Integumentary

Question 1

Erysipelas

Answer 1

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

Question 2

Cellulitis

Answer 2

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

Question 3

How do you treat Erysipelas?

Answer 3

Perenteral antibiotics, ceftiraxone or cefazolin

Question 4

When should you FU on skin infections such as cellulitis?

Answer 4

48 hours

Question 5

How do you manage bites?

Answer 5

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

Question 6

When do you give shingles vaccine?

Answer 6

age 60 for the immunocompetent

Question 7

Sx of lupus

Answer 7

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

Question 8

Test for lupus

Answer 8

ANA. Needs to be 1:160 or higher

Question 9

Actinic keratosis (AK)

Answer 9

sun exposure major risk, few progress to squamous cell carcinoma

Question 10

Basal cell carcinoma

Answer 10

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

Question 11

squamous cell carcinoma

Answer 11

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

Question 12

Malignant melanoma age

Answer 12

Usual age is 40s, think ABCDE

Question 13

Atopic dermatitis

Answer 13

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

Question 14

Uticaria (HIves)

Answer 14

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

Question 15

Impetigo

Answer 15

honey colored crusts

Question 16

Pityriasis rosea

Answer 16

herald patch

Question 17

Pityriasis rosea

Answer 17

christmas tree pattern rash

Question 18

scabies

Answer 18

burrows

Question 19

tinea copurus

Answer 19

well circumscribed lesion found on the trunk

Question 20

Sandpaper textured rash

Answer 20

strep, trunk first

Question 21

Basal Cell carcinoma

Answer 21

pearly domed nodule

Question 22

Candida

Answer 22

bright, beefy, red rash

Question 23

Psoriasis

Answer 23

Silvery scales

Question 24

Head lice

Answer 24

nits

Question 25

Macule

Answer 25

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

Question 26

Patch

Answer 26

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

Question 27

Papule

Answer 27

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

Question 28

Vesicle

Answer 28

Fluid filled, < 1cm Ex varicella

Question 29

Plaque

Answer 29

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

Question 30

Purpura

Answer 30

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

Question 31

Pustule

Answer 31

Vesicle like lesion with purulent content Ex impetigo, acne

Question 32

Wheal

Answer 32

Circumscribed area of skin edema Ex Hive

Question 33

NOdule

Answer 33

Raised lesion > 1cm usually mobile Ex epidermal cyst

Question 34

Bullae

Answer 34

Fluid filled > 1cm Ex blister from 2nd degree burn

Question 35

Excoriation

Answer 35

Marks produced by scratching Ex seen in areas of pruritic skin lesions

Question 36

Lickrnification

Answer 36

Skin thickening resembling callus formation Ex Seen in areas of repeated scratching

Question 37

Fissure

Answer 37

Narrow linear crack into epidermis exposing the dermis, ex split lip, athletes foot

Question 38

Erosion

Answer 38

Partial focal loss of the epidermis exposing dermis Ex Area exposed after bullous lesion opens

Question 39

Ulcer

Answer 39

Loss of epidermis and dermis, heals without scarring Ex pressure sore

Question 40

Scale

Answer 40

Raised flaking lesion Ex dandruff, psoriasis

Question 41

Atrophy

Answer 41

Loss of skin markings and full thickness Ex high potency steroid use

Question 42

Annular

Answer 42

In a ring Ex Lyme disease

Question 43

Reticular

Answer 43

Netlike cluster