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Skin and Nails
IM EOC #2
55
Health Care
Graduate
10/21/2009

Additional Health Care Flashcards

 


 

Cards

Term
best drying agent for skin?
Definition
water
Term
diagnostic criteria include pruritis, typical morphology and distribution (flexural lichenification), tendency toward chronic/chronically relapsing dermatitis
Definition
eczema
Term
what tyoe of skin tx are more potent, ointments or creams?
Definition
ointments!
Term
herpes simplex virus w/ vescicles, crusts, and erosions superimposed on atopic dermatitis
Definition
eczema herpeticum--> tx w/ acyclovir
Term
silvery scales on bright red, well-demarcated plaques.  nail pitting and onchylosis is found w/ what skin condition
Definition
psoriasis
Term
injury/irritation of nml skin to induce lesions of psoriasis at any site is know as what phenomenon
Definition
koebner phenomenon
Term
psoriatic myriad lesions after strep pharyngitis
Definition
eruptive/guttate psoriasis
Term
pitting on nails in highly suggestive of what skin dz
Definition
psoriasis
Term
oval, fawn-colored scaly eruption following cleavage lines of trunk (christmas tree pattern)--> preceeded by herald patch w/ occasional prurutis
Definition
pityriasis rosea
Term
center of lesions for this dz have "cigarette paper" appearance
Definition
pityriasis rosea
Term
tx of pityriasis rosea
Definition

no tx required

--> can use steroids or UVB to help

Term
dry scales/oily yellowish scurf with underlying erythema. generally found on scalp, face, presternal, umbilicus, eye lid margins and body folds.
Definition

tx w/ shampoos w/ zinc or selenium

if on face use steroids

Term
dx of fungal infections confirmed by what
Definition
using KOH prep on scrapings and looking under microscope for "hyphae)
Term
most common cause of leg cellulitis in healthy indvs?
Definition
interdigital tinea pedis
Term
velvety, tan, or pink, or white macules that DO NOT tan. scales not visible
Definition
tinea versicolor
Term
"spaghetti and meatballs" appearance w/ KOH preperation
Definition
tinea versicolor
Term
how do you differentiate tinea versicolor from vitiligo?
Definition

vitiligo--> total depigmentation, not just lessening

and NO SCALES!

Term
tx of tinea versicolor
Definition
selenium containing lotions
Term
most common complication of herpes zoster in pts w/ trigeminal involvement
Definition
post-herpetic neuralgia
Term
CONGATIOUS autoinocuable infxn of skin w/ staph or rarely strep.  HONEY COLORED gummy crust w/ stuck on appearance.  usually on face
Definition
impetigo
Term
tx of impetigo
Definition
cephalexin, doxycycline, bactrim
Term
d/t direct skin contact w/ chemicals or allergens
Definition
allergic contact dermatitis
Term
how do you distinguish allergic contact dermatitis from impetigo?
Definition
cx lesions--> if impetigo (+) cx!
Term
open and closed comedones are hallmark of what skin d/o?
Definition
acne vulgaris
Term
tiny, flesh-colored noninflammed bumps that give skin a rough texture
Definition

closed comedones

 

open are larger and w/ black material

Term
chronic facial d/o of middle aged > w/ vascular component that flush easily.  has acneiform w/ pustules and papules.
Definition
rosacea
Term
how is rosacea distinguished from acne?
Definition

distinguished by age and prescence of vascular component and +/- comedones

 

rosacea: inflamm and telangiectases pinpt and NO COMEDONES!

Term
tx of rosacea
Definition

topical metronidazole

systemic abx (tetracyclines)

laster tx

Term
folliculitis may be more common in pts w/
Definition
DM
Term
hot tub folliculitis generally caused by what pathogen? and tx with?
Definition

Psuedomonas A.

tx w/ cipro

Term
erythema mytiforme (EM) major
Definition
stevens-johnsons sx (SJS)
Term
EM major (SJS) favors what area of the body?
Definition
TRUNK!
Term
what is used to DX Erythema multiforme (EM)?
Definition
skin bx
Term
tx of EM major (SJS)
Definition

steroids no data to support but Rx

IGIV--> std Tx

**pts should be seen daily!

Term
erythema migrans associated w/ what infxn
Definition
lyme dz!
Term
deep-seated infxn involving an entire hair follicle and subQ tissue=
Definition
furuncle (boil)
Term
several furuncles in adjoining hair follicles combining to form a deeply situated mass w/ multiple drainage sites=
Definition
carbuncle
Term
causative agent of boils/carbuncles?
Definition
SA
Term
"waxy" pearly papule in sun exposed area, red patch > 6 mm, or non healing ulcer. usually in fair skinned person is usually indicative of what type of skin CA
Definition
basal cell
Term
most common form of CA
Definition
basal cell carcinoma
Term
removal of tumor followed by immediate frozen section histopathic exam of margins w/ subsequent reexcision of tumor + areas is known as what surgery
Definition

Mohs surgery

--> highest cure rates!

Term
leading cause of death d/t skin dz
Definition
malignant melanoma
Term
most prognostic factor of malignant melanoma
Definition
tumor thickness!
Term
ABCDE for malignant melanoma
Definition

Asymmetry

border irreg

color variation

diameter (> 6 mm)

evolution (changes)

Term
pruritic, violaceous, flat-topped papules w/ fine white streaks and symmetric distribution.  lacy lesion of buccal mucosa
Definition
lichen planus
Term
lichen planus can develop into what type of skin CA
Definition
SCC
Term
actinic keratosis can develop into what type of skin CA?
Definition
SCC
Term
tx of lichen planus
Definition
steroids topically or systemically (severe cases)
Term
most common cause of pruritis assoc w/ systemic dz? tx w/?
Definition

Uremia from liver dz!

 

tx w/ naltrexone of UVB

Term
red papules or nodules on the scrotum and penile glans and shaft are pathognomonic for what dz
Definition
scabies infxn
Term
erythema nodosum lesions are generally found where on body?
Definition
anterior aspects of legs--> looks like bruising
Term
skin dz where pigmented cells (melanocytes) are destroyed
Definition
vitiligo
Term
most common cause of secondary hyperpigmentation
Definition
acne
Term
most common form of alopecia
Definition
androgenic--> M & W!
Term
SJS most commonly produced by what meds?
Definition
sulfonamides and anticonvulsants
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