PANCE PREP PEARLS Flashcards
(40 cards)
ALOPECIA AREATA
ETIOLOGY IMMUNE-MEDIATED HAIR LOSS (ASSOCIATED WITH THRYOID, ADDISONS DISEASE)
PRESENTATIONS “SMOOTH CIRCULATE PATCHES OF COMPLETE HAIR LOSS
EXCLAMATION POINT HAIRS”
TREATMENT TOPICAL AND INTRALESIONAL CORTICOSTEROIDS.
ANDROGENETIC ALOPECIA
ETIOLOGY PROGRESSIVE HAIR LOSS- DIHYDROTESOSTERONE IS KEY ANDROGEN LOSS.
PRESENTATIONS MC AFFECTING TEMPORAL SCALP
TREATMENT “MINOXIDIL
ORAL FINASTERIDE: 5-a REDUCTASE INHIBITOR”
ATOPIC DERMATITIS (ECZEMA) ATOPIC TRIAD
“ECZEMA
ALLERGIC RHINITIS
ASTHMA”
ATOPIC DERMATITIS (ECZEMA)
ETIOLOGY ^ IgE PRODUCTION
PRESENTATIONS “ACUTE LESIONS = MC IN FLEXOR CREASES
NUMMULAR ECZEMA= COIN SHAPED”
TREATMENT "TOPICAL CORICOSTEROIDS ANTIHISTAMINES FOR ITCHING WET DRESSING ANTIBIOTICS FOR SECONSARY INFECTIONS. PREVENTIONS: AVOID IRRITANTS. "
CONTACT DERMATITIS
ETIOLOGY IRRITANT CAUSED
PRESENTATIONS “DIAPER RASH
BURNING, ITCHING, ERYTHEMA”
TREATMENT FREQUENT DIAPER CHANGES, TOPICAL PETROLEUM OR ZINC OXOIDE
DYSHIDROSIS (DYSHIDROTIC ECZEMA)
ETIOLOGY “TRIGGERED BY SWEATING/WARM HUMID WEATHER.
^ WITH TIMES OF STRESS”
PRESENTATIONS TAPIOCA-LIKE TENSE VESICLES ON THE SOLES, PALMS AND FINGERS-LATERAL DIGITS.
TREATMENT TOPICAL STEROIDS
LICHEN SIMPLEX CHRONICUS (NEURODERMATITIS)
ETIOLOGY SKIN THICKENING IN PATIENTS WITH ECZEMA- REPETATIVE RUBBING/SCRATCHING
PRESENTATIONS SCALY, ROUGH SKIN WITH EXAGGERATED SKIN LINES
TREATMENT “AVOID SCRATCHING LESIONS
TOPICAL STEROIDS”
PERIORAL DERMATITIS
ETIOLOGY “MC YOUNG WOMEN
HISTORY OF TOPICAL CORTICOSTEROID USE”
PRESENTATIONS
TREATMENT “TOPICAL: METRONIDAZOLE OR ERYTHROMYCIN
ORAL: TETRACYCLINES
AVOID TOPICAL STEROIDS”
LICHEN PLANUS
ETIOLOGY ^ WITH HEPATITIS C PRESENTATIONS "5 P's: PURPLE POLYGONAL PLANAR (Flat-topped) PRURITIC PAPULES w/ FINE SCALES
SKIN, MOUTH, SCALP, GENITALS AND NAILS
KEOBNER’S PNENOMENON: NEW LESIONS AT SITE OF TRAUMA
WICKHAM STRIAE: FINE WHITE LINES ON THE SKIN LESIONS OR ON THE ORAL MUCOSA”
TREATMENT “TOPICAL CORTICOSTEROIDS #1
PO STEROIDS UVB THERAPY #2”
LICHEN PLANUS
5 PS
5 P's: PURPLE POLYGONAL PLANAR (Flat-topped) PRURITIC PAPULES w/ FINE SCALES
PITYRIASIS ROSEA
ETIOLOGY “IDIOPATHIC
CHILDREN/YOUNG ADULTS”
PRESENTATIONS “HERALD PATCH: SOLITARY SALMON-COLORED MACULE —–>
CHRISTMAS TREE PATTERN”
TREATMENT NONE NEEDED
PSORIASIS
ETIOLOGY STRATUM BASALE + STRATUM SPINOSUM —-> T CELL ACTIVATION
PRESENTATIONS “PLAQUE : MC TYPE—RAISED, DARK RED PLAQUES/PAPULES WITH THICK SILVER/WHITE SCALES
PUSTULAR: YELLOW NON-INFECTED PUSTULES
GUTTATE: SMALL, ERYTHEMATOUS PAPULES WITH FINE SCALES
PSORIATIC ARTHRITIS”
TREATMENT “MILD-MODERATE: TOPICAL STEROIDS
MODERATE/SEVERE: POTOTHERAPY, UVB
SYSTEMIC: METHOTREXATE”
PIRYRIASIS (TINEA) VERSICOLOR
ETIOLOGY MALASSIZEA FURFUR - OVERGROWTH OF THIS YEAST
PRESENTATIONS HYPER/HYPOpigmentation w/ WELL DEMARCATED MACULES WITH FINE SCALING
DIAGNOSIS “KOH PREP: HYPHAE AND SPORES (SPEGHETTI AND MEATBALLS)
“
TREATMENT TOPICAL ANTIFUNGALS: SELENIUM SULFIDE, SODIUM SULFACETAMIDE, ZINC PYRITHIONE, “ AZOLES”
SEBORRHEIC DERMATITIS
ETIOLOGY HYPERSENSITIVITY TO MALASSEZIA FURFUR YEAST PRESENTATIONS "CRADLE CAP: INFANTS ADULTS: DANDRUFF" DIAGNOSIS TREATMENT "TOPICAL: SELENIUM SULFIDE- SELSON BLUE SODIUM SOLFACETAMIDE KETOCONAZOLE SYSTEMIC: ORAL ANTIFUNGALS"
CUTANEOUS DRUG REACTIONS
ETIOLOGY “TYPE 1- IgE Mediated- Urticaria/angioedema- Immediate
TYPE 2 - Cytotoxic
TYPE 3- Immune antibody-antigen complex
TYPE 4- Delayed (Cell mediated)”
PRESENTATIONS “Exanthematous/Morbiliform Rash
- Bright Red macules & papules that form plaques
Uticarial
- 2nd MC”
TREATMENT Antihistamens and Systemic Coricosteroids
UTICARIA (HIVES) & ANGIOEDEMA
ETIOLOGY “Type 1 HSN IgE
MAST CELLS RELEASE HISTAMINE”
PRESENTATIONS UTICARIA- BLANCHABLE, EDEMATOUS PAPULES, WHEALS AND PLAQUES
TREATMENT ORAL ANTIHISTAMINES
ERYTHEMA MULTIFORME
ETIOLOGY “ACUTE SELF-LIMITED TYPE IV HYPERSENTISIVITY REACTION
HERPES SIMPLEC VIRUS MC”
PRESENTATIONS TARGET (IRIS) LESIONS
TREATMENT SYMTOMATIC- STEROIDS/BENADRYL
STEVENS-JOHNSON SYNDROME (SJS) & TOXIC EPIDERMAL NECROLYSIS (TEN)
ETIOLOGY DRUG ERUPTIONS —-> SULFA/ANTICONVULSANT MEDS
PRESENTATIONS “WIDESPREAD BLISTERS
>1 MUCOUS MEMBRANE w/ EPIDERMAL DETACHMENT”
DIAGNOSIS “>1 MUCOUS MEMBRANE w/ EPIDERMAL DETACHMENT
NIKOLSKY SIGN- Able to make a new blister with pencil eraser. “
TREATMENT TREAT LIKE SEVERE BURNS
ACENE VULGARIS
ETIOLOGY “4 MAIN PAHTO FACTORS:
INCREASED SEBUM PRODUCTIONS:
- ^ ANDROGENS
CLOGGED SEBACEOUS GLANDS
PROPIONIBACTERIUM ACNE OVERGROWTH
INFLAMMATORY REPSONSE"
PRESENTATIONS "COMEDONES:
- OPEN ==== BLACKHEADS
- CLOSED ==== WHITEHEADS
INFLAMATORY
NODULAR OR CYSTIC ACNE"
DIAGNOSIS "MILD: Comedones w/ small papules
MODERATE:Comedones w/ large papules
SEVERE: Nodular >5mm or cystic "
TREATMENT "MILD: TOPICAL RETINOIDS + BENZOYL PEROXIDE
MODERATE: TOPICAL/SYSTEMIC ANTIBIOTICS (DOXY) +/- KERATOLYTIC +/- TOPICAL RETINOID
SEVERE: ISOTRETINOINS
- HIGHLY TERATOGENIC"
ACENE VULGARIS
TREATMENT
“MILD: TOPICAL RETINOIDS + BENZOYL PEROXIDE
MODERATE: TOPICAL/SYSTEMIC ANTIBIOTICS (DOXY) +/- KERATOLYTIC +/- TOPICAL RETINOID
SEVERE: ISOTRETINOINS
- HIGHLY TERATOGENIC”
ROSACEA
ETIOLOGY “IDIOPATHIC
TRIGGERS: ETOH, ^ TEMPERATURE
“
PRESENTATIONS ACNE-LIKE RASH + ERYTHEMA, FACIAL FLUSHING, TELANGIECTASIA, SKIN COARSEING, PAPULOPUSTULES
TREATMENT METRONIDAZOLE
ACTINIC KERATOSIS
ETIOLOGY "MC- fiar skinned Parmers PREMALIGNANT CONDITION TO SQUAMOUS CELL CARCINOMA MC- PREMALIGNANT SKIN CONDITION" PRESENTATIONS "DRY, ROUGH, SCALY -SANDPAPER- SKIN LESIONS HYPERKERATOTOC-HYPERPIGMENTED" DIAGNOSIS BIOPSY TREATMENT "DERM-REFERAL CRYOSURGERY"
SEBORRHEIC KERATOSIS
ETIOLOGY MC BENIGN SKIN TUMOR
PRESENTATIONS SMALL PAPULE/PLAQUE VELVETY WARTY LESIONS—— GREASY/STUCK ON APPEARANCE
TREATMENT NO TREATMENT NEEDED
VITILIGO
ETIOLOGY AUTOIMMUNE DESTRUCITON OF MALANOCYTES —-> DEPIGMENTATION
PRESENTATIONS
TREATMENT “LOCALIZED ====> TOPICAL STEROIDS
DISSEMINATED: SYSTEMIC PHOTOTHERAPY”
