Penile and scrotal skin disorders

Question 1

What are pearly penile papules

Question 2

Distinguish from condulomata

Answer 2

Symmetrical distributed
Around the edge of the corona only

Question 3

Sebaceous glands of fordyce

Question 4

Angiokeratoma on the scrotum

Question 5

Scrotal calcinosis

Answer 5

Well demarcated yellowish papules scattered over the scrotum

Question 6

Folliculitis

Answer 6

Trim instead of shave
Using exfoliative wash alternative bacterial wash
Culture pustule

Question 7

Syphilis primary

Answer 7

Chancre

Answer 8

Condyloma lata
More sessile papules
More broad base
Tend to be clustered

Question 9

Features of secondary syphilis

Question 10

Rash on palms and soles

Answer 10

Ecz
Ps
Sythe
EM
HFM disease

Question 11

Suppressive Rx HSB

Answer 11

HSV 9 per year

Question 12

HPV

Answer 12

63% students developed new HPV infections

Question 13

Immunocopetent

Answer 13

clear infection 1-2 years

Answer 14

dont shave, trim
Risk of transmission
Pap test if cervix

Answer 15

Watchful waiting
Cryotherapy
Imoquimod
Podophyllotoxin
Sinecatechins
cti-keral
Surgical excision

Answer 16

No treatment superior other another
All better than placebo

Question 17

Immunocompromised HIV +

Answer 17

Double duration of Imiquimod therapy

Question 18

3.75%

Answer 18

Daily x 8 weeks

Question 19

5%

Answer 19

3 x week x 16 weeks

Answer 20

Irritation
Pigmentation change
Flu like sx

Question 21

Podophyllotoxin

Answer 21

Challenging to find
Difficult to apply
2x day x 3 conse days x 4-6 weeks
Only apply to wart

Question 22

Sine

Answer 22

TID x 16 weeks.

Question 23

Monkeypox

Answer 23

Keratinized or non keratinized skin
Psuedopapules

Question 24

Candida

Answer 24

Involves scrotum
Beefy red

Question 25

Tinea cruris

Question 26

Scabies

Answer 26

Starts abruptl;y Permethrin 5% cream days 1 and 8

Question 27

lichen sclerosis

Answer 27

white sclerotic plaque waisting subcoronal adhesion fissures loss of frenular architecture angiokeratomas inflammatory dyspigmentation hyalinization

Answer 28

High potency topical corticosteroids 1/12 Avoid irritants Berrier emollients Circumcision

Question 29

LS monitoring

Answer 29

PeIN/SCC - 10%

Question 30

Lichen planus

Answer 30

Planar Polyg papule purple pruritis penis

Answer 31

volar wrist ankles lowe back oral mucos nails

Answer 32

Topical steroids topical calcineurin inhibitors Oral retinoids Oral metronidazole Oral mychophenolate

Question 33

Zoons balanitis

Answer 33

Plasma cell balantios Erythe moist plaques Kissing lesion Uncirumcised men Consider PeIn Erytgroplasia of Queyrat Not prema;lignant

Answer 34

Topical steroid

Question 35

Genital psoriasis

Answer 35

30-40% have genital involvement <5% have isolatd genital involvement Family hx Joint pain Exam Elbows Gluteal cleft Scalp Nails

Answer 36

Unifrom erythema and scale across entire penis and scrotum Plaques fluctuate/ move around

Answer 37

Topical steroid. Topical Vit D analogues Topical calcineurin inhibitors Systemic Rs mtx Apremilast Biologis

Question 38

Allergic contact dermatitis

Answer 38

Erythema Edema Swelling +++ pruritis Vesiculation Linear lesions

Question 39

dx

Answer 39

Clinical Patch esting

Answer 40

DC allergen Topical steroid Topical calcienurin inhibitors

Question 41

Lichen simplex chronicus

Answer 41

Break itch scratch cycle Emoolients Topical steroids, CN1 Anti-histamins Gabapentin, pregabalin, amitryptaline

Question 43

Fixed drug eruption

Answer 43

NSAID Allopurinoal Antibiotics pen TCN Septra Quinolons

Question 44

PEIN - ertyhro of querat

Answer 44

Underside of penis Indurated firm Ulceration Variable associated with HPV Risk of SCC transformation 3-6%

Question 45

PEIN bowns

Answer 45

On keratinized skin

Question 46

PEIN Bowenoid papulosis

Answer 46

Red broan papules Wart like Younger < 1% transformation.

Question 47

Ca in situ around urethra

Answer 47

refer for cystoscopy