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60 Cards in this Set
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Impetigo: Either Staph or Strep - Thin Vesicles w/ Honey Covered Crust - Can Resemble HSV TX: Topical - Bactroban, Oral - Keflex |
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Impetigo: Either Staph or Strep - Thin Vesicles w/ Honey Covered Crust - Can Resemble HSV TX: Topical - Bactroban, Oral - Keflex |
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Staph Folliculitis: Small dome shaped yellow pustules w/ hair shaft in center - Burning, itching TX: Good Hygiene, PO Ab for scalp or hairy areas |
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Gram Negative Folliculitis:Small dome shaped yellow pustules w/ hair shaft in center - Burning, itching TX: PO Isotretinoin |
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Hot Tub Folliculitis: Small dome shaped yellow pustules w/ hair shaft in center - Burning, itching Tx: Cipro |
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Pseudofolliculitis: Common in black men and curley hair -pustules/papules located at the side of the hair follicule - Ingrown hairs |
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Furuncle: Staph Aureus -Risk factors: Diabetes, IV drug users, HIV, Allergy injections, hospitalization, sport teams, prision/military, Homless, - Tx: Warm compresses and soaks, po Ab |
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Carbuncle: Several Furuncles developing in adjoining follicles - Deeply situated mass, multiple drainage points - Tx: I &D, Systemic Ab |
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Cellulitus: Staph or Strep, Tx: Iv Ab
Diffuse spreading infection of dermis/Subq tissue, Redness/swelling/warmth/tenderness, Well defined borders that change (spread) rapidly, Develops secondary to wound or skin breakdown, Fever/chills common finding, Patient becomes progressively more ill as affected area enlarges/spreads, Facial cellulitis can cause visual damage if spreads to the eyes |
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Erysipelas: Grp A Strep -Occurs on the cheek, can occur from an y break in skin - Pain malaise, moderate fever - plaque w/ sharply demarcated/glistening/smooth and hot
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Paronychia: Staph Aureus, Infection of lateral nail fold, can be chronic and reoccurring, throbbing swelling, tenderness Tx: Warm soapy soaks, PO Ab Finger cot for comfort |
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HPV: Human Papilloma Virus: Condyloma acuminata - Some have a role in Skin and mucosal malignancy Tx: Cryo. Category X (Podophyllum), laser surgery Prevention: Gardasil, Cervarix |
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Cutaneous Warts Tx: Spontaneous resolution, duct tape, cryo, salicylic acid |
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Molluscum Contagiosum: (POX VIRUS) VERY CONTAGIOUS (Self and others) - Single or multiple 2-5 mm rounded flesh colored/waxy/dome shaped papules - Face/hands/lower abd, genitals
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Uticaria (Hives): IgE mediated response that results in the release of histamines from mast cells - Widespread/ superficial/ well defined wheals of various shapes and sizes: Intensely pruritic - potential to progress to angioedema |
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Angieoedema: IgE mediated response (System wide) 5 "I"s Insects/ Infection/ Ingestion/ Inhalation/ Injection
- Widespread inflammation, vasodilation, - Drop in BP - Edema of airway and resp. distress _ MAY BE FATAL |
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Erythema Multiforme: Presents w/o prodrome - Dull red macules/papules/ vesicles/bullae - Target /Iris Lesions Classic - most often on hands and feet
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Steven - Johnson Syndrome: Most commonly caused by drugs - Most common sites Eyes and mouth - Classic Hemmorragic Crusts - Prodrome: Sore throat/cough/headache/burning sensation |
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TEN: Toxic Epidermal Necrolysis - Severe form of Steven - Johnsons - >30% pts will shed entire skin
Nickolskys Sign: Slight Rubbing or pressure results in skin exfoliation
- Need to be admitted to burn unit and treated with fluid replacement, skin grafting and watch for sepsis |
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Tinea Capitus: Dermatophytes on head |
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Tinea Unguium: Toe nails |
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Tinea Barbea: Beard |
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Tinea Corporis: RING WORM |
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Tinea Manuum: Hands |
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Tinea Pedis: Feet " Athletes Foot" |
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Tinea Cruris "Jock Itch" |
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Tinea Versicolor: of the skin causing rounded, sharply demarcated macules of variable color - Usually on trunk and upper arms |
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Oral Candidiasis ( Thrush) ( Candida Albicans) - Healthy Neonates - Immunocompromised patients |
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Systemic Candidiasis: System wide
Immunosupressants |
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Diaper Dermatitis- Cutaneous Candidiasis: Tx: Nystatin Powder |
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Cutaneous Candida |
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Vaginal Candida: Yeast infection Secondary to : Ab, Pregnancy, Diabetics, Oral contraceptives |
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Seborrheic Keratosis: Benign Plaque lesion - Brown Beige black - 3-20mm - Velvety wart "stuck On" - Common in elderly - Tx: Cryo, excision |
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Actinic Keratosis: Small macules or papules - Flesh colored - Scaly crusted, ulcerated - Sun exposed area - Consider premalignant--- Squamous Cell Carcinoma
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Squamous Cell Carcinoma: Slow growing, Yellowish, skin colored papules or plaques, usually found on sun exposed skin - Good prognosis if found early - Biopsy, pt. education, |
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Basal Cell Carcinoma: Least Malignant type of cancer - Most common type of skin cancer - Grow very slow - Leasions are waxy/firm/papules or nodules - 85% found on head and neck - Biopsy and Moh's Surgery |
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Malignant Melanoma: Melanocytes - MOST DEADLY - ABCD rule - Metastasize to lymph nodes Surgical excision/chemo/radiation/ sentinel lymph node biopsy |
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Irrantant Contact Dermatitis: Skin is red/scaly/irritated - No vesicles or crusting |
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Allergic Contact Dermatitis: - Hair products - Jewelry (especially nickel) - Topicals - Plants/weeds |
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Allergic Contact Dermatitis: Poison Ivy/Oak/Sumac |
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Diaper Dermatitis: Variant of contact dermatitis - may be allergies or irritant ( Diapers, wipes, lotion, food, drink etc) |
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Seborrheic Dermatitis: Overproduction of Sebum (Malassezia Furfur believed to play a role) |
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Lichen Simplex Chronicus: Self Perpetuating Disorder due to chronic scratch itch cycle - Itching worse at night |
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Litchen Planus: Skin lesions with distinctive papules - Classic Triad - Six "P"s Planar (flat topped), purple, polygonal (many sides), pruritic, papules, plaques
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Lichen Planus: Genital Lesions |
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Lichen Planus: Oral Lesions |
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Pityriasis Rosea: Mild acute inflamatory - Harold Patch ( 1st lesion larger) - Collarette of Scale (Crinkled) - Viral - Self resolving - Christmas tree Pattern |
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Psoriasis: Chronic immune-mediated inflammatory - Genetic component - Triggers: Smoking, Alcohol, infection, endocrine disorders, medications, Medication triggers: Beta blockers, lithium, antimalarials, NSAIDS, Tetracyclines |
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Guttate Psoriasis: more common in children and young adults |
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Pustular Psoriasis |
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Erythrodermic Psoriasis: High risk of complications, admit and consult with derm - loss of barrier protection - scaling from head to toe - Worry about fluid loss, sepsis |
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Black Widow: Muscle cramps, leg, back pain and spasms |
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Black Widow |
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Brown Recluse: Mild urticara - full thickness necosis |
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Brown recluse |
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Scabies: Spread skin to skin ususlly from shared bedding - Look at heels of palms, wrists, elbows, waist, buttock, genital, breast - Need to treat all people in the household otherwise it will re-infest - Pt. education on household clean up |
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Scabies Burrows |
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Pediculosis Capitis: Head Lice - May be spread by sharing combs, brushes, hats - Adult= Louse - Nits = Eggs - Attach to hair shaft |
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Pediculosis Corporis: Body Lice - More common in homeless/refugees - Look on clothing seams - Carrt Trench fever, Typhus (Nit in US) |
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Pediculosis Pubis: "Crabs" - Can be sexually transmitted - Spread via bedding/clothing - can spread to lower abd on very hairy guys |