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Rash Flashcards

(95 cards)

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1
Q

Bulla

A

circumscribed, elevated lesion > 1 cm containing serous or hemorrhagic fluid

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2
Q

Macule

A

circumscribed, nonpalpable discoloration of skin

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3
Q

Nodule

A

palpable, solid, round or ellipsoidal lesion > 1 cm, more vertical than wide

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4
Q

Papule

A

elevated, solid lesion

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5
Q

Patch

A

circumscribed, nonpalpable discoloration of skin > 1 cm

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6
Q

Petechiae

A

nonblanching reddish macules

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7
Q

Plaque

A

palpable, solid lesion > 1 cm

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8
Q

Purpura

A

nonblanching reddish macules > 0.3 cm

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9
Q

Pustule

A

lesion containing pus, may be follicular or nonfollicular

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10
Q

Vesicle

A

circumscribed, elevated lesion

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11
Q

Wheal

A

round or annular (ring-like), edematous papule or plaque, evanescent, disappearing within hours

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12
Q

Atrophy

A

depression in the skin resulting from thinning of epidermis, dermis, and/or subQ fat

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13
Q

Crust

A

collection of dried blood, serum, and/or cellular debris

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14
Q

Erosion

A

focal loss of epidermis, does not penetrate below dermal-epidermal junction, can heal w/o scarring

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15
Q

Lichenification

A

thickening of epidermis d/t repeated rubbing, appearing as accentuation of skin markings

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16
Q

Scale

A

excess dead epidermal cells, mb fine, silvery, greasy, desquamative, or adherent

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17
Q

Scar

A

abnormal formation of CT, implying dermal damage

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18
Q

Ulcer

A

focal loss of full-thickness epidermis and partial to full-thickness dermis, often heals w/ scarring

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19
Q

Nikolsky sign

A

further shearing of skin when lateral pressure applied to normal-appearing epidermis in area adjacent to bulla

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20
Q

Morphologic Patterns (9)

A 
Exanthematous eruptions
Papulosquamous dermatoses
Eczematous dermatoses
Vesiculobullous disorders
Pustular dermatoses
Purpuras
Erythemas
Urticaria
Subcutaneous nodules
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21
Q

Morphologic Pattern: Do you have a rash consisting of many small red spots and/or bumps?

A

Exanthematous eruptions

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22
Q

Morphologic Pattern: Do you have scaly spots and/or bumps on your skin?

A

Papulosquamous dermatoses

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23
Q

Morphologic Pattern: Do you have red, itchy, oozy, crusty, and scaly skin?

A

Eczematous dermatoses

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24
Q

Morphologic Pattern: Have blisters developed on your skin?

A

Vesiculobullous disorders

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25
Morphologic Pattern: Do you ever have bumps on your skin that are filled with fluid?
Vesiculobullous disorders
26
Morphologic Pattern: Do you have "pus bumps" or pimples on your skin?
Pustular dermatoses
27
Morphologic Pattern: Do you have red or purple spots or bumps that do not fade when you press on them? (i.e. lesions are nonblanching)?
Purpuras
28
Morphologic Pattern: Do you have areas of red, hot skin?
Erythemas
29
Morphologic Pattern: Do you have spots on your skin that look like targets?
Erythemas
30
Morphologic Pattern: Do you have hives?
Urticaria
31
Morphologic Pattern: Do you have bumps deep in your skin?
Subcutaneous nodules
32
Exanthematous eruptions (5)
``` Morbilliform drug eruption Drug rash w/ eosinophilia and systemic symptoms (DRESS) Acute graft-versus-host disease (GVHD) Scarlet fever Viral exanthems ```
33
Viral exanthems (4)
Measles Rubella Roseola Erythema infectiosum
34
Papulosquamous dermatoses (8)
``` Lichen planus Pityriasis rosea Psoriasis Seborrheic dermatitis Lupus erythematosus Dermatomyositis Tinea Secondary syphilis ```
35
Eczematous dermatoses (6)
``` Atopic dermatitis Allergic contact dermatitis Irritant contact dermatitis Venous stasis dermatitis Autosensitization dermatitis (id rxn) Systemic contact dermatitis ```
36
Vesiculobullous disorders (11)
``` Stevens-Johnson syndrome/toxic epidermal necrolysis Bullous pemphigoid Pemphigus vulgaris Porphyria cutanea tarda Dermatitis herpetiformis Phytophotodermatitis HSV infection Varicella Zoster Staphylococcal scalded skin syndrome (SSSS) Bullous impetigo ```
37
Pustular dermatoses (9)
``` Acute generalized exanthematous pustulosis Generalized pustular psoriasis Acne vulgaris Steroid acne Acne rosacea Periorificial dermatitis Folliculitis Cutaneous candidiasis Disseminated gonococcal infection ```
38
Purpuras (13)
``` Thrombocytopenic purpura Schamberg pigmented purpuric dermatosis Actinic purpura Scurvy Leukocytoclastic vasculitis Polyarteritis nodosa Cryoglobulinemia, type I Cholesterol emboli Calciphylaxis Purpura fulminans Rocky mountain spotted fever Acute bacterial endocarditis Ecthyma gangrenosum ```
39
Erythemas and urticaria (9)
``` Phototoxic reactions Urticaria Erythema multiforme Sweet syndrome Erysipelas Cellulitis Necrotizing fasciitis Lyme disease Toxic shock syndrome ```
40
Subcutaneous nodules (6)
``` Erythema nodosum Nodular vasculitis Lipodermatosclerosis Pancreatic panniculitis a1-antitrypsin deficiency panniculitis Lupus panniculitis ```
41
Serious Dx: Exanthematous eruptions (2)
DRESS | GVHD
42
Serious Dx: Papulosquamous dermatoses (3)
Erythrodermic psoriasis Systemic lupus erythematosus Dermatomyositis
43
Serious Dx: Eczematous dermatoses (1)
Erythrodermic dermatitis
44
Serious Dx: Vesiculobullous disorders (4)
SJS/TEN Pemphigus vulgaris Disseminated HSV infection Disseminated zoster
45
Serious Dx: Pustular dermatoses (3)
Generalized pustular psoriasis | Disseminated gonococcal infection
46
Serious Dx: Purpuras (7)
``` Leukocytoclastic vasculitis w/ systemic involvement Polyarteritis nodosa Calciphylaxis Purpura fulminans Rocky mountain spotted fever Actue bacterial endocarditis Ecthyma gangernosum ```
47
Serious Dx: Erythemas (4)
Urticaria/angioedema associated w/ anaphylaxis Erysipelas Necrotizing fasciitis TSS
48
Serious Dx: Subcutaneous nodules (1)
Pancreatic panniculitis
49
Alarm SSx: Painful skin -serious (5)
``` SJS/TEN Pemphigus vulgaris Pustular psoriasis Calciphylaxis Necrotizing fasciitis ```
50
Alarm SSx: Painful skin - benign (2)
SSSS | Phototoxic reaction
51
Alarm SSx: Confluent erythema serious (4)
DRESS Acute GVHD TEN TSS
52
Alarm SSx: Confluent erythema - benign (4)
Severe morbilliform drug eruption SSSS AGEP Scarlet fever
53
Alarm SSx: Erythroderma - serious (7)
``` Drug eruption Severe psoriasis Cutaneous T-cell lymphoma Atopic dermatitis Contact dermatitis Autosensitization dermatitis Seborrheic dermatitis ```
54
Erythroderma
Redness and scaling involving > 90% of the skin
55
Alarm SSx: Dusky or grayish-purple skin - serious (6)
``` SJS/TEN Caliphylaxis Purpura fulminans Polyarteritis nodosa Ecthyma gangernosum Necrotizing fasciitis ```
56
Alarm SSx: Widespread blistering or sloughing skin - serious (2)
SJS/TEN | Severe pemphigous vulgaris
57
Alarm SSx: Widespread blistering or sloughing skin - benign (2)
SSSS
58
Alarm SSx: Painful erosions of the mucous - serious (2)
SJS/TEN | Pemphigus vulgaris
59
Alarm SSx: Painful erosions of the mucous - benign (2)
Erythema multiforme | HSV infection w/ primary gingivostomatitis
60
Alarm SSx: Palpable purpura - serious (2)
Leukocytoclastic vasculitis w/ systemic involvement | Rocky mountain spotted fever
61
Alarm SSx: Palpable purpura - benign (2)
Leukocytoclastic vasculitis limited to skin
62
Alarm SSx: Facial swelling - serious (4)
DRESS Acute cutaneous lupus erythematosus Dermatomyositis Angioedema
63
Alarm SSx: Facial swelling - benign (1)
AGEP
64
Alarm SSx: Swollen mouth/tongue, difficulty swallowing, tingling on top of mouth, and/or itching of palms/sides - serious (1)
Anaphylaxis
65
Alarm SSx: High fever (> 104˚ F) - serious (6)
``` DRESS SJS/TEN Purpura fulminans Rocky mountain spotted fever Acute bacterial endocarditis TSS ```
66
Alarm SSx: High fever (> 104˚ F) - benign (3)
Scarlet fever Roseola AGEP
67
Alarm SSx: Arthritis - serious (4)
Systemic lupus erythematosus Disseminated gonococcal infection Leukocytoclastic vasculitis w/ systemic involvement Pancreatic panniculitis
68
Alarm SSx: Arthritis - benign (4)
Rubella Erythema infectiosum psoriasis Leukocytoclastic vasculitis w/ involvement limited to skin Erythema nodosum
69
Alarm SSx: Shortness of breath or difficulty breathing - serious (1)
Anaphylaxis
70
Alarm SSx: Hypotension - serious (4)
Purpura fulminans Ecthyma gangrenosum Anaphylaxis TSS
71
Have you started any new medications in the past 2 weeks?
Morbilliform drug eruption
72
Have you had a bone marrow or peripheral blood stem-cell transplantation within the past 3 months or recently stopped post-transplantation immunosuppressive medications?
GVHD
73
Have you recently had a sore throat, high fever, and headache?
Scarlet fever
74
Did you have a cough, runny nose, and red eyes just before developing this rash?
Measles
75
Has your child just had a high fever for several days, during which he or she otherwise looked well?
Roseola
76
Did your child have bright red cheeks, followed by lacy redness on the arms that is most noticeable when he/she is hot
Erythema infectiosum
77
Are your immunizations up to date?
If not, measles or rubella
78
Do you have itchy, purple, flat-topped bumps on your wrists or shins that you rub frequently?
Lichen planus
79
Do you have an itchy rash in areas exposed to the sun?
Lichen planus
80
Have you started a new medication within the past year?
Lichenoid drug eruption
81
Did you develop a single scaly pink spot on your trunk, followed by an eruption of multiple but smaller spots?
Pityriasis rosea
82
Do you have well-defined areas of thick, red skin covered with silvery scales on your elbows, knees, or scalp?
Psoriasis
83
Are the joints of your hands swollen and painful?
Psoriasis +/- psoriatic arthritis
84
Do you have a family history of psoriasis?
Psoriasis
85
Have you had redness and greasy scaling of your eyebrows, around your nose, and in/around your ears for many years?
Seborrheic dermatitis
86
Do you have dandruff?
Seborrheic dermatitis
87
Are you particularly sensitive to the sun?
Systemic lupus erythematosus
88
Have you noticed redness of your cheeks and the top of your nose in a "butterfly" shape?
Systemic lupus erythematosus
89
Do you have difficulty combing your hair or climbing stairs?
Dermatomyositis
90
Have you ever been diagnosed with any kind of cancer?
Dermatomyositis
91
Do you have pets, particularly a kitten?
Tinea corporis
92
Do you have a history of a genital ulcer in the past 6 months?
Secondary syphilis
93
Is your rash extremely itchy?
Atopic dermatitis
94
Have you had itchy rashes since childhood?
Atopic dermatitis
95
Do you or does anyone in your family have eczema, hay fever, or asthma?
Atopic dermatitis

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