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Session 2 CM derm8
CM- Derm -8- part one Skin papules
| Question | Answer |
|---|---|
| Growth of epidermal cells secondary to HPV | Verruca (wart) |
| What are the types of verruca | verruca vulgaris, verruca plana, plantar warts, condyloma acuminatum |
| What is the treatment for verruca | optional destruction, irritation or immune modulation |
| How can you prevent condyloma acuminatum | gardasil vaccine for HPV 16 & 18 which cause 70% of cervical cancer and HPV 6 & 11 which cause 90% genital warts |
| What subtypes of HPV causes 70% of cervical cancers | HPV 16 & 18 |
| What subtype of HPV causes 90% of genital warts | HPV 6 & 11 |
| this is a benign intraepidermal growth secondary to pox virus infection | Molluscum conatgiosum |
| How is Molluscum contagiosum contracted | In adults it is generally an STD in kids generally not an STD not a reason to call child protective services |
| What is the treatment for molluscum contagiosum | optional destruction or immune modulation |
| what does molluscum contagiosum look like | fleshy colored papul with central umbilication |
| Thickening (hyperkeratosis) of epidermis secondary to repeated rubbing or pressure with focal pressure on bony prominence | Corns |
| Thickening (hyperkeratosis) of epidermis caused by chronic rubbing | callus |
| What is the treatment of corns and calluses | mechanical or chemical paring down changing footwear |
| what is another name for acrochordons | skin tags |
| Benign neoplasm of peidermis usually in an area of friction | acrochordons or skin tags |
| Treatment for acrochordons (skin tags) | optional; snip, excision or cryodestruction |
| benign tumor of the peripheral nerve sheath | neurofibromas |
| What types of neurofibromas are there | sporadic or type I neurofibromatosis |
| What is the treatment for neurofibromas | optional; excision although with type I neurofibromatosis there are too many to excise |
| epithelial lined sac in the dermis with connection to epidermis filled with keratin | Epidermal inclusion cyst |
| What are the characteristics of epidermal inclusion cyst | Mobile, nodule with punctum filled with keratin |
| what is the treatment for epidermal inclusion cyst | if symptomatic excision +/- antibiotics |
| Benign slow growing sub Q skin growth of adipose tissue | Lipoma |
| It is a soft localised well circumscribed painless swelling located mainl in the sub Q tissues oh the head neck, shoulders hands legs and back. | lipoma |
| On palpation these are soft nontender and freely mobile | lipoma |
| When are lipomas most common | 3rd and 4th decades of life |
| which sex gets lipomas more frequently | women, most have only a single lipoma |
| What is typical of childhood lipomas | they are rare and often inherited |
| What is true of lipomas in men | they often have multiple lipomas and run in families |
| What are the pigment change birthmarks | angiomas and vascular malformations |
| benign skin growths composed of rapidly growing or poorly formed blood vessels or lymph vessels either congenital or acquired | angiomas and vascular malformation birth marks |
| The most common cutaneous vascular prliferation often widespread and appear as tiny cherry red papules or macules increase with age in both sexes and all races | acquired hemangiomas cherry hemangiomas |
| Caused by exposure to estrogen during pregnancy or oral contraceptive use tend to run in families may be associated with liver disease, sun exposure and trauma | spider angiomas (spider veins) |
| These are symptomless reddish blue marks formed from blood-filled capillaries radiating around a central arteriole in a classic shape. | spider angiomas |
| disease of the pilosebaceous unit with open and closed comedones, papule, and pustules on face, chest and back | acne |
| what is the treatment for acne | combination of oral and topical antibiotics and retinoids depending on severity |
| Acne characterized by cysts and nodules is more difficult to treat | cystic acne (Acne Vulgaris) |
| Chronic inflammatory disorder of the blood vessels and pilosebaceous units of the face with flushing, persistent erythema, papules/pustules and rhinophyma | Rosacea (acne rosacea) |
| What is the treatment for rosacea | SUNSCREEN, antibiotics, metronidazole, laser |
| what is rhinophyma and what is it associated with | is a large, bulb-shaped, red-colored (ruddy) nose. Associated with Rosacea (acne Rosacea) |
Created by:
smaxsmith
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