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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1

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

2

History & Physical should include:

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

3

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

4

Diagnostic testing for alopecia:

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

5

What is anagen effluvium associated with:

chemo

6

Telogen effluvium - description & causes

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

7

Autoimmune endocrinopathies associated with alopecia areata:

Hashimotos, Addison's , or pernicious anemia

8

Vitiligo description

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

9

Vitiligo and autoimmune diseases

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

10

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.

11

Treatment for rhus pruritis (poison ivy or oak)

medium to high potency corticosteroids; ointments are often preferred.