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37 Cards in this Set
- Front
- Back
A person comes in thinking that they has parasites under their skin, comes in with a ziploc bags filled with skin that they want you to look at, what do you think?
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Delusions of parasitosis
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What's the treatment for delusions of parasitosis?
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Antipsychotics
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What causes dermatitis artefacta?
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Someone with severe psychiatric illness causes these lesions to themself as a cry for help
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If you see someone come in with petichial macules in the feet and under the fingernails in the context of a fever, what should you think?
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INFECTIVE ENDOCARDITIS
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What are these? What conditions are they seen in?
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Splinter hemorrhages
They're seen in bacterial endocarditis |
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What are these? What conditions are they found in?
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Osler nodes
Painful subcutaneous nodes, at the distal pads of fingers and toes |
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What are these? What conditions are they found in?
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Janeway lesions
Non-tender red macules on the palms and soles |
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What's the difference between Janeway and Osler nodes?
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Janeway = pain away
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If you see vilaceous papules along the base of the nose, what should you think?
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Lupus pernio
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Lupus pernio is related to what spectrum of diseases?
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Sarcoidosis/upper respiratory tract problems
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What systemic disease is this related to?
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Inflammatory bowel disease
Lymphoreticular malignancies and malignancies |
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What are the hallmarks of pyoderma gangrenosum?
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Pustules around the IV site
Purple edges |
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What are some cutaneous manifestations of IBD?
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Sweet's syndrome
Pyodermagangrenosum |
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What do the plaques look like in Sweet's syndrome?
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Brightly erythematous papulonodular lesions
Pseudovesiculations |
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What conditions are Sweet's syndrome associated with?
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Infection
Treatment with G-CSF Acute myelogenous leukemia |
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What's thetreatment of Sweet's syndrome? How does it respond?
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Prednisone
Well - instantly curative |
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Recent transplantation comes in with skin that's shiny and firm. What do you think?
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Nephrogenic systemic fibrosis!
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If there's someone who's in renal failure, why should you be cautious about giving them contrast in an MRI?
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Associations withnephrogenic systemic fibrosis
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Other than the skin, where can nephrogenic systemic fibrosis attack?
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Diaphragm
Lungs Kidneys |
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What kind of a deficiency is associated with acrodermatitis enteropathica?
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Zinc deficiency
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Other than skin findings, what are some symptoms of acrodermatitis enteropathica?
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Hair loss
Diarrhea |
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What are causes of congenital zcrodermatitis enteropathica? Acquired?
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Congenital: inherited inability to absorb zinc
Acquired: lack of ingestion |
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What are some of the causes of acquired AE?
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Dietary Zinc deficiency
Lack of GI absorption TPN Nephrotic syndrome Parenteral deficiency |
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What is the virus associated with kaposi's sarcoma?
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Human Herpes Virus 8
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What are some of the types of Kaposi's sarcoma?
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Classic/Mediterranean (old men)
Endemic/African Iatrogenic/transplant related EPIDEMIC/AIDS RELATED - main kind |
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What's the best way to manage AIDS related Kaposi's sarcoma?
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Get their immune system working better!
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If you see someone in the ICU with these findings, what should you think? What's the prognosis?
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Disseminated intravascular coagulation
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What are the findings in disseminated intravascular coagulation?
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Diffuse petechia and purpura
Tissue necrosis with possible bulla formation BLEEDING FROM WOUND SITE, LINES, MUCOSAL SURFACES |
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What are the causes of DIC?
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Exposure of blood to procoagulents
Formation of fibrin in circulation Fibrinolysis Depletion of clotting factors End organ damage |
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What are the manifestatsions of DIC?
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Bleeding
Thrombombolism Renal/Liver problems Respiratory dysfunction CNS dysfunction |
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What are kinds of tumor that commonly spread to the skin?
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Breast
upper GI tract Lung Skin |
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What are some cancers that like to spread to the scalp?
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Renal cell carcinoma
Breast cancer |
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If someone with a previous history of cancer comes in with a bump, what should you always think?
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METASTASIS!
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If you see this what should you think? What is its name?
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Hypertrichosis languinosa acquista
CANCER. Most commonly lung cancer |
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If you see this, what do you think? What do you call it?
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Erythema gyratum repens
LUNG CANCER! |
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If someone in the middle of their life comes in with severe mucosal ulcerations, what should you think?
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Paraneoplastic pemphigus
Non-Hodgkin's lymphoma CLL Large cell lymphoma |
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What is the underlying problem with paraneoplastic pemphigus?
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Autoantibodies form from the tumor against epidermal proteins.
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