Derm-5

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Author:
atmu
ID:
174645
Filename:
Derm-5
Updated:
2012-10-01 10:44:48
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Derm
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Derm-5
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  1. Erythema Nodosum
    -Drugs associated w/ it (5)
    • tender red nodules, typically on anterior legs
    • -Associated drugs
    • 1. halogens
    • 2. oral contraceptives
    • 3. penicillin
    • 4. sulfonamides
    • 5. tetracycline
  2. Drug Hypersensitivity Syndrome
    -Frequently caused by (2)
    • severe adverse drugs rxn that gives fever, rash, hepatitis, arthralgias, lymphadenopathy
    • -Frequently caused by
    • 1. antiepileptic drugs
    • 2. sulfonamides
  3. BEDSORES acronym
    • Bowel/bladder incontinence
    • Edema/obesity
    • Diabetic
    • Sepsis/fever
    • Occlusion of vessels
    • Restrictive movement
    • Elderly
    • Systemic factors
  4. Non-malignant Tumors of old people (4)
    • 1. seborrheic keratosis
    • 2. epidermal tag
    • 3. capillary (cherry) hemangioma
    • 4. benign venous angioma (venous lake)
  5. Malignant neoplasms of old people (4)
    • 1. actinic keratoses (precancerous)
    • 2. basal cell carcinoma
    • 3. squamos cell carcinoma (can arise from actinic keratoses)
    • 4. malignant melanoma
  6. When to use Mohs survery (4)
    • 1. tumor in critical location (cosmetic or functional)
    • 2. tumor is recurrent
    • 3. tumor has ill-defined margins
    • 4. tumor is large (> 2cm) or aggressive
  7. 6 exanthematous diseases
    • 1. measles
    • 2. scarlet fever
    • 3. rubella
    • 4. duke's disease
    • 5. erythema infectiosum
    • 6. exanthem subitum
  8. 3 C's of Measles
    • 1. cough
    • 2. coryza (symptoms of cold)
    • 3. conjunctivitis
    • 4* Koplik spots (white dots in buccal mucosa opposite molars)
    • These are seen during prodromal stage
  9. Rubella characteristics (4)
    • 1. Forchheimer spots - rose colored spots on soft palate that coalesce into red blush
    • 2. Rash begins on face and spreads quickly covering body in 24 hrs
    • 3. during 2nd day, rash becomes pinpoint like scarlet fever on trunk
    • 4. clears by 3rd day
  10. Measles rash characteristics (4)
    • 1. Temeprature rises as rash appears; it start on neck, behind ears, on hairline and cheeks
    • 2. spreads over entire upper anterior body within 24 hrs
    • 3. spreads to back of body and abdomen next 24 hrs
    • 4. 2nd-3rd day rash reaches feet, and begins to fade in face in same order
  11. Varicella (chicken pox) rash characteristics (3)
    • 1. lesions start pruritic macules
    • 2. evolves to papules
    • 3. in 24-48 hrs, becomes vesicles and crusting develops
  12. Erythema Infectiosum characteristics (3)
    • 1. "slapped cheek" appearance
    • 2. central clearing leaving "lacy" appearance
    • 3. palm and soles not affected
  13. Roseola (exanthem subitum) characteristics (2)
    • 1. very high fever (101-106)
    • 2. rash occurs after fever
  14. Scarlet Fever characteristics (
    • 1. Pastia lines - more intense in creases of elbows, axillae, and groin
    • 2. skin has "goose pimple" appearance and rough "sandpaper" texture
    • 3. cheek red w/ circumoral pallor
    • 4. strawberry tongue

    Tx w/ penicillin; erythromyc for PCN allergies
  15. Kawasaki Disease characteristics (4)
    -phases (3)
    • 1. erythema and edema of hands and feet
    • 2. strawberry tongue
    • 3. rash in groin area
    • 4. desquamation of finger and toes spreads to whole hand and foot
    • -Phases
    • 1. acute febrile phse - lasts 1-2 weeks; fever
    • 2. subacute phase - desquamation, coronary aneurysm; highest risk of death; last til 4th week of illness
    • 3. convalescent phase - all signs of illness gone (6-8 weeks after onset)
  16. Kawasaki diagnostic criteria
    • Fever lasting for at least 5 days
    •                  PLUS
    • Presence of at least 4 of the following 5:
    • 1. bilateral bulbar conjuntiva
    • 2. changes in mucosa of oropharynx (dry fissured lips, strawberry tongue)
    • 3. edema/erythma of hands and feet; desquamation in subacute phase
    • 4. rash
    • 5. cervical lymphadopathy; usually unilateral
  17. Kawasaki disease tx
    • Acute stage
    • 1. IVIG (intravenous immune globulin)
    • 2. high dose aspirin
  18. Staphlococcal Scalded Skin Syndrome cause
    -S.aureus that produces exfoliative toxin

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