1. drug use 2. DM 3. immunocompromise 4. penetration of skin (surgery trauma) 5. previous cellulitis 6. venous or lymphatic dysf

Skin step 3 Flashcards by Anthos Christofides

SCC treatment

surgery

- alternative (for low risk): radiation, cryotherapy, electrosyrgery

How well did you know this?

Not at all

Perfectly

plantar warts - treatment

salicylic acid (takes weeks)

How well did you know this?

Not at all

Perfectly

actinic keratosis - treatment

isolated: cyrotherapy
diffuse: topical flurouracil, tirbanibulin, imiquimod

How well did you know this?

Not at all

Perfectly

pressure ulcers

stage 1: intac. skin
stage 2: shallow open ulcer, red pink wood
stage 3: full thickness skin loss with visible fat
stage 4: visible bone, tendon, or muscle
unstageable: ulcer base covered by slough and or eschar that needs removal to stage

How well did you know this?

Not at all

Perfectly

pressure ulcers management

stage 1+2: transparent dressing

stage 3+4: debridement of necrotic + special dressing

How well did you know this?

Not at all

Perfectly

papular urticaria

delayed hypersensitivity reaction to insect bites (not true urticaria)
papules
treatment: anti-h1 / steroids
prongnosis: spont resolutions within months

How well did you know this?

Not at all

Perfectly

cellulitis RF

drug use
DM
immunocompromise
penetration of skin (surgery trauma)
previous cellulitis
venous or lymphatic dysf

How well did you know this?

Not at all

Perfectly

cellulitis treatment

oral cephalosp or penicillinase-resist b lactams for 2 wk
iv if severe
linezolide of vanco for mrsa

How well did you know this?

Not at all

Perfectly

Gangrene - divisions

dry: gradual necrosis of skin from vascular insuf, hard and dry skin
wet: acute vascular obstruction or infection, blistering and swelling

How well did you know this?

Not at all

Perfectly

HSV-1 vs HSV2 - primary disease

1 –> oral disease

2 –> genital disease

How well did you know this?

Not at all

Perfectly

moloscum contagiosoum - transmission

skin-skin

How well did you know this?

Not at all

Perfectly

tinea versicolor (pityriasis versicolor) - fungus and treatment

malassezia furfur

- topical antifungal agent for several weeks or oral ketoconazole for 5 days

How well did you know this?

Not at all

Perfectly

tinea versicolor (pityriasis versicolor) - lesions

salmon colored, light brown hypopigmentation

How well did you know this?

Not at all

Perfectly

tinea versicolor (pityriasis versicolor) - diagnosis

kop preparation showes hyphae and spores (spaghetti and meatball
woot lamp shows extent of the disease

How well did you know this?

Not at all

Perfectly

causes of erythema multiforme

drugs: penicillins, sulfa, NSAIDs, OCPs, anticonvulsant
infection: HSV, mycoplasma
vaccination

How well did you know this?

Not at all

Perfectly

seborrhoeic dermatitis - presentation

pruritus, erythem plagues with yellow greasy scales

- shampoo with selenium, tar or ketoconazolee

How well did you know this?

Not at all

Perfectly

seborrhoeic dermatitis - treatment

scalp: shampoo with selenium, tar or ketoconazolee

other regions: topical corticosteroids and antifungals

How well did you know this?

Not at all

Perfectly

Auspitz sign

bleed easily after removal in psoriasis

How well did you know this?

Not at all

Perfectly

painful erythema in the tibia

erythema nodosum

How well did you know this?

Not at all

Perfectly

erythema nodosum - labs / treatment

+ antistreptolysin 0 titer if associated strep / ESR

treatment: self limited, NSIAD, protassium iodide, corticosteroids

How well did you know this?

Not at all

Perfectly

tinea capitis vs areata

areata in autoimmune and has no skin scaling or inflammation

How well did you know this?

Not at all

Perfectly

alopecia areata - treatment

topical or intrealesional corticosteroids

- high chances of reccurence

How well did you know this?

Not at all

Perfectly

hormone therapy for acne vulgaris - meds

combined OCPs / spironolactone

How well did you know this?

Not at all

Perfectly

hormone therapy for acne vulgaris - indications

moderate / severe infl acne
premenstrual acne flare
acne on lower face + neck

How well did you know this?

Not at all

Perfectly

tinea pedis + onychomycosis - treatment

oral anti-fungal

seborrhoeic dermatitis - RFs

HIV | CNS disease like parkinson

photoagining?

actinic keratosis, telengectasia and brown liver spotis within rinkles combination of UV and lights

photoagining RF and treatment

RF: cigarette treatment: tretinoin

Incthyoisis vulgaris - pathoph

loss of filaggron gene (impaired epidermal barrier)

Incthyoisis vulgaris - clinical features

onset infancy early childhood - diffuse scaly skin with mild pruritus - worse on extensor extr

Incthyoisis vulgaris - treatment

long baths to remove scales moisturization kerolytics (urea, a-hydroxy acid, salicylic acid)

chronic spont urticaria - etiology

80-90 idiopathic atopic disorder autoimmune disorder

chronic spont urticaria - presentation

more than 6 wks | pruritic erythematous plaques

chronic spont urticaria - evaluation

CBC, urinalysis | biopsy to rule out vasculitis or mastocytosis

chronic spont urticaria - treatment

antihistamines | avoidance of triggers (heat, nsaids)

common associated finding of alopecia areata

nail pitting

acute paronychia

bacterial inf of the nail fold gram-positive skin flora - warm soaks, antiseptic agents or topical antibiotics

skin manifestation of celiac diesease

dermatitis herpetiformis

skin manifestation of HIV

1. moloscum contagiosum (dissaminated 2. recurrent herpes zoster 3. suddent onset of sever psoriasis

skin manifestation of inflammatory bowel disease

pyoderma gangrenosum

multipe skin tags - disease?

insulin resistance pregnancy crohn disease (perianal)

keloid - treatment

intralesional steroids --> if fails surgical

pseudofolliculitis barbae - treatment

no shaving

lichen planus

shiny discrete pruritic polygonal shpated violaceous plaques and papules (flexural surfaces of the extremities). Characteristic whitish Lacy pattern referred as Wicham striae on the lesion surfaces BIOPSY HCV

localized herpes zoster - treatment / can socialize

oral valacyclovir for 7 days (no acyclovir, avoid steoids if localized) socialize with the rash covered until is crusted

herpes zoster pain management

acute: nsaid (less than 30 days) sabacute nsaid (1-4 months) postherpatic: tca, gabapentin (more than 4 months)

sun protective behaviors

1. sunscreen | 2. hydration

bollous pemphigoid - associated

1. dementia 2. parkinson 3. depression bipolar

bollous pemphigoid - treatment

- topical therapies: high potency corticosteroids | - systemic therapies: corticosteroid, doxycycline

inducible urticaria - characteristics and treatment

induced by environmental stimuly (scratching, hot baths, pressure, water sun etc) treatment: avoid stimuli, h1

tinea versicolor treatment

topical antifungal

Basal cell carc - types

nodular with telengectasia (80%) superficial scar like

onychomycosis - treatment

oral terbinafine

molscum contagiosum - etiology

poxviris

Rosacea?

inf facial skin with erythematous and pustuls (no comedones) associated with facial flusing in response to external stiumi (alcohol, heat etc) rhinophima

Rosacea treatment

topical metronidazole

Rosacea other symptoms

ocular symptoms

ani-hypertensive medication with rash

thiazide (sulfa)

how to remove tatoos

dermabrasion and laser removal

psoriasis treatment

mild to mederate: topical steroids and vit d severe: phototherrpy and systemic metrotrexate fascial and intereginious: topical tacrolimus and low potency steroids

Skin step 3 Flashcards

(60 cards)