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Flashcards in Integumentary Deck (43)
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1

Erysipelas

Upper dermis, raised, fever and chills, common sites: ears, face, lower extremities, organism is strept

2

Cellulitis

Deeper dermis, poor demarcation, usually no fever, common sites: periorbital or lower extremities, organisms staph and strept

3

How do you treat Erysipelas?

Perenteral antibiotics, ceftiraxone or cefazolin

4

When should you FU on skin infections such as cellulitis?

48 hours

5

How do you manage bites?

Clean and flush thoroughly, antibiotic prophylaxis in high risk cases, tetanus

6

When do you give shingles vaccine?

age 60 for the immunocompetent

7

Sx of lupus

fatigue, joint aches, butterfly rash, PAINLESS oral ulcers, renal involvement 50%, peptic ulcers

8

Test for lupus

ANA. Needs to be 1:160 or higher

9

Actinic keratosis (AK)

sun exposure major risk, few progress to squamous cell carcinoma

10

Basal cell carcinoma

Most common age 50-60, head and neck, pearly domed nodule leading to central ulceration and crusting, 40X more common than squamous cell

11

squamous cell carcinoma

head and neck common, papules, plaques, nodules, smooth, may bleed easily, need to biopsy to be sure

12

Malignant melanoma age

Usual age is 40s, think ABCDE

13

Atopic dermatitis

pruritis is main sx, chronic and recurrent, family hx allergic disease

14

Uticaria (HIves)

Pruritic (intense) circumscribed, raised, red with central pallor.

15

Impetigo

honey colored crusts

16

Pityriasis rosea

herald patch

17

Pityriasis rosea

christmas tree pattern rash

18

scabies

burrows

19

tinea copurus

well circumscribed lesion found on the trunk

20

Sandpaper textured rash

strep, trunk first

21

Basal Cell carcinoma

pearly domed nodule

22

Candida

bright, beefy, red rash

23

Psoriasis

Silvery scales

24

Head lice

nits

25

Macule

Flat discoloration, usually < 1cm in diameter, Ex freckle

26

Patch

Flat area of skin discoloration, larger than a macule Ex vitiligo

27

Papule

Raised lesion < 1 cm May be the same or different color from the surrounding skin Ex raised nevus

28

Vesicle

Fluid filled, < 1cm Ex varicella

29

Plaque

Raised lesion > 1cm May be the same or different color from the surrounding skin Ex psoriasis

30

Purpura

Lesions caused by red blood cells leaving circulation and becoming trapped in the skin Ex Petechiae, ecchymosis