name that skin disease Flashcards
(133 cards)
1
Q
90+% seropositive rates that vary with socioeconomic status
A
HSV-1 (oral herpes)
2
Q
dermatophytes that are NOT fluorescent
A
trichophyton
3
Q
these organisms do not live on humans, they prefer hairier and warmer environments like pets
A
flea
4
Q
a risk factor for this type of necrotizing fasciitis is crush wound
A
type 2 monomicrobic GAS necrotizing fasciitis
5
Q
fever, malaise, HA, neuralgia, pruritic lesions
A
VZV- chickenpox
6
Q
infestations common in houses with pets
A
flea
7
Q
noninfectious skin condition that is not related to skin cleansing- causative agent
A
propionibacterium acnes
8
Q
sometimes its difficult to dx this without sx intervention
A
necrotizing fasciitis
9
Q
fever, GI issues, HA, back pain, myalgia, cough, increased sweating, anemia, hypotension
A
malaria- plasmodium
10
Q
thick discolored nails that may be mistaken for psoriasis
A
tinea unguium from dermatophytes (trichophyton, epidermophyton, microsporum)
11
Q
Linked to Burkett’s lymphoma
A
EBV
12
Q
this big blood sucking parasite causes a bite irritation is a easily spread in crowded conditions
A
pediculus humanus
13
Q
cough, red gooey eyes, coryza, high fever
A
measles (prodrome)
14
Q
Asymmetric attacks of swelling and pain at large joints (arthritis) + flu sxs
A
(Lyme) stage 2- subacute disseminated disease
15
Q
avoid NSAIDS
A
cellulitis (can mask the pain if its something worse like necrotizing fasciitis)
16
Q
a tunnel or burrow rash beneath the skin, anywhere on the body
A
scabies
17
Q
mixed integumentary infection of aerobes and anaerobes
A
necrotizing fasciitis
18
Q
macular patch of depigmented or hyperpigmented skin
A
tinea versicolor from malassezia furfur
19
Q
infected hair breaks off leading to alopeica and black dots
A
tinea capitis aka ringworm of the scalp, from dermatophytes (trichophyton, epidermophyton, microsporum)
20
Q
darkened and thickened skin from years of infestation
A
“vagabonds disease” from pediculus humanus (lice)
21
Q
“this area is red-purple-blue-gray, hot, SHINY, and swollen AND THE WORST PAIN I HAVE EVER FELT”, but it doesn’t look like a big deal
A
streptococcal gangrene necrotizing fasciitis
22
Q
this parasite needs blood to survive, and during its blood meal, it injects its saliva into your blood, which contains 15 substances known to initiate an allergic response
A
pulex irritans (human flea)
23
Q
itching, peeling, scratching of skin on feet, usually toe webs and soles
A
tinea pedis from dermatophytes (trichophyton, epidermophyton, microsporum)
24
Q
rash that’s borders blend in elevation and color to surrounding tissue
A
cellulitis
25
"my leg is hot, red, swollen, and painful"
cellulitis hallmarks (HEET) \*\* also seen in necrotizing fasciitis\*\*
26
B cell infection that induces a polyclonal T cell reaction
EBV
27
mild sxs for several days (fever, HA, myalgia, N/V) followed by lacy rash on limbs and trunk
parvovirus B19
28
Facial palsy, follicular conjunctivitis, hepatitis, meningitis
random sxs (of Lyme) stage 2- subacute disseminated disease
29
what is the causative agent of bullous impetigo
SPECIFIC STRAINS of s. aureus
30
belt or stripe over dermatome
VZV- shingles
31
brownish lesion on hands and feet on someone living in the tropics
tinea nigra aka horaea werneckii
32
Agglutination of horse antibodies shows heterophile antibodies
EBV \*\*\* age specific, not in young kids
33
Residual tissue damage and autoimmune reactions like Reiters syndrome and guillain-barre
Post treatment Lyme disease syndrome
34
bite irritation and visualization are the clinical findings
phthirus pubs (pubic lice)
35
Lyme disease causative agents
Borreliela burgdorferi (N. America), b. Garinii and b. Afzelii (Europe)
36
I already had a skin infection (and it was probably necrotizing fasciitis) and then I got
streptococcal toxic shock syndrome
37
romanas sign
acute phase of chagas disease from trypansoma cruzi
38
this organism has short spikes on its legs that allow it to attach to its host
pulex irritans (human flea)
39
infestations common in kids, elderly, and people in crowded living situations
scabies
40
large spots on buccal mucosa
measles (kopliks spots)
41
"rash that looks like a sunburn on my right leg... now that you mention it, I fell down and scratched it a few weeks ago on some rocks but the wound is gone"
cellulitis
42
groups of 3 or 4 bites in a linear pattern, often on the lower extremities
flea
43
sterile bullae
ritters
44
superficial skin infection with crusting or bullae- causative agent
staphylococci and or streptococci (impetigo)
45
mild sxs for several days (fever, HA, myalgia, N/V) followed by slapped cheek rash
parvovirus B19
46
highly contagious respiratory droplet infection
measles
47
destroyed fascia but muscles are ok
necrotizing fasciitis
48
sudden pain, bronze skin, can hear popping under skin, blisters
gas gangrene
49
superficial skin infection with crusting or bullae and ulcers
ecthyma
50
Persistent arthritis attacks
(Lyme) stage 3 chronic disease
51
sudden onset of arthritis or arthralgia (in a parent)
parvovirus B19 (adult presentation)
52
androgen hormone triggers inflammation and folliculitis
acne vulgaris
53
sxs begin within 2-14 days after a bite and are nondescript GI sxs
RMSF- rickettsia rickettsii
54
3-4 days after prodrome comes a rash that goes from ears down + high fever
measles
55
when you perform sx, theres no pus, just a brown exudate and gray fascia
streotococcal gangrene necrotizing fasciitis
56
Peak incidence between 17 and 25
EBV \*\*\* but earlier in africa\*\*\*
57
"abscess on my neck/ thigh/ butt/ face around a hair"- causative agent
s. aureus
58
mild pain, itching, irritation with pustules or nodules surrounding a hair
folliculitis
59
a risk factor for this type of necrotizing fasciitis is DM
type 1 polymicrobic
60
HSV infection occur later and correlate with sexual activity
HSV-2 (genital herpes)
61
shallow vesicles on an erythematous base, ballooning, vesicles crust over
HSV
62
organism invades endothelial cells and is fatal if not treated within the first few days
RMSF- rickettsia rickettsii
63
flesh eating bacteria
type 2 monomicrobic GAS necrotizing fasciitis
64
2-5 days after infection, pt may develop small pink non itchy macules on wrists, forearms and ankles that spread to trunk, palms and sole
RMSF- rickettsia rickettsii
65
fever, malaise, HA, myalgia, anorexia prodrome
VZV- chickenpox (only in older kids and adults!)
66
acute infection of skin and deeper SQ tissues
cellulitis
67
crawl very slowly, unable to jump or fly
scabies
68
raised bump or halo surrounding the bite site
flea bite
69
vector for epidemic typhus
pediculus humanus
70
bullae, thick pink/ purple fluid, cutaneous anesthesia, gangrene
streptococcal gangrene necrotizing fasciitis
71
teratogens
VZV, rubella
72
most commonly encountered opportunistic fungal infection that is in the normal flora of the skin and mucuous membranes
candidiasis
73
looks like a mild, less infectious measles
rubella
74
rash that is unilateral and does not cross the center line (sharp limits)
VZV- shingles
75
Erythema migrans + flu sxs
(Lyme)Stage 1- acute localized disease of
76
cervical dysplasia and cancer
HPV 16 and 18
77
causative agent of gas gangrene
clostridium perfringens type A
78
capable of jumping long distances
flea
79
ASA not recommended
VZV (incl vaccine)
80
rubella aka
german measles (aka little red)
81
asymmetrical vesicular rash that sometimes follows a dermatomal pattern
VZV
82
exanthem subitum aka
HHV-6 aka roseola infantum aka 6th disease
83
6+ days after infection, pt may develop red to purple petechial rash signifying a blood borne infection
RMSF- rickettsia rickettsii \*\*\*\* warning, at this point it may be too late\*\*\*
84
many co-infections with lyme disease
nantucket island fever from babesia microti
85
itching and allergic response can take weeks to develop the first time, while during reinfections, the itching occurs within 24 hours
sarcoptes scabiei
86
superficial cellulitis with focal dermal lymphatic involvement- causative agent
Group A Streptococcus (erysipelas)
87
cemented to a fiber in clothing or hair
pediculus humanus
88
this cellulitis has not responded to abx in the last 48 hours
because it's necrotizing fasciitis
89
"been hanging out in rainforests, not cleaning myself, and snorting cocaine, and now have this crusty rash"
impetigo
90
this tinea also usually has a fungal (candida) co-infection
tinea unguium from dermatophytes (trichophyton, epidermophyton, microsporum)
91
HA fever malaise fatigue followed by sore throat and palatal enanthem at hard and soft palate junction with petechial lesions
EBV
92
10-20% of PT’s who take abx after treatment of this disease develop Post Treatment ——-
Post Treatment Lyme Disease Syndrome
93
anogenital warts
HPV 6 and 11
94
muscle necrosis
gas gangrene
95
chagoma
acute phase of chagas disease from trypansoma cruzi
96
roseola infantum aka
HHV-6 aka exanthem subitum aka 6th disease
97
observed most frequently in HIV pts, these crusted scaling lesions are intensively pruritic and teaming hundreds of thousands of the organisms
crusted Norwegian scabies
98
causative agents in 90+% cases of cellulitis
s. aureus and s. pyogenes
99
pain 1st, then + redness, then + papules and vesicles
VZV- shingles
100
spread by direct contact with vesicular fluid, saliva, secretions
HSV
101
often confused for scabies
pulex irritans (human flea)
102
a pimple like rash that leads to intense itching at nightime
scabies
103
big blisters that formed b/c of the exfoliative action of a toxin
bullous impetigo
104
usual causative agent of folliculitis
s. aureus
105
high fever (for 2-5 dyas) followed by rose colored rash
HHV-6
106
parvovirus B19 aka
fifth disease aka erythema infectiosum
107
cemented to hair
phthirus pubis (pubic lice)
108
staphylcoccal scalded skin syndrome
ritters
109
fever + boils that are deep into dermis and SQ on neck/ back/ thighs
carbuncle
110
Hepatomegaly increased liver enzymes jaundice
EBV
111
"went in a hot tub 8-48 hours ago and now I have painful, itchy bumps"- causative agent
pseudomonas aeruginosa (superficial "hot tub" folliculitis)
112
with RMSF, every attempt should be made to begin tx before \_\_\_\_
petechiae develop
113
humans are the only reservoir and asymptomatic shedding is possible
HSV
114
"my leg is hot, red, swollen, painful, yellowish white in the center, has a central point (head), has pus"
MRSA
115
superficial acute infection of skin with focal dermal lymphatic involvement
erysipelas
116
I had surgery WHILE on my period and wearing a tampon and I got
staphylococcal toxic shock syndrome
117
fat, sweaty, diabetic person transmits this by towels, clothing and bed linens
tinea corporis and tinea cruris from dermatophytes (trichophyton, epidermophyton, microsporum)
118
Downy cells in circulation
Atypical lymphocytes (EBV)
119
clostridial myonecrosis aka
gas gangrene
120
muscle and nerve degeneration and necrosis, enlarged heart, esophagus, and colon, chronic inflammation
chronic phase of chagas disease from trypansoma cruzi
121
vesicles that are ruptured and crusty- causative agent
s. aureus (+ maybe strep pyogenes co-infection)
122
toxins are superantigens that over stimulate immune response
toxic shock syndrome
123
An under appreciated reservoir is small children
CMV
124
kissing bugs
triatomine bugs- trypanosoma cruzi
125
Symmetrical LAD
EBV
126
rubeola aka
measles
127
**small pinpoint lesions**
N/V/D
cough
hypotension
anemia
nantucket island fever from babesia microti
(the non bolded sxs are the malaria like sxs)
128
What’s the dif b/w EBV and CMV
CMV HAS NO HETEROPHILE ANTIBODIES
129
skin across entire body is split off within 2 days, and body looks red and burnt
ritters
130
accounts for most measles deaths
PNA
131
mimics gastroenteritis, PNA, meningitis, encephalitis, hepatitis
malaria- plasmodium
132
blood-filled lesions that resemble Norwegian scabies (crusted and scaly)
pediatric scabies
133
HSV infection that occurs early in life
HSV-1 (oral herpes)
