Shared Flashcard Set

Details

USMLE2 Derm / ID
Derm
33
Medical
Professional
09/23/2012

Additional Medical Flashcards

 


 

Cards

Term
What is atopic dermatitis
Definition
Type 1 reaction, chronic allergic-type condition. Eczema. Look for allergy history. Antihistimines and topical steroids, avoid drying soaps
Term
Seborrheic dermatitis
Definition
Cradle cap/ dandruff. Scaling skin w or wo erythema on hairy areas of head, forehead, nasolabial folds. Use dandruff shampoo, corticosteroids.
Term
What do you give for fungal infections nails?
Definition
Griseofulvin, long treatment course.
Term
How to you treat candidiasis?
Definition
Nystatin
Term
How do you treat scabies?
Definition
Permethrin cream
Term
How do you treat rosacea?
Definition
Metronidazole or oral tetracyclin
Term
What is luchen planus
Definition
Pruitic, purple, polygonal papules on wrists or lower legs of adults. Sometimes oral mucosal lesions.
Term
Pemphigus vulgaris and bullous pemphigoid?
Definition
Pemphigus vulgaris: desmoglein III, lace like pattern in epithelium. Bullae are all broken usually. Treat with corticosteoids

Bellous: Between dermis and epidermis, bullae intact.
Term
Pruitic vesicles, papules, wheals on extensors aspects elbows/knees. Diarrhea, weight loss.
Definition
Dermatitis herpetiformis, often secondary to celiac sprue
Term
How do you induce ovulation in PCOS
Definition
Clomiphene

If not PCOS and have lack estrogen you can give hMG (FSH/LH)
Term
How do you evaluate amenorrhea
Definition
1) Pregnant?
2) Progesterone - Bleeding? If so...
3) Check LH (high - PCOS) (low - Prolactin or TSH)
Term
>14yo w/ 2ndary sexual characterisitcs but no period
Definition
Think angrogen insensitivity. No uterus.

Otherwise assess prolactin level. If that's low follow progesterone route.
Term
Macrolides
Definition
Erythromycin, Azithromycin
Term
Fluoroquinolones
Definition
Ciprofloxacin, Moxifloxacin, levofloxacin
Term
UTI
Definition
E. Coli - bactrim, FQs
Term
Pneumonia - CA
Definition
Cefriaxone, azithromycin or Moxifloxacin
Term
Pneumonia - Atypical
Definition
Azithromycin, doxycycline
Term
Osteomyelitis
Definition
Oxacillin, cefazolin, vanc
Term
Cellulitis
Definition
Cephalexin, Bactrim if MRSA suspected
Term
Meningitis (neonate)
Definition
Cefotaxime, gentamycin, ampicillin
Term
Meningitis (child/adult)
Definition
Ceftriaxone, vancomycin
Term
Pseudomonas
Definition
Ticarcillin, piperacillin
Term
Histoplasmosis
Definition
Amphotericin then itraconazole
Term
coccidioides
Definition
Itraconzole. ampphotericin if bad
Term
Enterobius
Definition
mabendazole, albendazole
Term
E. coli diarrhea
Definition
Ciprofloxacin
Term
Aspergillus
Definition
Voriconazole
Term
roseola infantum
Definition
High fever w/o cause for 4 days... abrupt return to normal. Then diffuse macular/maculopapular rash on chest/abdomen. Usually under 6 yo.
Term
Erythema infectiosum (5th disease)
Definition
Slapped cheek. Mild fever, malaise. Maculopapular rash on arms, legs, trunk.
Term
Kawasaki treatment
Definition
Aspirin and IV IG. F/U with echo
Term
1-2yo, Parainfluenza, barking, steeple sign
Definition
Croup. Racemic epi
Term
2-5 yo. H influenzea type b. rapid progression high fever, toxic appearance, respiratory distress, no cough. Thumb sign.
Definition
Epiglottitis, oxacillin, cefazolin, clinda, or vanco
Term
RSV. 0-18m. Viral URI then rapid respirations, retractions, wheezing.
Definition
bronchiolitis. Ribavirin if severe.
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