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
