DISORDERS
77
ONYCHOMYCOSIS
78
INGROWN TOENAILS
79
PARONYCHIA
80
ONYCHOLYSIS
81
Brittle nails
82
Koilonychia
83
Aphthous stomatitis
84
Photodermatoses
85
Erythema nodosum
86
Erythema multiforme
87
Erysipelas CLINICAL FEATURES
Upper dermis and lymphatics, non-purulent
88
Cellulitis CLINICAL FEATURES
Deeper dermis, SC fat, purulent/non purulent
89
Cellulitis TREATMENT
IV Flucloxacillin
90
Hemangiomas TREATMENT
- If in eyes, nose, ears, trachea->Laser Qx or refer
- Other parts: Observe/Reassure (self-resolve by 7yo.
- Propranolol can be used
91
Acne CLINICAL FEATURES
- Non-inflamm: Comedones
- Inflamm: Pustules/Papules
- Severe: Scarring
92
Acne TREATMENT
- Mild: Benzoyl peroxide + Topical retinoin
- Mod: Non inflamm (Benzoyl peroxide + Retinoin. Inflamm (Benzoyl peroxide+Doxicycline, if pregnant Erythromycin)
- Severe: Isoretinoin (Oral). In females add OCPs
93
Allergies CLINICAL FEATURES
Just local symptoms
94
Allergies TREATMENT
1. Strop triggers
2. Emollients
3. Oral promethazine
4. Steroids
95
Anaphylaxis CLINICAL FEATURES
Respiratory problems
96
Anaphylaxis TREATMENT
1. Adrenaline IM: (All 1:1000)
- <6m: 0.10 mg
- 6m-6y: 0.15mg
- 6-12y: 0.3mg
- >12y: 0.5mg
97
Vitamin D deficiency CLINICAL FEATURES
Children: Rickets (Bowlegs, rachitic rosary, soft skull).
Adults: HypoCa (Tetany, prox myopathy, frontal bossing)
98
DERMATOLOGY CLINICAL FEATURES
Night blindness, scaly skin, bitot spots (foamy appearance on conjunctiva), corneal degeneration
99
Vitamin B3 deficiency CLINICAL FEATURES
3 Ds (Dermatitis, Diarrhoea, Dementia).
100
Vitamin B3 deficiency TREATMENT
Resolves in 3-6m
No school exclusion necessary
Avoid sharing towels/baths
101
Alopecia - SCARRING
102
Alopecia - TELOGEN EFFLUVIUM ANAGEN EFFLUVIUM
103
Alopecia - TRICHOTILLOMANIA HIRSUTIES-
