Rashes

Question 1

Scabies

• how many mites are found
• treatment

Answer 1

1 out of 10 lesions will find a mite
dig it out and put it on scope
permethrin cream neck down-sleep-shower then repeat in one week

Question 2

Contact dermatitis

treatment

Answer 2

medrol dose pack
allgery pill- Zyertec & benadryl
stay away from heat

Question 3

Tinea Curis

• location
• look like?
• treatment

Answer 3

Fungus on Curius = on body/trunk
looks like red base with scaly plaques
Usually caused by some sort of moisture
Treatment: Ketoconozole 2-4 weeks on area

Question 4

Recurrent Tinea

Answer 4

Terbinafine- Lamisil
need to do labs before beginning treatment and during
*risk of liver damage
*1-2% could lose taste permanently

Question 5

Inverse Psoriasis

Answer 5

• look up

Question 6

Differential for large scaly plaques

Answer 6

Tinea
Psoriasis
Granulomata areate

Question 7

Discoloration on the bilateral shins

Answer 7

Statis dermatitis

• treatment is compression stockings
• at risk for ulcers

Question 8

Pitting edema

Answer 8

distal legs- statis dermatitis

risk for ulcers

Question 9

plaque psoriasis

-treatments

Answer 9

1. otazla BID
2. kenalog shots into leasions
3. topicals foam
4. Derma smooth - greesy

Question 10

hidrocystoma

Answer 10

cyst on the eye

-lance to remove

Question 11

Hair loss in circles

Answer 11

alopecia areata

Question 12

Hair loss due to stressful events- surgery, moving, death

Answer 12

teleogen effluvium

Question 13

white spots scattered mainly on legs and arms

Answer 13

stucco keratosis- only a few mm in size

Question 14

Acrochordon

Answer 14

skin tags- cut, freeze or burn
risk of coming back
usually in sites where rubbing occurs

Question 15

Treatment for atopic dermatitis

Answer 15

1. Predisone
2. allergic work up
3. Eleda
4. ucrisaa
5. dupixdent - injection

Question 16

Keratosis pilaris

Answer 16

no scrubbing with lufas
Amlactin topical OR urea OTC
both help keratolytic

Question 17

Itch all over body

Answer 17

ddx: parasties, cancer, mites
check liver function, kidney, travel history, stress
post scrabic itch 
CBC
LFT's
TSH
BUN/Cr

Question 18

What do mites look like under dermatoscope

Answer 18

arrow heads

Question 19

Grovers disease

Answer 19

another name: transient acantholytic dermatosis
Triggers: Suspected triggers of disease activity include heat and sweating, sunlight, ionizing irradiation, end-stage renal disease/hemodialysis, mechanical irritation or prolonged bedrest, and solid organ transplantation, medications

Question 20

treatment for grovers disease

Answer 20

steroids- Relapse appears to be common upon withdrawal.

• Topical vitamin D analogs
• Systemic retinoids
• Phototherapy and photochemotherapy (PUVA) [38,39]. PUVA may cause an initial exacerbation of symptoms before producing benefit.
• Red-light 5-aminolevulinic acid photodynamic therapy (ALA-PDT)

Question 21

Calcipotriol (calcipotriene)

Answer 21

topical vit D $$$$
Good for Grovers disease
not helpful for psoriasis- usually mixed with steroid

Question 22

what OTC lotions are good for itching

Answer 22

Scarna
oral benadryl
Zyrtec

Question 23

Treatment for roasaca

Answer 23

Topical- Steroid, Cerva cleanser and lotion

oral - Metronidazole (for gram negatives)

Question 24

Allergic dermatitis on the face treatment

Answer 24

Trinex dialy 1-2 week

Question 25

Gutate psorasis

Answer 25

1. small lesions compared to plaque psoriasis 2. appear with sore throat or anal strep 3. flares up with smoking, alcohol tx topical steroids & Vit D

Question 26

Hyperhydrosis Treatment

Answer 26

1. Alumin chloride 2. Glycopyrate topical or Oral 3. Botox injections

Question 27

Criteria for Hyperhidrosis

Answer 27

``` RULE OUT CAUSE OF PITUITARY Bilateral and relatively symmetric Impairs daily activities At least one episode per week Onset before age 25 Family history of idiopathic hyperhidrosis Focal sweating stops during sleep ``` side effects- skin skin maceration and staining of clothes

Question 28

How do you measure psorasis

Answer 28

``` use the burn body method Head - 9% total - front is 4.5% Trunk - 18% - upper trunk 9%, lower truck 9% back - 18% arms- 9 % each- front of arm 4.5% legs 18% each - front of leg 9% ```

Question 29

Perioral dermatitis treatment

Answer 29

can be caused by topical steroids discontinue - fluoridated tooth paste, cinnamon, skin moisturizers, cosmetics, hormonal function, birth control. Treatment - Pimecrolimus Elidel

Question 30

Rash associated with Molluscum

Answer 30

Molluscum deramtitis - area under the molluscum can get raised and irritated treat rash first then treat molluscum

Question 31

Explain Molluscum

Answer 31

caused by a pox virus

Question 32

What causes telogen effluvium

Answer 32

diet change, stress, TSH, iron, Vit D, testosterone, DHEAs, family genetics (even auts and uncles), pregnancy, surgery

Question 33

Treatment of telogen effluvium

Answer 33

``` Topical rogain 5% propecia - not for young women supplemnts- nutrafol 4 pills aday, preg B red light helment plasma rich protein injections ```

Question 34

Explain Nutrafol

Answer 34

its a natural supplement for hair loss it contains- salpalmento & inportment for hair grow and blocking testosterone (hair loss) 200$ for 3 months , recommend being on it for at least 6 months take a before and after picture 4 pills a day Pregnancy category B

Question 35

cracking on the sides of the mouth

Answer 35

Chelitis- common with atopic dermatitis caused by different things- allergic chelitis can be chronic- consider patch testing treatment- anti fungal nystain mouth for 14 days

Question 36

Hyperhindrosis- pathway

Answer 36

activated ach at the synpatic clef- muscle contraction causing more oil secretion -botox treatment helps relax those muscles and stop the contraction - leading to less oil secretion

Question 37

Rash on the legs- looks like statis dermaotsis

Answer 37

Progressive pigmentary dermatosis - PPD OR Schamberg purpura

Question 38

Dermatographism

Answer 38

pretty much hives- hypersensitivity

Question 39

condition - sun light sensitivity

Answer 39

Polymorphsis light eruption

Question 40

What is an important question to ask before prescribing Sulfa - bacterium

Answer 40

Ask if they have any allergies to dried fruit

Question 41

What is Roseca

Answer 41

nerves in our face intervate the capillares to open and close for heat, etc. when the nerves become damaged the capillaries stay open = redness

Question 42

Treatment for Roseca

Answer 42

1. avoid triggers - heat, embarassment 2. lasers in the early stages 3. metronitizole gel

Question 43

Seborrhea dermatitis

Answer 43

1. Hydrocortizone 2. Ketoconzalone * not a fungus but responds to the treatment use everyday until gone then every other day for maintance

Question 44

Hyperhindrosis of the feet - rule out - treatment

Answer 44

- rule out pitting psoriasis 1. first line topical antiperspirants- aluminum physically blocks the opening of the sweat gland *Rx strength deodrants should be applied each night then washed off in the morning. Once sweating has slowed, every other night, once weekly, etc. tip- can use baking powder after washing it off, this will absorb any remaining alumin botulinum toxin injections, microwave thermolysis, or topical glycopyrronium

Question 45

Herpes simplex | treatment

Answer 45

1. otc abreva | 2. valtrex - 1 pill now wait 12 hours later

Question 46

Oncomycosis - another name - treatment

Answer 46

tinea unguium Lamisile- terbenfine - lost of taste perment, liver affects cant be on statins draw LFT's now, 2 months, 6 months

Question 47

Tinea versicolor

Answer 47

pityriasis versicolor - NOT A FUNGAL INFECTION - hyper or hypo pigmented areas - most common in tropical areas

Question 48

Schambergs

Answer 48

Pigmented purpuric dermatosis - PPD | "chyanpepper legs"

Question 49

Hand-foot-mouth disease | -caused by what

Answer 49

common on the butt as well | virus coxsackievirus