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Dermatology
Dermatology
57
Physiology
Graduate
07/30/2012

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Cards

Term
Alopecia
Definition
Pt presents with 1-2cm of hairloss
Mentioned some burning/itching before hairloss
The bald patch is smooth and shiny
There was some pitting and irregular patterns in the rows of their nails
Term
Alopecia
Definition
Intralesional kenalog
Topical class I steroid
Checking TSH and thyroid antibodies
Anthralin
Topical Immunotherapy
Oral Steroids
Term
Androgenic Alopecia
Definition
Female pt presents with elevated DHEA-S and chronic hairloss.
Term
Androgenic Alopecia
Definition
Minoxidil (Rogaine)
Finasteride (Propeca) (Males)
Hair transplants
Scalp reduction
Weaves
Term
Onychomycosis
Definition
Pt presents with thick yellow nails after trauma to the toe.
Term
Onychomycosis tx
Definition
Tx Oral lamisil or sporanox Keep nails dry Vinegar & Listerine soaks
Term
Paronychia
Definition
Can be acute, chronic, or drug induced
Acute- Bacterial or viral; tx w/ antibiotic covering staph and drain lesion

Chronic- Due to irritant dermatits
Term
Acanthosis Nigricans
Definition
Pt presents with Veelvety brown thickening of the skin of the axillae, flexural areas of the posterior neck

Pt. is obese, and has diabetes
Term
Acanthosis Nigricans
Definition
Glucophage
Term
Burns
Definition
Silvadene cream for superficial injury
Term
Hidradentitis Suppurativa
Definition
Pt presents with chronic pus discharge as well as scarring. Pt is obese and presents with comedones containing two or more openings. Pt. presents with large painful abscesses
Term
Hidradentitis Suppurativa Tx
Definition
Oral antibiotics (tetracycline)
Topical clindamycin
Hibiclens soap
Accutane
Surgery
Term
Lipoma
Definition
Pt presents with single or multiple or single non-capsular tumors
Term
Epidermal Inclusion Cysts (EIC)
Definition
Pt. presents with invaginated epidermis with a lining.
Term
Infected EIC Tx
Definition
Tx
I&D the lesion
Term
Not infected EIC Tx
Definition
Tx
Excise the lesion
Term
Melasma
Definition
Pt. presents with hyperpigmentation of the face after sun exposure. Pt. is pregnant/on BC.
Term
Melasma Tx
Definition
Tx
Hydroquinones
Retinoids
SPF 30
Term
Pilonidal Disease
Definition
Pt presents with folliculitis in the gluteal cleft.
Term
Pilonidal Disease Tx
Definition
Surgical treatment, with acute conditions requiring I&D
Term
Pressure Ulcers
Definition
Pt. has a tissue breakdown due to lack of blood flow. Could be due to venous, arterial, or neuropathic.
Term
Pressure Ulcer Tx
Definition
Maintain mobility, elevate affected area, compression devices.
Hyperbaric tx
Eliminate bacteria and necrotic debris
Debridement speeds healing
Term
Urticaria
Definition
Pt. produces with hives. May present with angiodema and possibly dermographism.
Term
Urticaria tx
Definition
Antihistamines
Oral/topical steroids
Suggest allergy testing
Term
Vitiligo
Definition
Pt. Presents with spots of hypopigmentation
Term
Vitiligo tx
Definition
SPF 30
Topical steroids with holiday (Class 3)
Could be a sign of melanoma metastasis
Term
Condyloma acuminatum
Definition
Pt. presents with pale pink, nermous, discrete, narrow-to-wide, projections on a broad base in the genital area. Surface is smooth or vevety, moist, and lacks hyperkaratosis. Young sexually active pt. present with multifocal bilateral red or brown slightly raised smooth papules.
Term
Condyloma acuminatum tx
Definition
Cryosurgery
Immunotherapy (imiquimod)
Podophyllin (NOT FOR PREGGERS)
TCA
Term
Exanthems
Definition
Pt. presents with dz caused by enteroviruses, echo virus, and coxsackievirus. Rash is generalized erythematous macules and papules with areas of confluence, pissibly urticarial, vesicular, or petechial. Presentation is also on the palms and soles.

Associated with Parvovirus B-19, slap cheeks 5th dz.
Term
Herpes Simplex
Definition
Pt. presents with elevated IgG antibody titer as well as grouped vesicles on an erythematous base (dewdrop on a rose petal) and then umbilicate.
Vesicles are uniform in size, the mucous membranes ahave exudate, and the skin leasions form crusts. They recur with trauma.
Term
Molluscum Contagiosum
Definition
Pt. presents with discrete 2-5mm papules, slightly umbilicated, flesh colored, and dome shaped. May be a sign of sexual abuse. KOH test reveals inclusion bodies
Term
Molluscum Contagiosum tx
Definition
Curretage
Crysurgery
Imiquimod
Cantharidin
KOH
Oral cimetidine
Laser
TCA
None
Term
Varicella-Zoster
Definition
Pt. Appears in march, April, or May. with dewdrop on a rose petal lesions. Can lead to encephalitis and a 35% mortality in adults; can also lead to pneumonia, hepatitis, and is dangerous in pregnancy. Tzanck smear is positive.
Term
Vericella-Zoster tx
Definition
Acyclovir
Term
Zoster
Definition
Pt. has an eruption of plaques then vesicles and crusts along a single dermatome. Check for ophthalmic infection, because it could cause blindness. Check for vesicular rash on ear or in mouth because could cause palsy.
Term
Zoster tx
Definition
Valtrex/Famvir (As opposed to Acyclovir)
Oral Steroids
Nerve blocks
Silvadene
Pain control
Expect PHN
Term
Verrucae
Definition
Pt. presents with benign epidermal neoplasms and is positive for HPV. They attend to appear at sites of trauma and obscure skin lines. They evolve into dome shaped gray brown hyperkeratotic growths.
Term
Verrucae tx
Definition
Cryosurgery
Imiquimod
Candida antigen
Uptone's paste
Cantharidin
Term
Cellulitis and Erysipelas
Definition
Pt. Presents with erythema, edema, and pain. There's a fever and leukocytosis. In small children there's buccal lesions and there could be lymphatic streaking and demarcation.
Term
Cellulitis and Erysipelas tx
Definition
Adults
Broad Spectrum cephalosporin, diclox.
MRSA- Bactrim, Clinda (Expect C-Diff)

Kids
Surgical drainage
Intubation/Trach
Cephalosporin
Rifampin prophylaxis
Term
Impetigo
Definition
Pt. presents with superficial skin infection caused by strep, staph, or both. Could present as Bullous or nonbullous (Bullous would be staph). Post strep glomerulonephritis possible. Anti-streptolysin titer absent or low.
Term
Impetigo tx
Definition
Mupirocin and Polysporin
Intranasal mupirocin bid x 5
Oral- ceph or diclox
Term
Candidiasis
Definition
Pt. presents with a pusule that separates stratum corneum resulting in a red, denuded, glistening surface with a cigarette paper like advancing border. Mucous membranes have white curdy material and satellite lesions.
Term
Candidiasis tx
Definition
Antifungal creams (zoles)
Oral antifungals
Corn starch powder
Term
Intertrigo
Definition
Folds
Term
Thrush
Definition
Mouth
Term
Perleche
Definition
Lips
Term
Angular chelitis
Definition
Lips
Term
Tinea versicolor
Definition
Pt. presents with multiple small circular macules and patches of various color. Scaly powder with scraping, and KOH reveals spaghetti and meatballs. Resists Terbinafine (lamisil) or grisefulvin
Term
Dermatophyte
Definition
Pt. presents with Erythematous plaque with central clearing and advancing border. KOH positive. Woods light shows blue green in the hair, white for TV, and Coral red for Corynebacterium.
Term
T. Rubrum
Definition
Two feet, one hand
Term
Pitted keratolysis
Definition
Hyperhydrosis and sliminess
Term
Fungal infections tx
Definition
Topical antifungals
Lamisil (terbinafine)
Sporanox (itraconazole)
Diflucan (fluconazole)
Griseofulvin (scalp and kids)
Term
Actinic Keratosis
Definition
Pt. presents with a pink, flat, scaly red patch on sun-exposed skin.
Term
Actinic Keratosis Tx
Definition
Cryotherapy
Immunomodulation
Aldara
Chemotherapy:
5-Flourouracil
Solaraze
Term
BCC/SCC tx
Definition
Topical:
Aldara, Carac, Efudex

Destruction:
Liquid Nitro, ED&C

Excision
Mohs
Radiation
Term
Kaposi's Sarcoma
Definition
Pt. presents with hyperpigmented area. Pt. has aids or is older mediterranean man.
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