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Dermatology
Papular Disorders
80
Medical
Graduate
09/02/2010

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Cards

Term
Papule
Definition
What is an elevated, firm, circumscribed area greater than 1cm?
Term
Pustule
Definition
Elevated, firm, circumscribed area <1cm.  Filled with purulent fluid.
Term
Vesicle
Definition
Elevated, firm, circumscribed area <1cm.  Filled with serous fluid.
Term
Verrucae (warts)
Definition
What is the most common viral infection of the skin?
Term
Papillomavirus (HPV)
Definition
What are Verrucae (warts) caused by?
Term
Black dots
Definition
What is the distinguishing feature of Verrucae (warts)?
Term
Urogenital Warts
Definition

 Presentation: moist, soft, papillary projections producing cauliflower-like growths on the mucous membranes of the penis, vulva and perianal region.

Diagnosis?

Term
Plantar surface of the foot
Definition
Where do plantar warts most commonly occur?
Term
Flat Warts (Verrucae plana)
Definition
Flesh colored, smooth, flat, or slightly elevated round papule 1 - 5 mm in diameter that usually present in clusters on the face and hands.
Term
Corns & Callouses
Definition
What skin infection is commonly mistaken for plantars warts?
Term
Corns have skin lines, warts do not
Definition
What is the difference btwn Corns and Plantars Warts?
Term
Corn
Definition
What is a localized Callous with central core over a bony prominence?
Term
Molluscum Contagiosum
Definition
Viral infection of the skin caused by a large DNA virus of the Pox group.
Term
young children
Definition
What age group is Molluscum Contagiosum usually found?
Term
direct skin to skin transfer
Definition
How is Molluscum Contagiosum transmitted?
Term
Molluscum Contagiosum
Definition
 What presents with flesh pink colored shiny umbilicated papules. 2 - 5 mm in size?
Term
a. Molluscum Contagiosum
Definition

Which infection does not recur time after time?

 

a. Molluscum Contagiosum

b. Verrucae (warts)

c. Corns

Term
Basal Cell Carcinoma
Definition
What is the most common type of skin cancer?
Term
Basal Cell Carcinoma
Definition
Common locally destructive malignant tumor of the basal cells of the lower epidermis.
Term
head and neck
Definition
Where do most Basal Cell Carinomas occur?
Term
"wound that will not heal"
Definition
What is the most common complaint of someone with a Basal Cell Carcinoma?
Term
Noduloulcerative
Definition
What type of BCC has small waxy nodule with  that enlarges slowly?
Term
Pigmented
Definition
Which type of BCC is similar to noduloulcerative except contains brown or black colors?
Term
Superficial
Definition
What type of BCC is erythematous scaly macule or patch with an elevated threadlike (nodular) border?
Term
Fibrosing
Definition
What type of BCC is usually on face,  consists of whitish-scarred plague with ill-defined borders and rarely ulcerates?
Term
Moh's Surgery
Definition
What type of surgery is used for getting rid of BCC?
Term
Squamous Cell Carcinoma (SCC)
Definition
What is a malignant tumor arising from keratinocytes?
Term
Squamous Cell Carcinoma
Definition
What is the most common skin cancer in dark skinned individuals?
Term
Actinic Keratosis
Definition
What are the precursing lesions for SCC?
Term
Squamous Cell Carcinoma
Definition
What presents with firm skin colored to reddish brown nodules on damaged skin with central ulceration?
Term
Squamous Cell Carcinoma
Definition
What type of skin infection is more prominent in areas with previous burns?
Term
Low - 3.4%
Definition
Does SCC have a high or low chance of metastacizing?
Term
Keratoacanthoma
Definition
Rapidly growing benign tumor resembling Squamous cell carcinoma (SCC).
Term
Keratoacanthoma
Definition

 Presentation: 1.5 –2.0 cm erythematous dome-shaped nodule with a central keratin crater/plug.

Diagnosis?

Term
Malignant Melanoma
Definition
Potentially fatal skin cancer arising from melanocytes.
Term
Malignant Melanoma
Definition
What skin cancer is the most dangerous?
Term
Types I & II
Definition
What skin types is Melanoma more common in?
Term
age 20
Definition
By what age has a person acquired most of their harmful sun exposure?
Term
Malignant Melanoma
Definition
Lentigo Maligna, Congenital Melanocyte nevi,  & Clark's melanocyte nevi all are precursors for what?
Term
Superficial Spreading Melanoma
Definition
What is the most common form of Malignant Melanoma?
Term
Superficial Spreading Melanoma
Definition
 Starts as a flat patch of pigmentation which eventually becomes barely palpable. Prolonged radial growth phase of up to 10 years and reaching sizes of 1- 2 cm before vertical growth phase begins.
Term
Nodular Melanoma
Definition
 Arises quickly over 4 months -2 years with no apparent radial growth phase; rather an immediate vertical growth. The lesion begins as a papule and gradually becomes nodular with bleeding and ulceration.
Term
Legs and Trunk
Definition
Where are nodular melanomas most common?
Term
Lentigo Malignant Melanoma
Definition
What type of melanoma occurs after age 65 and presents as a flat stainlike macule with varying hues or black and brown which may demonstrate flecks of irregular pigmentation?
Term
Acral Lentiginous Melanoma
Definition
What type of melanoma appears as a flat, variably pigmented black-brown macule commonly on the tips of the fingers and toes or under the nail bed?
Term
Wide excision
Definition
What kind of treatment is required for a Malignant melanoma?
Term
Breslow Depth
Definition
What is the most important determinant of prognosis for a melanoma?
Term
Acne Vulgaris
Definition
Disease of the sebaceous glands beginning at puberty present on the face neck, and trunk.
Term
Open Comodomes
Definition
What type of acne is commonly called "black heads"?
Term
Closed Comedomes
Definition
What type of acne is commonly called "white heads"?
Term
primary lesions
Definition
Papules, Pustules Nodules and Cysts of Acne vulgaris are what type of lesions?
Term
secondary lesions
Definition
Scarring and pitting excoriations of acne vulgaris are what type of lesions?
Term
Topical agents
Definition
What type of treatmen should be used for superficial acne?
Term
PO agents
Definition
What type of treatmen should be used for deep acne?
Term
Both topical and PO agents
Definition
What type of treatmen should be used for superficial and deep acne?
Term

Estrogen

 

*in OCP's

Definition
What hormone can be used for females to control acne?
Term
Spirinolactone
Definition
What medication blocks testosterone, therefore reducing the stimulus which causes acne to proliferate?
Term
Accutane
Definition
What is the only acne medication that actually cures it?
Term
TG and Cholesterol
Definition
What lab value will you expect to increase after you put a pt on Accutane?
Term
Rosacea
Definition
What skin infection has papules and pustules occurring on the face often with erythema, flushing, and telangiectasias?
Term
Central regions of face
Definition
Where does rosacea tend to show up?
Term
Perioral Dermatitis
Definition
What presents as a papular, eczematous condition affecting the lower half of the face?
Term
Tetracycline or Minocycline
Definition
What medication would you prescribe for a person with perioral dermatitis?
Term
Herpes Simplex Virus
Definition
Viral disorder of the skin characterized by grouped vesicles on an erythematous base. It is spread via close contact during vesicular stage.
Term
Herpetic Whitlow
Definition
Primary infection occurring on a finger. Common in medical or dental personnel whom innoculate own finger by mistake.
Term
Eczema Herpeticum
Definition
When the Herpes Virus colonizes eczematous skin leading to widespread eruption. 
Term
Keratoconjunctivitis
Definition
HSV of the eye that causes purulent conjunctivitis with corneal ulceration and possible blindness.
Term
herpes zoster
Definition
 Painful acute dermatomal infection associated with reactivation of dormant varicella zoster virus (VZV). 
Term
1st branch of trigeminal N.
Definition
Which nerve is commonly associated with herpes zoster of the face?
Term
Herpes Zoster
Definition
What do you suspect if your patient presents with a rash only on one side of the body that runs along a dermatome?
Term
Tip or side of the nose
Definition
If a Herpes Zoster lesion occurs here you MUST refer your patient to an Opthamalagist?
Term
Ears
Definition
If a Herpes Zoster lesion occurs here you would be worried about Ramsay Hunt Syndrome.
Term
Dyshidrotic Eczema
Definition
Inflammatory reaction occurring on the palms and soles that occurs with a sudden onset of pruritis and presents as vesicles?
Term
ointments
Definition
What type of treatment works best for dyshidrotic ezema?
Term
syphilis
Definition
What skin infection presents as a painlesschancre” ulcer approx 3 weeks after innoculation?
Term
secondary syphilis
Definition
Which skin infection is called the great imitator because it presents as many different things?
Term
Tertiary Syphilis
Definition
The lesions of this skin infection are brownish red papules or nodules usually arranged in an annular pattern.
Term
Gumma
Definition
What is the hallmark sign for tertiary syphilis?
Term
Single dose PCN-G
Definition
What is the treatment for syphilis?
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