Rashes 2
Physician Assistant 5162 with Yates at Eastern Virginia Medical School
About this deck
By: Nicole Munshower
Textbook:
CURRENT Medical Diagnosis and Treatment 2012, Fifty-First Edition (LANGE CURRENT Series)
Lookingbill and Marks' Principles of Dermatology, 4e (PRINCIPLES OF DERMATOLOGY (LOOKINGBILL))
Practical Orthopedics: Text with CD-ROM (Mercier, Practical Orthopedics)
Created: 2012-05-12
Size: 49 flashcards
Views: 5
Textbook:
CURRENT Medical Diagnosis and Treatment 2012, Fifty-First Edition (LANGE CURRENT Series) Lookingbill and Marks' Principles of Dermatology, 4e (PRINCIPLES OF DERMATOLOGY (LOOKINGBILL)) Practical Orthopedics: Text with CD-ROM (Mercier, Practical Orthopedics)Created: 2012-05-12
Size: 49 flashcards
Views: 5
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Describe Scabies
Inflamed papules
Inflamed Excoriations
Worse Itching at night
Distribution Pattern for Scabies
No Faces or Scalp
Nipples
Armpits
Wrists
Fingers
Belly Button
Pubic Area
How to Dx Scabies
Skin Scrapping- causing a little bleed
Tx Scabies
Topicals
-Permethrin-Lindane
-Precipitated Sulfur in petrolatum
Oral
-Ivermectin- for immunosurppressed pts- boosts permethrin effectiveness
WASH EVERYTHING
Describe Pediculosis
Nits on the hair shaft
Itchy scalp
Tx for pediculosis
Permethrin Cream rinse
Lindane Shampoo
Malathion
Ivermectin
Nit picking
Describe an insect bite RXN
hypersensitivity to bugs Saliva
Vesicle, Bullae, Papule
+/- necrosis
Tx for Insect Bites
Prevent:
DEETClothes with
Permethrin
Remove Insect
Topical steroids
Anti-pruitics
Describe Lichen Planus
Chronic self-limiting disease- mouth & skin
Multiple, symmetrical lesions on extremities
Pruritic
Purple
Polygonal
Papules
Planar
Classic- papule & plaque w/ white scale, violacious
White lace look in mouth
Distribution Pattern of Lichen Planus
Anterior wrist
Shins
Back
how do you dx and tx lichen planus?
-dx: skin biopsy
Tx:
topical steroids
Systemic:
-steroids,
-retinoids
-anti-pruritics
Define Miliaria (Heat Rash)
Blockage of sweat duct at 3 different levels:
Epidermis
Dermis
Sweat Gland
Obstruction of the sweat gland in these 3 Levels: Miliaria?
Millaria-
Crystallina- Stratum Corneum (epidermis)
Rubra- Malpighian (dermis) Prickly Heat
Profunda- Sweat Gland- military and tropics
Describe Miliaria Crystallina
Multiple small vesicles- easy to wipe off
Not Itchy or Painful
describe Miliaria Rubra
erythematous macules and/or papules
Describe Miliaria Profunda
nodules
Tx for all levels of Miliaria
Spontaneous Resolution w/Cooling
Avoid over heating
Air Exposure
Hydrocortisone lotion 1%
Diseases that causes pustules (5)
Acne vulgaris
Acne Rosacea
Folliculitis
Impetigo
Candidasis
Define Acne Vulgaris
Disease effecting the pilosebaeous unit
Describe Acne vs Acne Vulgaris
Acne-
Non-inflammatory
Non-scarring
Acne Vulgaris-
Inflammatory
Scarring
For Acne Vulgaris in Adults what should you ask in the Hx?
What are they putting on their face?
-Make-up, skin products ect
-Current regiment of topical preparations
-Hirsutism, irregular menses
-Androgenic steroid use
Pathogenesis of Acne
Keratin plug= back up in sebaceous lobule= comedone- ruptures into hair follicle= inflamed tissue= papule/pustule
Tx for Acne
Topicals:
Comedolytics- tretinoin, benzoyl peroxide
Antibiotics- E-mycin, Clindamycin
Systemic- for ppl who scar
Tertacycline, E-mycin
Isotretinoin- Accutane
Spironalactone
Describe Acne Rosacea
Erythematous papules, pustules w/
telangiectasias
Adult Onset typical
Pathogenesis of Acne Rosacea
Multifactorial, but related with vascular hyper-reactivity
*see ppl with migraines and rosacea b/c of vascular component
4 Subtypes of Acne Rosacea
Vascular
Papular/Pustular
Ocular
Sebaceous
Tx for Acne Rosacea
Oral
-Antibiotics- tetracycline, E-mycin
-Accutane- Isotretinoin
Topical
-Clindamycin
-Metronidazole gel/ cream/ lotion
-Azeleic Acid- Finacea
-Sulfur/ sulfacetamine- mostly sulfur
Describe Folliculitis
Erythematous pustules or papules
Common in Summer w/reoccurrence the following summer
Not the same as an ingrown hair
What causes Folliculitis
Bacteria
Fungus
Occlusion of the hair follicle
Tx for Folliculitis
Antiseptic Cleanser
Antibacterial Cream
Describe Impetigo (non-bullous)
Superficial Bacterial (staph or strep) infection of skin
Pustules, vesicles, coalescing of multiple or single lesions with erosions and honey colored crust
Dx and Tx Impetigo
Dx- Culture
Tx- topical or Systemic Antibiotics
Describe Candidiasis
Candida Albicans
Erythematous, patches, with Satellite pustules and sometimes erosions
Distribution pattern for Candidiasis
Under Breasts
Inguinal Creases
Beneath Pannus- cornea
Intergluteal fold
Finger spaces
diaper area for infants
Tx for Canadidiasis
Air
Topicals- Clotrimazole, micronazoles, nystatin
Systemic
Ketaconazole, Fluconazole
what are some RARE causes of pustules?
-herpes simplex (longer)
-pustular psoriasis
-pustular syphillis (NEVER vesicular)
-inflammatory tinea capitis
Skin diseases that produce White spots
Tinea versicolor
Vitiligo
Pityriasis alba
Post Inflam. Hypopigmentation
Tuberou Sclerosis
Describe Tinea Versicolor
Organism (Normal Flora)- gets into the Stratum Corneum or Hair Follicle
White or Brown hypopigmentation with scale
Recurrent- b/c it stays in clothes
Worse in Summer
Favors Oily areas
how do you dx and tx tinea versicolor?
dx: KOH prep-spaghetti apperance (short hyphae w/ spores)
tx:
topicals: selenium sulfide, imidazole antifungal
systemics: azoles
When is Tinea Versicolor cured?
When the scales are gone the hypo-pigmentation with persist for a couple weeks
Describe Vitiligo
Bilateral and Symmetrical Circumscribed depigmented macules- melanocytes are absent in patches
Idiopathic
Hair can be involved
Distribution Pattern for Vitiligo
Hands/Elbows/Knees
Around mouth/ eyes
Rectum & Genitalia
how do you tx vitiligo?
-PUVA (systemic/topical)- proliferates melanocytes from hair follicles = repopulate skin
-covering cosmetics (covermark, dermablend)
-epidermal grafting
-transplant of cultured melanocytes
-topical steroids- clobetasol for 6 wks
HAVE TO USE SUNSCREEN- NO MELANOCYTES
Describe Pityriasis Alba
Idiopathic hypopigmentary condition
Partial loss of melanocytes, funky borders
White patches w/ fine scale on cheeks of kids
Tx for Pityriasis Alba
None necessary
sunscreen, Emollients
Hydrocortisone OTC
Describe Post inflammatory Hypo-pigmentation
Causes?
Melanocyte Destruction or suppression secondary to inflammation in Adults
Physical Trauma
Chemical Agents
Primary Skin Disease
Tx of Post-Inflammatory Hypo-pigmentation
No Tx they re-pigment on their own
Avoid chemical irritants
Describe Tuberous Sclerosis
Rare Auto-Dominant neurocutaneous disorder
Ash leaf spots (hypopigmentation) look like a thumbprint
Shagreen Patches- thick leathery Skin
Tubers- small bulge
Other conditions found with Tuberous Sclerosis
Seizures
Mental Retardation
Adenoma Sebaceum- proliferation of collagen
About this deck
By: Nicole Munshower
Textbook: CURRENT Medical Diagnosis and Treatment 2012, Fifty-First Edition (LANGE CURRENT Series)
Lookingbill and Marks' Principles of Dermatology, 4e (PRINCIPLES OF DERMATOLOGY (LOOKINGBILL))
Practical Orthopedics: Text with CD-ROM (Mercier, Practical Orthopedics)
Created: 2012-05-12
Size: 49 flashcards
Views: 5
Textbook:
CURRENT Medical Diagnosis and Treatment 2012, Fifty-First Edition (LANGE CURRENT Series) Lookingbill and Marks' Principles of Dermatology, 4e (PRINCIPLES OF DERMATOLOGY (LOOKINGBILL)) Practical Orthopedics: Text with CD-ROM (Mercier, Practical Orthopedics)Created: 2012-05-12
Size: 49 flashcards
Views: 5
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“Simply amazing. The flash cards are smooth, there are many different types of studying tools, and there is a great search engine. I praise you on the awesomeness.”
Dennis
Dennis