Exam #1: Geriatric Dermatology Flashcards Preview

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Flashcards in Exam #1: Geriatric Dermatology Deck (27):
1

What is benign senile purpura?

Thinning of the capillaries of the arm & lower extremities leading to small areas of bleeding without trauma
- Universal
- Benign

2

What is intertrigo?

This is an inflammation (rash) of the body folds
- Moisture is trapped between the skin folds
- Cell maceration occurs
- Inflammatory cascade initiated

*****Filled with fluid leading to breakdown that can be complicated with secondary fungal infection

3

How is intertrigo prevented?

1) Separate the tissue planes
2) Wash twice a day with soap & water
3) Hydrocortizone cream
4) Lotramin (Fungus)
5) Powder to keep dry

4

An elderly female s/p left mastectomy presents with an erythematous rash with well defined borders. She has a fever & appears ill. What is her most likely diagnosis?

Erysipelas

5

What is Norwegian Scabies?

Scabies above the head & neck

*****Scabies is called "The Great Imitator"

6

What is Shingles?

Herpes Zoster

7

What is the most significant complication of Shingles?

Post-herpetic neuralgia= pain syndrome remains even when the rash is gone

*****Treat with anti-virals to attempt to prevent this

8

How do you treat the pain of Shingles?

1) Tylenol
2) Anti-neuropathic i.e. Gabapentin or Lyrica
3) PRN Opiate i.e. tramadol

9

What is Lichen Simplex Chronicus?

This is a skin disorder characterized by chronic itching and scratching--seen in areas that a patient can easily reach & seen in the face of dementia

*****Psychogenic etiology that is associated with anixeity or OCD

10

How is Lichen Simplex Chronicus treated?

- Topical corticosteroid cream
- Antipsychotic meds for demented patients

11

What are the two main agents used to treat dermatologic disorders topically?

Low potency 1% corticosteroid cream
- Use on face or genitals

Moderate potency 0.1% triamcinolone cream

12

You are asked to consult on an elderly patient in nursing home. In attempting to bathe the patient, nurses noticed that the patinet's "legs had turned black." What is this?

Stasis dermatitis= vasodilation & seepage w/ hemosiderin

13

How is stasis dermatitis treated?

1) Moisture
2) Lotion to keep the moisture in
3) Steroid cream
4) Support hose

14

What is eczema craquele?

Eczema= inflamed skin w/ cracks in the skin due to sun exposure

15

What is actinic keratosis?

Actinic= sun exposure
Keratosis= inflammatory response

****At risk for squamous cell carcinoma

16

What are liver spots?

Senile lentigines

****Accumulation of melanin that is NOT related to the liver pathology, this is a misnomer

17

What is angular chelitis associated with?

Drooling leading to intertrigo of the angles of the mouth

*****Often seen in patients with PD

18

What does actinic chelitis precipitate?

Squamous cell carcinoma

19

What is chondrodermatitis nodularis helicis?

Caused by localized trauma--skin trapped against the cartilage during sleeping

20

What is the most common vesicular bullous disease in geriatrics?

Bullous pemphigoid

Acute or chronic autoimmune skin disease, involving the formation of blisters, more appropriately known as bullae, at the space between the skin layers epidermis and dermis. It is classified as a type II hypersensitivity reaction, with the formation of anti-hemidesmosome antibodies formed.

21

What do you need to remember in cases of bullous pemphigoid?

1) Ensure that the patient is NOT ill
2) Punch biopsy
3) Corticosteroid treatment

22

What is seborrheic keratosis?

Universal & beign waxy lesions seen in old age

23

What is the formal term for a skin tag?

Acrochordon

24

What are the characteristics of basal cell carcinoma?

- Flat/ raised
- Red
- Bleeds when scratched

25

What are "rat bite ulcers" associated with?

Squamous cell carcinoma

26

What is Rosacea?

Skin lesion that is sometimes referred to as "adult acne"
- Redness
- Dilated redness

27

What is necrobiosis lipoidica diabeticorum?

Rash associated with DM