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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

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

How are topicals delivered?

Powder
Lotion
Solutions
Gels
Cream
Ointment
Spray