Skin

Question 1

• most common skin cancer

- waxy, pearly, indurated, rodent ulcer

Answer 1

Basal cell

Question 2

• skin cancer

- irregular, flaky (actinic keratosis)

Answer 2

Sqauamous cell

Question 3

• skin cancer
• pigmented
• multicolor
• MOST invasive skin cancer

Answer 3

Melanoma

Question 4

Precancerous lesions

Answer 4

Actinic keratosis - yellow

Leukoplakia - white

Question 5

Folliculitis

Answer 5

Irritated hair follicles (groin, neck)

Question 6

Psoriasis

Answer 6

• silver scales (most significant feature is psoriatic plaques)
• pitted nails
• occurs on extensors
• 15% joint involvement
• hyperuricemia

Question 7

Eczema

Answer 7

• contact dermatitis
• remove agent
• flexors
• “hold things with your flexors, therefore flexors get contact dermatitis”

Question 8

3 diseases that destroy joints

Answer 8

OA- ones who abuse
RA- hereditary; systemic
Psoriatic - aggressive and mean

Question 9

Pediculosis

Answer 9

• lice (nits)

- special shampoo is used; then used again one week later to kill nits

Question 10

Scabies

Answer 10

• love warm damp, hairy spots

- ‘furrow and burrow in with all their mites”

Question 11

Tinea capitis

Answer 11

• ringworm

- “fungus among us”

Question 12

Lyme disease

Answer 12

Spirochete carried by ticks

Bite => erythema migrans => central clearing => bull’s eye for 2-3 weeks

Question 13

Erysipelas

Answer 13

• purple
• strep
• shiny red vesicles
• fever
• patches

Question 14

Pityriasis Rosea

Answer 14

“Such a pity they have a herald patch”

• herald patch
• 10-30 years old
• fatigued
• post viral infection
• comes on fast
• recedes slowly
• on the torso => branches out into a Christmas tree

Question 15

Seborrheic Dermatitis

Answer 15

• dandruff on steroids
• scaly
• oily
• itchy
• erythema
• painful (skinalgia)
• binds hair (cradle cap)
• blepharitis
• tx: shampoo (sulfur and aspirin), steroid cream

Question 16

Dermatomyositis

Answer 16

Rash (heliotrope [sun sensitive])

Eyelids and knuckles

Question 17

SLE

Answer 17

• butterfly rash (malar) heliotrope [sun sensitive]

- eyelids are preserved

Question 18

Acne

Answer 18

Vulgaris - young; puberty

Rosacea - Nosey Rosey (bulbous unilateral nose growth); rhinoplasty

Question 19

Impetigo

Answer 19

• staph and strep
• primary (vesicle and bulla)
• secondary: crusty

Question 20

Impetigo vs B2 riboflavin problems

Answer 20

Impetigo: erupts and oozes, crusty/honeycomb, very contagious

B2 riboflavin problem: cheilosis; not contagious

Question 21

Tinea Versicolor

Answer 21

• subcutaneous fungus causing white patches

- shows up in the summer

Question 22

Vitiligo

Answer 22

Patchy absence of melanin

- 20’s and 30’s

Question 23

Lichenification

Answer 23

• thickened epidermis induced by scratching (washboard)

- precancerous

Question 24

Epidermal nevus

Answer 24

• group of hamartomas
• brown
• flat
• warty

Question 25

Hemangioma

Answer 25

- red elevated birth mark

Question 26

Mongolian

Answer 26

Flat, dark region

Question 27

Cafe au lait

Answer 27

- fibrous dysplasia (coast of Maine) (affects a single bone) | - neurofibromatosis (coast of California)(von recklinghouse disease) (growing; significant problem)

Question 28

Purple list

Answer 28

Kapossi sarcoma - vessel cancer; purple black appearance; opportunistic cancer Erysipelas - strep; so red they look purple ``` Lichen planus — oral: white, glossitis — nail: ridges — purple skin: wrist, ankles — purple papules ```

Question 29

Stomatitis

Answer 29

Mouth lesions

Question 30

Fordyce spot

Answer 30

Yellow | - mouth lesion

Question 31

Aphthous stomatitis

Answer 31

Yellow center, red halo | Canker sore/ cold sore

Question 32

Acrodynia

Answer 32

Mercury poisoning - children | - mouth lesion

Question 33

Mechanical mouth lesions

Answer 33

- dentures, mouth appliances

Question 34

Glossitis

Answer 34

Swollen large tongue | Often vitamin B deficiency

Question 35

Leukoplakia

Answer 35

White, cannot peel it off

Question 36

Hairy leukoplakia

Answer 36

- white, can peel it off (sort of)

Question 37

Thrush

Answer 37

White (can peel off)

Question 38

Diphtheria

Answer 38

Pseudo membrane in throat | Exotoxin

Question 39

Scarlet fever

Answer 39

Beefy red tongue

Question 40

Herpes

Answer 40

Vesicles, prodrome (itchy)

Question 41

Koplik

Answer 41

White spots on erythematous base

Question 42

Cleft palate

Answer 42

- anomaly of soft, hard, or both palates

Question 43

-onychia

Answer 43

Inflammation of nail folds

Question 44

Clubbing nails

Answer 44

- COPD, cancer, RA | —all three related to hypoxia

Question 45

Onychocryptosis

Answer 45

Ingrown toenails

Question 46

Pitted nails

Answer 46

Psoriasis | — “silver scales, pitted nails, and it occurs on extensors....PSORIASIS”

Question 47

Transverse grooves on nails

Answer 47

- Beaux lines | - indicative of systemic illness

Question 48

Pachyonychia

Answer 48

Thickened nail beds

Question 49

Paronychia and onychia

Answer 49

Inflammation around nail bed

Question 50

Leukonychia

Answer 50

White nail bed, red mood | - “switching of moon”

Question 51

Splinter hemorrhages

Answer 51

SBE (subacute bacterial endocarditis)[strep infection] | —painful Osler’s nodes on tips of digits

Question 52

Koilonychia

Answer 52

- “coil grows up” | - iron deficiency and fungus (lifting of the nail bed)

Question 53

Onychomycosis

Answer 53

Fungal infection | Common in geriatrics