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Flashcards in Derm Deck (75)
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1

Condyloma acuminata

are soft, fleshy warts that are caused by the HPV. Cervical dysplasia and carcinoma in situ are likely caused by types 16, 18, 31, 33, and 34

2

erythematous, scaly, nontender nodule on his left lower lip. There are no surrounding telangiectasias. The nodule is firm, ill-defined, and fixed to the underlying tissue

Squamous cell carcinoma

3

If you push on a Hemangiomata if will?

blanch under pressure

4

___________ are precursors to squamous cell carcinoma

Actinic keratoses (AK)

5

difference between tinea capitis and alopecia areata

alopecia areata has round sharply demarcated patches of hair loss. Tinea Capitis is scaly and painful, less demarcated.

6

Secondary syphilis hair findings

moth eaten

7

What type of ulcer is associated with DM?

Neurotropic

8

Name the rule of 9s for burn victims

9(neck/head)9(upper anterior torso)9(lower posterior torso)9(lower anterior torso)9(upper anterior torso)9(each arm)9(anterior leg) 9(posterior leg) 1(genital)

9

bites from what spider can cause bites can lead to necrosis of the skin, destruction of red blood cells, blood clot formation, acute renal failure, coma, and death.

Brown recluse

10

2 most common bugs of cellulitis

strep A and staph A

11

Neonates: cellulitis most common bug

Group B Strep

12

US finding of cellulitis

cobblestone

13

Erysipelas

Superficial bacterial skin infection that involves lymphatics
● Classically on face, common on leg

14

most common bug of Erysipelas

strep progenies, treat for strep. raise border

15

Impetigo bugs

Staph aureus predominantly, also strep pyogenes

16

tx Impetigo

Mupirocin ointment
● Avoid scratching (can self inoculate)
● Oral abx: for more severe cases (dicloxacillin, cephalexin (MSSA), TMP/SMX, clindamycin (MRSA)

17

tx of acne

Tx: topical retinoids, benzoyl peroxide, oral abx (tetracyclines), OCPs (decreased
androgen levels), oral isotretinoin (teratogenic).

18

When on isotretinoin, MUST be on

OCPs simultaneously due to potential teratogenic effects.

19

tx for rosacea

Tx: avoid triggers (hot beverages, Ethanol, sunlight)
○ Hydrocortisone topical
○ Metronidazole topical

20

which one is worse and has oral lesions? Bullous pemphigoid or Pemphigus vulgarism


Pemphigus vulgarismtx

21

low down on Bullous pemphigoid

● Low mortality (“not so bad”)
● Elderly
● Negative Nikolsky sign
● Tense bullae
● Rarely oral lesions
● Treatment: stop offending drug, topical/oral steroids

22

name 3 disorder with positive Nikolsky sign

Pemphigus vulgaris, SSSS, Toxic epidermal necrolysis

23

tx of Pemphigus vulgaris

Treatment: treatment similar to burns, systemic steroids, immunomodulators

24

● High mortality (“bad”)
● Younger
● Positive Nikolsky sign
● Flaccid bullae
● Oral lesions

of Pemphigus vulgaris

25

Desquamation (AKA: skin sloughing) 3 disorders

Erythema multiforme “minor, Stevens-Johnson syndrome,
Toxic epidermal necrolysis.

26

Target lesions, Palms and soles, then moves centrally
● Causes: Herpes simplex and Mycoplasma pneumonia
ONLY ON SKIN

Erythema multiforme “minor

27

tx of Erythema multiforme “minor

acyclovir,

28

Severe immune-complex mediated hypersensitivity
● MUCOUS membranes
● Systemic symptoms

Stevens-Johnson syndrome

29

causes of Stevens-Johnson syndrome


o Antibiotics (PCN, Sulpha)
o Antiepileptics
o NSAIDs

30

Tx of steven johnson syndrome

● Treatment: remove cause, treat similar to burns