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
31
What is a thick tissue biopsy?
saucerization biopsy
32
What layer does saucerization?
mid-dermis to subcutanous fat 1-4 mm deep
33
What biopsy is most common?
punch biopsy
34
What happens in punch biopsy?
circular cut of skin, core of skin to subcutaneous fat
35
What is the diameter of punch biopsy?
2-8 mm diameter
36
What do you need for biopsy to happen?
SAFETY MARGIN
37
What is microscopic evaluation of tumor and excision near margins?
Mohs Surgery
38
What do you do Mohs surgery used for?
BCC and SCC
39
What are Mohs good for?
head and neck
40
What is the goal of derm?
improve skin condition in least toxic and most specific appraoch
41
What are some derm therapies?
Improve barrier function
Removing scales
Changing inflammatory process
Changing blood flow
Antimicrobial effects
42
What are principals of therapy?
Topical therapy
Anti-inflammatory agents
Antimicrobial agents
Antipruritic agents
Surface improvement agents
Immune therapies
43
What are some topical therapies?
soak, wet dressing, avoid antiseptic solutions, wet to dry dressing, biological dressings w/ keratinocytes, skin grafts, platelet-derived growth factor
44
What does soak and whirlpool bath help with?
debridement
45
What is used for vigorous debridement?
wet to dry dressings
46
