Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Peds Rot Derm
| Question | Answer |
|---|---|
| Tx for molluscum contagiosum | topical imiquimod, topical cantharidin, oral cimetidine, cryotherapy with liquid nitrogen, and curettage. |
| Cause of molluscum contagiosum | caused by a poxvirus that induces the epidermis to proliferate, forming a pale papule. Umbilicated, white or whitish yellow papules in groups on the genitalia or trunk |
| Skin colored papules with irregular surfaces | warts (verrucous surfaces). Intraepidermal tumors caused by infection with HPV. There are over 100 types of this DNA virus which induces the epidermal cells to proliferate, thus resulting in a warty growth |
| No therapy for warts is ideal and 30% of warts will clear in ___ months irrespective of the therapy chosen | 30% |
| Gold standard tx for warts | liquid nitrogen; lesion should stay white for 20 seconds. Pt should be seen at tx intervals of 2-3 wks. Flat warts may respond to: .05% tretinoin cream, or topical imiquimod (aldara) cream. Electrosurgery should be avoided b/c it causes scarring. |
| Tx for venereal warts | Imiquimod, 25% podophyllum resin (podophyllin) painted on the lesions to be left on for 4 hours and then washed off |
| Tx for pediculoses capitus | 5% permethrin |
| Tx for scabies | first, dx with immersion oil. Examine the parents for unscratched burrows. Permethrin 5% is now the tx of choice applied overnight and then washed off |
| Grouped erythematous papules surrounded by a flare | urticaria. Tx: topical corticosteroids and oral antihistamines. |
| Abrupt fever of 103-106 lasting for 1-5 days. On the third or fourth day, a maculopapular rash appears on the trunk and spreads peripherally | Roseola infantum (in infants and young children); caused by human herpes virus 6 (HHV-6). |
| Erythema Infectioisum (fifth dz) is caused by the DNA-containing parvovirus B19. Parvovirus B19 infection during pregnancy is associated with | fetal hydrops and death of the fetus |
| Fever, anorexia, oral pain, followed by crops of ulcers on the tongue and oral mucosa and a vesicular rash on the hands, feet, and occasionally the buttocks | hand-foot-and-mouth dz; common acute dz of young children during the spring and summer caused by coxsackie A viruses. |
| Tzanck test is used to look for | multinucleated giant cells in varicella |
| Causes of Impetigo | S. aureus in bullous impetigo; S. aureus and Group A strep in non-bullous impetigo. |
| Tx of Impetigo | Limited nonbullous Impetigo can be treated topically with mupirocin. Bullous and non-bullous impetigo can be treated with a first gen cephalosporin like cephalexin. If MRSA suspected, then clindamycin or septra |
| Causes of Cellulitis | In children, it is most commonly caused by Group A b-hemolytic strep or S. aureus. |
| Tx of cellulitis | mild: oral abx such as cephalexin or amoxicillin-clavulanic acid |
| The most common pathogen in hematogenously spread cellulitis | Streptococcus pneumoniae |
| A child with a peripheral cellulitis with lympthadenopathy or lymphangitic streaking and the child with orbital cellulitis should have | a blood culture sent to determine whether bacteremia is present. |
| The three fungal organisms that cause superficial tinea infections | Trichophyton, Microsporum, and Epidermophyton. |
| Systemic antifungals are required in the treatment of? | Tinea capitus (oral grisefulvin 4-6 wks) and infection of the nails. |
| Tx of Tinea corporis, Tinea cruris and Tinea pedis | Topical antifungals for at least 4 weeks. Ex: clotrimazole |
| Tinea (pityriasis) versicolor is caused by | Malassezia furfur. Tx: selenium sulfide shampoo and antifungal agent |
| Diaper rash with firey red papular lesions in the skin folds and with satellite lesions | candida. 80% of diaper rashes lasting more than 4 days are colonized with candida. Barrier creams and nystatin are the first-line treatments |
| First line tx of acne | benzoyl peroxide: works by decreasing the colonization of P. acnes and decreasing the development of microcomedones by lessening the concentration of surface free fatty acids |
| Psoriasis | cannot be cured, characterized by remissions and exacerbations. Occurs at skin points of repeated trauma/extensor surfaces; the rash is non-pruritic. |
| Describing Psoriasis | nonpruritic rash of erythematous papules that coalesce to form plaques with sharply demarcated borders and a silvery or yellow-white scale. The scales tend to build up into layers, and their removal may cause bleeding (Auspitz sign). Usually symmetric. |
| Psoriatic rash that involves the mucous membranes | Reiter's syndrome |
| Allergic triad | allergic rhinitis, asthma and atopic dermatitis (eczema) |
| Tx of atopic dermatitis | moisturizers followed by the use of topical corticosteroids for areas of inflammation. Pimecrolimus cream for >24 months, in addition to Topical tacrolimus (both immunomodulators) |
| Pts with hereditary angioedema have an inherited | C1 esterase inhibitor deficiency |
| Gold standarad for food allergies | Double-blind placebo challnege-food challenge |
| The most common form of irritant contact dermatitis seen in peds office | diaper rash. |
| Congenital malformation that appears on the scalp, rarely on the face. Hairless spot, thin, elevated plaque with a characteristic organie color and a pebbly, or warty surface | Nevus sebaceous. About 10% of patients can expect to develop BCC in the lesion. Excision is recommended around puberty for cosmetic reasons and to prevent BCC |
| Skin colored, brown or grayish brown lesions present at birth. Composed of closely set verrucous papules, well circumscribed | Epidermal nevus. A brownish irregular plaque with a verrucous surface |
| Smooth skin colored papules (1-10mm in diameter) that are grouped on the trunk. Connective tissue birthmark | Shagreen patch. Also associated in some cases with tuberous sclerosis |
Created by:
ltm12