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Dermatology - Clinical Medicine IV > Intro > Flashcards

Flashcards in Intro Deck (46)
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1

What medical hx do you want?

Acute vs chronic
Associated fever
Systemic illness
Presence of pain
Presence of itching
Medications
Malnourished
Obesity
Poor hygiene
Psychiatric illness

2

What is acute?

bad stuff - stevens johnson, nectroizing fascitis

3

What do you look for on physical exam?

Color
Morphology
Palpation
Configuration
Distribution

4

What is spoon nail?

coilnychia - iron deficiency

5

Why do you gingivitis?

Vit C def

6

Why do you get glossitis?

Vit B 12 def

7

What causes angular chielosis?

iron def

8

What is black?

bad, necrosis, melanosis

9

What is blue?

cyanotic

10

What is brown?

nevi, solar lentigo, sebarrheic keratonsis

11

What is gray?

silver accumulation

12

What is the fitzpatrick scale?

variations in skin colors

13

What is white, always burns on scale?

I

14

What is beige and mild burn?

III

15

What is dark brown and rarely burns?

V

16

What is broan and tans easily?

IV

17

What is black, never burns?

VI

18

What is white and burns but tans with difficulty?

II

19

What are you checking with palpation?

Flat
Smooth Raised
Surface change
Fluid-filled
Red blanchable
Purpuric
Sunken
Important to determine the depth
Necrotic

20

What is UV long wave lt to look at suble skin color changes or dermatophytosis?

Wood's lamp

21

How do you test for blanching?

diascopy - place glass slide over lesion

22

What do you use dermoscopy for?

nevi - benign vs malignant

23

What is patch test used for?

Diagnose allergic contact sensitization
Identify causative agent

24

What is photopatch testing?

Combines patch testing with UV irradiation

25

What is prick testing?

Determine type I allergy

26

What lab tests can you do/

Gram, Tzanck smear, fungal cultures

27

What are skin biopsy techniques?

Shave biopsy
Saucerization biopsy
Punch biopsy
Incisional/Excisional biopsy

28

What lesions do you use shave biopsy?

Epidermal
warts, skin tags, superficial BCC or SCC

29

What is Tzank smear used for?

viral cultures

30

What does shave biopsy get?

epidermis and upper dermis