Term
|
Definition
1. stratum corneum
2. " granulosum
3. " spinosum
4. " basale |
|
|
Term
| circumscribed area of change in skin color without elevation or depression <0.5cm: |
|
Definition
|
|
Term
| superficial solid lesion <0.5cm, palpable: |
|
Definition
|
|
Term
| rounded, pale, red papule or plaque: |
|
Definition
|
|
Term
| circumsrcribed palpable solid lesion >0.5cm: |
|
Definition
|
|
Term
| palpable, solid, deep, round or elipsoid lesion: |
|
Definition
|
|
Term
| cicumscribed superficial cavity that contains purulent exudate: |
|
Definition
|
|
Term
| collection of cellular debris: |
|
Definition
|
|
Term
| flakes of stratum corneum: |
|
Definition
|
|
Term
| sharply defined red oozing defect of the epidermis: |
|
Definition
|
|
Term
| skin defect that extends into the dermis or deeper: |
|
Definition
|
|
Term
| depression in the skin resulting from thinning of the epidermis or dermis: |
|
Definition
|
|
Term
| a cavity containing liquid or solid materials, superficial or deep: |
|
Definition
|
|
Term
| dermatologic fxn of woods lamp: |
|
Definition
| aids in the dx of dermatophyte infections |
|
|
Term
| Tx for lichenified lesions: |
|
Definition
|
|
Term
| when to use wet dressings: |
|
Definition
|
|
Term
| which class of topical steroids are the strongest? weakest? |
|
Definition
classI - strongest
ClassVII - weakest (hydrocortisone) |
|
|
Term
| where should class VIIs be used? |
|
Definition
| areas of thinner skin: face, eyelids, groin, children |
|
|
Term
| corticosteroid side effects 4: |
|
Definition
1. atrophy
2. telangectasia
3. acneiform eruption
4. make fungal infections worse |
|
|
Term
| chronic inflammatory skin dz characterized by pruritis, erythema, a predilection for skin creases, and a relapsing course: |
|
Definition
|
|
Term
| what percent of atopic dermatitis presents before age 5? |
|
Definition
|
|
Term
| pathophysiology of atopic dermatitis: |
|
Definition
1, impaired epithelial barier
2. immune fxn disorder: the body's inflammatory response to environmental factors |
|
|
Term
|
Definition
1. asthma
2. allergic rhinitis
3. atopic dermatitis
50-75% of kids w AD will devel asthma or hay fever
50-70% have family with asthma or hay fever |
|
|
Term
| coin phrase for atopic dermatitis: |
|
Definition
|
|
Term
| rash location of atopic dermatitis in infants (age): |
|
Definition
age: 2-6 months
1. face (cheeks, chin, forehead, scalp)
2. elbow
3. knee |
|
|
Term
| location of atopic dermatitis in children: |
|
Definition
| flexor surfaces (creasing areas) |
|
|
Term
| locations of atopic dermatitis in adults: |
|
Definition
1. flexural distribution
2. hands
3. eyes
4. anogenital |
|
|
Term
| adult atopic dermatitis usually subsides by age: |
|
Definition
|
|
Term
| describe rash of atopic dermatitis in adult presentation: |
|
Definition
| thick (lichenification) & accentuation of skin lines |
|
|
Term
| what are the major criteria for atopic dermatitis? what are the requirements for dx? |
|
Definition
must have 3 or more of the following & 3/23 minor criteria for dx:
1. pruritis
2. dermatitis of flexor surfaces in adults/children & the face/extensor surfaces in infants
3. chronic or relapsing dermatitis
4. personal or FHx of asthma, allergic rhinitis or AD |
|
|
Term
|
Definition
1. no cure; manage sx
2. steroids/calcineuron inhibitors
3. refer |
|
|
Term
| pt education for atopic dermatitis: |
|
Definition
1. will last many years but will often become less of a problem and may even resolve
2. soaps can be the enemy
3. usually found in families with allergic problems |
|
|
Term
| 3 things to prevent flares in atopic dermatitis: |
|
Definition
1. moisturize skin
2. avoid perfumed soaps/lotions
3. decrease bath time |
|
|
Term
| which drug is alternative to topical steroids? |
|
Definition
|
|
Term
| broad name for many types of dermatitis: |
|
Definition
|
|
Term
| dermatitis: excess oil production(yellow greasy scaling), found in children and adults, proliferation of skin, erythema, mild pruritis: |
|
Definition
|
|
Term
| distribution of seborrheic dermatitis: |
|
Definition
1. nasolabial folds
2. eyebrows
3. scalp |
|
|
Term
| seborrheic dermatitis Tx: |
|
Definition
1. antiproliferative shampoos
2. antifungals
3. topical steroids |
|
|
Term
| in very severe cases of seborrheic dermatitis, think about: |
|
Definition
|
|
Term
| TQ: generalized, pruritic, "coin-shaped" lesions: |
|
Definition
|
|
Term
| etiology of nummular eczema: |
|
Definition
|
|
Term
| clinical presentation of nummular eczema: |
|
Definition
| intensly pruritic circular patches of ezematous dermatitis of the trunk and lower extremities with spontaneous onset. |
|
|
Term
| 3 tx for nummular dermatitis: |
|
Definition
1. topical steroids
2. moisturize
3. light therapy |
|
|
Term
| vesicular lesions 1-5mm with clear fluid. intensely pruritic involving the palms, soles, lateral aspects of fingers: |
|
Definition
|
|
Term
| etiology of dishydrotic dermatitis: |
|
Definition
| unknown but made worse by sweating |
|
|
Term
| prognosis for dyshidrotic dermatitis: |
|
Definition
1. vesicles resolve slowly over 1-3 weeks
2. may have chronic eczematous changes
3. recur indefinately |
|
|
Term
| dyshidrotic dermatitis tx: |
|
Definition
1. wet dressings BID
2. medium to potent topical steroids
3. UV tx in resistant cases |
|
|
Term
| 8yo F c/o pustules/papules around nasolabial folds and chin but sparing the vermilion border. She state excessive use of moisturizers and cosmetics: |
|
Definition
|
|
Term
|
Definition
1. stop moisturizers/cosmetics
2. use mild soap
3. topical or oral antibiotics is bacterial etiology is suspected |
|
|
Term
| eczematous reaction in patients with chronic venous insufficiency in lower legs and ankles: |
|
Definition
|
|
Term
| describe subacute stasis dermatitis: |
|
Definition
| winter months, legs become dry, scaly, pruritic with darkening skin |
|
|
Term
| subacute stasis dermatitis tx: |
|
Definition
| topica steroid ointments (II-V) & lubricants |
|
|
Term
| describe acute stasis dermatitis: |
|
Definition
| red superficial, pruritis plaque that weeps and develops crusts |
|
|
Term
| cyanotic red plaque over medial maleolus, thick skin, cycles of healing and recurrent attacks: |
|
Definition
| chronic stasis dermatitis |
|
|
Term
| ACUTE & CHRONIC stasis dermatitis tx: |
|
Definition
1. topical steroids (III-V) but not in ulcer
2. wet dressingd
3. compression stockings |
|
|
Term
| eruption that is created by habitual scratching of a single localized area: |
|
Definition
| lichen simplex chronicus (neurodermatitis) |
|
|
Term
| describe lichen simplex chronicus: |
|
Definition
| thick, oval, singular, lesion with severe itching and lichenification |
|
|
Term
| lichen simplex chronicus tx: |
|
Definition
1. STOP ITCHING (cover at night)
2. Topical steroids
3. oral steroids if severe |
|
|
