Intro

Question 1

What medical hx do you want?

Answer 1

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

Question 2

What is acute?

Answer 2

bad stuff - stevens johnson, nectroizing fascitis

Question 3

What do you look for on physical exam?

Answer 3

Color
Morphology
Palpation
Configuration
Distribution

Question 4

What is spoon nail?

Answer 4

coilnychia - iron deficiency

Question 5

Why do you gingivitis?

Answer 5

Vit C def

Question 6

Why do you get glossitis?

Answer 6

Vit B 12 def

Question 7

What causes angular chielosis?

Answer 7

iron def

Question 8

What is black?

Answer 8

bad, necrosis, melanosis

Question 9

What is blue?

Answer 9

cyanotic

Question 10

What is brown?

Answer 10

nevi, solar lentigo, sebarrheic keratonsis

Question 11

What is gray?

Answer 11

silver accumulation

Question 12

What is the fitzpatrick scale?

Answer 12

variations in skin colors

Question 13

What is white, always burns on scale?

Answer 13

I

Question 14

What is beige and mild burn?

Answer 14

III

Question 15

What is dark brown and rarely burns?

Answer 15

V

Question 16

What is broan and tans easily?

Answer 16

IV

Question 17

What is black, never burns?

Answer 17

VI

Question 18

What is white and burns but tans with difficulty?

Answer 18

II

Question 19

What are you checking with palpation?

Answer 19

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

Question 20

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

Answer 20

Wood’s lamp

Question 21

How do you test for blanching?

Answer 21

diascopy - place glass slide over lesion

Question 22

What do you use dermoscopy for?

Answer 22

nevi - benign vs malignant

Question 23

What is patch test used for?

Answer 23

Diagnose allergic contact sensitization

Identify causative agent

Question 24

What is photopatch testing?

Answer 24

Combines patch testing with UV irradiation

Question 25

What is prick testing?

Answer 25

Determine type I allergy

Question 26

What lab tests can you do/

Answer 26

Gram, Tzanck smear, fungal cultures

Question 27

What are skin biopsy techniques?

Answer 27

Shave biopsy Saucerization biopsy Punch biopsy Incisional/Excisional biopsy

Question 28

What lesions do you use shave biopsy?

Answer 28

Epidermal | warts, skin tags, superficial BCC or SCC

Question 29

What is Tzank smear used for?

Answer 29

viral cultures

Question 30

What does shave biopsy get?

Answer 30

epidermis and upper dermis

Question 31

What is a thick tissue biopsy?

Answer 31

saucerization biopsy

Question 32

What layer does saucerization?

Answer 32

mid-dermis to subcutanous fat 1-4 mm deep

Question 33

What biopsy is most common?

Answer 33

punch biopsy

Question 34

What happens in punch biopsy?

Answer 34

circular cut of skin, core of skin to subcutaneous fat

Question 35

What is the diameter of punch biopsy?

Answer 35

2-8 mm diameter

Question 36

What do you need for biopsy to happen?

Answer 36

SAFETY MARGIN

Question 37

What is microscopic evaluation of tumor and excision near margins?

Answer 37

Mohs Surgery

Question 38

What do you do Mohs surgery used for?

Answer 38

BCC and SCC

Question 39

What are Mohs good for?

Answer 39

head and neck

Question 40

What is the goal of derm?

Answer 40

improve skin condition in least toxic and most specific appraoch

Question 41

What are some derm therapies?

Answer 41

``` Improve barrier function Removing scales Changing inflammatory process Changing blood flow Antimicrobial effects ```

Question 42

What are principals of therapy?

Answer 42

``` Topical therapy Anti-inflammatory agents Antimicrobial agents Antipruritic agents Surface improvement agents Immune therapies ```

Question 43

What are some topical therapies?

Answer 43

soak, wet dressing, avoid antiseptic solutions, wet to dry dressing, biological dressings w/ keratinocytes, skin grafts, platelet-derived growth factor

Question 44

What does soak and whirlpool bath help with?

Answer 44

debridement

Question 45

What is used for vigorous debridement?

Answer 45

wet to dry dressings

Question 46

How are topicals delivered?

Answer 46

``` Powder Lotion Solutions Gels Cream Ointment Spray ```