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74 Cards in this Set
- Front
- Back
Actinic Keratosis Description |
Pre-malignant lesion typically seen on sun-exposed areas. If untreated can progress to squamous cell carcinoma |
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Actinic Keratosis (pre-cancerous) |
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Angular cheilosis description |
inflammation of corners of lips - seen in malnutrition, anemia (Fe-def anemia if also pica!) |
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Angular Cheilosis (malnutrition, anemia) |
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Basal Cell Carcinoma description |
low-grade |
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Basal Cell Carcinoma |
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Gottron's Papules/Sign Description |
Red, scaly papules over MCPs, PIPs and DIPs. |
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Gottron's Papules (Dermatomyositis) |
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Heliotrope rash Description |
red/violet discoloration of upper eyelids |
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Heliotropic Rash (Dermatomyositis) |
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Shawl Sign Description |
widespread, flat, reddened area over upper back, shoulders, and back of neck |
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Shawl Sign (dermatomyositis) |
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V sign Description |
similar to shawl sign, except reddened skin isinV-neck pattern of chest |
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V Sign (Dermatomyositis) |
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Dermatomyositis findings |
Gottron's Papules, Heliotropic rash, Shawl/V Sign |
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Hyperextensibility description |
ability to stretch skin >4 cm at forearm or neck before feeling resistance - Ehlers-Danlos |
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Hyperpigmentation description |
*address patient's background/race/ethnicity/sun exposure* |
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Hyperpigmentation (tricky, I know, but these are the pictures I got when I googled Hyperpigmentation in Addison's Disease) |
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Hyperpigmentation (hematochromatosis) |
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Hyperpigmentation (Also subtle, but this is what hyperpigmentation in hyperthyroidism seems to look like) |
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Livedo reticularis description |
red-blue lacy skin discoloration with central pallor, assoc w/ small vessel changes, small vessel vasculitis, anti-phospholipid antibody syndrome ( in lecture he also mentions Raynaud's syndrome, cholesterol embolism, DIC) |
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Livedo Reticularis (vasculitis) |
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Malar Rash Associated w/ |
SLE |
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Malar Rash - SLE |
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Melanoma Description |
Tumor of melanocytes. Dark. Can be nodular/lentiginous. Can occur on skin that isn't exposed to sun. Even ocular site. |
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Melanoma |
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Ocular Melanoma |
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Neurofibroma Description |
Non-tender, soft, fleshy, sessile, or pedunculated skin tumor. Assoc w/ Von Recklinghausen's Disease |
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Von Recklinghausen's Disease Findings |
Neurofibromas |
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Von Recklinghausen's Genetics |
Autosomal Dominant. Also spontaneous mutations are pretty common too! |
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Axillary Freckles, AKA Crowe's Sign, (Von Recklinhausen's disease) |
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Neurofibromas (Von Recklinhausen's) |
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Lisch Nodules (100% has Von Recklinhausen's) |
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Psoriasis (typical description) |
Usually red plaques with silvery scales on extensor surfaces of arms and legs, trunk and scalp. |
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Psoriasis (different presentations) |
Guttate- drop-like |
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Erythrodermic psoriasis |
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Guttate (drop-like) psoriasis |
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Inverse psoriasis |
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Psoriasis (again, an untraditional spot, but you know how Morehead is) |
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Pustular Psoriasis |
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Squamous Cell Carcinoma Description |
Begins as nodule, grows into fungating lesion, sometimes ulcerates. Usually on sun-exposed skin, assoc w/ chronic scarring and inflammation. |
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Squamous Cell Carcinoma |
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Thin Skin w/ visible small cells = |
Ehler Danlos (type 4), assoc w/ arterial rupture (think aortic dissection!!!) |
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Thin Skin (Ehlers-Danlos) |
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Shagreen Patch |
flesh-colored, orange-peel like CT plaque usually on lower back. |
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Shagreen Patch (Tuberous Sclerosis) |
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Ash-leaf spots (ellipticalmacules) |
hypopigmented spots. Tuberous Sclerosis |
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Ash Leaf Spots (Tuberous Sclerosis) |
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Tuberous Sclerosis Findings |
Angiofibromas |
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Angiofibroma description |
Looks like acne, but firm, not pustular. Sign of Tuberous Sclerosis |
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Angiofibromas (Tuberous Sclerosis) |
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Why important to identify a Tuberous sclerosis patient? |
These patients could have epilepsy, a nueropsychiatric disorder, huge increased risk of cancer, angiomyolipomas, and risk of developing cystic lung disease. |
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Vitiligo description |
Autoimmune reaction against melanocytes. Diffuse or focal. Think autoimmune, hypothyroidism, Hashimoto's thyroiditis |
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Vitiligo (Autoimmune, hypothyroid, Hashimotos) |
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Xanthomas general description |
Nodular, papular, tumerous lesions (may be confused with rash/infection). Hyperlipidemia, esp familial variants. |
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Xanthoma |
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Variations of Xanthomas |
Xanthelasma - around eyes |
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Eruptive Xanthoma |
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Palmar Xanthoma (he got us on this in a practice question a couple sessions ago... xanthomas can be on the palms!) |
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Tendon Xanthoma (hyperlipidemia definitely familial) |
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Blastomycosis Skin Presentation |
Skin is 2nd most common organ involved |
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Blastomycosis (looks like squamous cell!) |
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Ecthyma Gangrenosum Presentation |
Hemorrhagic vesicles/pustules, cause microinfarcts, evolve into necrotic ulcers. Manifests from infectious vasculitis due to Pseudomonas aeruginosa (gram neg). |
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Ecthyma Gangrenosum (Pseudomonas infection) |
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Erythema Chronicum Migrans Presentation |
Painless, Target rash. Lyme Disease |
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Erythma Chronicum Migrans (Lyme) |
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Herpes Zoster Presentation |
burning dysesthesias, burning dermatomal rash that doesn't cross midline. Crusts. Neuropathic pain may persist. Recurrent VZV. |
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Herpes Zoster |
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Herpes Zoster |
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Lupus Vulgaris Presentation (AKA?) |
AKA Tuberculous chancre |
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Lupus Vulgaris (TB) |
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Secondary Syphilis Presentation |
Papular, raised, ulcerated lesions on palms and soles. |
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Secondary Syphillis |
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Secondary Syphillis |