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Derm 4 (Inflam Skin)
Step-2
| Question | Answer |
|---|---|
| What is the treatment for whipple dz? | TMP-SMX x1 yr |
| What complications can arise from electrical burns? | Cardiac dysrhythmias, compartment syndrome, bony injuries, myoglobinuria causing renal failure |
| What is the differing presentations of Alz dz, Pick dz, Lewy body dementia? | Alz dz is the classic dementia, Pick dz is characterized by frontotemporal dementia +personality and behavioral changes. Lewy body dementia is dementia + parkinsonian sx, visual hallucinations, unexpected falls or syncopal episodes |
| What are the characteristic features of erythema multiforme? | skin lesios with target appearance (dull red center, a pale zone and a darker outer ring), lesions develop over 10+ days, commonly seen on hands/forearms, soles/feet, elbows and knees, penis and vulva. |
| What is the treatment for erythema multiforme? | Stop any inciting medication, symptomatic treatment with antipruritics, if severe give systemic glucocorticoids, if pt has h/o HSV give antiviral (acyclovir or valacyclovir) |
| What is the distinction b/w SJS and toxic epidermal necrolysis (TEN)? | SJS is the less severe form of TEN. In SJS you have skin sloughing limited to <10% BSA. In TEN at least 30% of skin is detaching. |
| What is the tx for infantile seborrheic dermatitis? | selenium sulfide shampoo 2x per wk until resolved. Massaging olive oil into the scalp and leaving it for 15 min can help remove scale when washing. ALso +/- hydocortisone 1% cream bid to affected area. |
| How does seborrheic dermatitis manifest in adults? | erythema, scaling, and white flaking in areas of sebaceous glands including eyebrows, nasolabial folds, face, external ear, scalp, upper trunk, and body folds. |
| What diseases are associated with an increased incidence of seborrhec dermatitis? | Parkinson, HIV, psoriasis, immunocompromised pts. |
| What things can exacerbate an a patient's seborrheic dermatitis? | emotional stress and hospitalizations. |
| What is the treatment for seborrheic dermatitis? | Selenium sulfide shampoo 2x a week until resolved, coal-tar shampoo, ketoconazole shampoo |
| A pt presents with erythema multiforme. Which medications are the most common offenders? | PCN, sulfonamides, OCPs, NSAIDS, Anticonvulsants |
| What is the classic presentation of pityriasisi rosea? | herald patch, followed by rash in christmas tree pattern. |
| What is the tx for pityriasis rosea? | No treatment needed |
| What is the classic presentation of erythema nodosum? | pretibial nodules within the SQ fat. Painful and erythematous |
| What are the tx options for psoriasis? | topical steroids, calcipotrience, tazarotene, coal tar, anthralin, salicyclic acid, UV light, isotretinoin, steroid injections into lesions, anti-TNF agents, oral retinoids, MTX, and cyclosporine |
| What is the classic presentation of lichen planus? | Lots of "P's": pruritic, purple, polygonal papules and plaques. Found on flexor surfaces of the extremities. |
| _______and _______pneumoniae are common infectious causes of erythema multiforme | HSV and mycoplasma |
| Cradle cap is the same as ________ ________ of the scalp in infants | seborrheic dermatitis |
| Which skin rash is associated with asthma and allergic rhinitis? | atopic dermatitis (eczema) |
| _________ __________ _____ is a disease cause by the deficiency of hepatic uroporphyrinogen decarboxylase, which is an enzyme involved in _________ metabolism. | Porphyria cutanea tarda. The deficient enzyme is involved in heme metabolism |
Created by:
shelybel
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