Module 2 - Dermatology Flashcards Preview

NM703 Primary Care of the Woman > Module 2 - Dermatology > Flashcards

Flashcards in Module 2 - Dermatology Deck (11)
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List changes in skin related to aging.

Structural: decrease in Langernas cells, thickness of dermis, elastic tissue, sweat glands, hair follicles, specialized nerve endings, & vasularity. Increase in fagility of capillaries.
Functional: decreased inflammatory response, sweat capacity, and sebum; increased time for wound healing, thinning of skin, and dryness


History & Physical should include:

onset, progression, medications, social and occupational factors, dietary practices.
dermoscopy, possible woods light, palpation


Differentiate nonscarring alopecia from scarring alopecia

Nonscarring: hair follicles still present; usually results from abnormality of the hair cycle.
Scarring: hair follicles absent or fibrosed; usually result of inflammatory process of the scalp


Diagnostic testing for alopecia:

KOH, TSH, CBC, Glucose, Ferritin, VDRL, DHEA-5, Testosterone


What is anagen effluvium associated with:



Telogen effluvium - description & causes

Hair prematurely enters the telogen (shedding) phase; high fever, childbirth, malnutrition, medications


Autoimmune endocrinopathies associated with alopecia areata:

Hashimotos, Addison's , or pernicious anemia


Vitiligo description

disappearance of pigment producing melanocytes in the epidermis and hair follicle leading to depigmented areas.


Vitiligo and autoimmune diseases

May coexist with alopecia areata, autoimmune thyroid disease, Addison's, atrophic gastritis, pernicious anemia and type 1 DM


Components of hx to dx pruritis

Diurnal rhythms, character, severity, distribution, exacerbating, and alleviating factors, previous tx, medications, alcohol use, med & psych hx, exposures, and review of systems.


Treatment for rhus pruritis (poison ivy or oak)

medium to high potency corticosteroids; ointments are often preferred.