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derm part 3

med sci exam 1 material

QuestionAnswer
most common benign epithelial tumor seborrheic keratosis
seborrheic keratosis seen in adults 50 yo or older
seborrheic keratosis presentation cosmetic concerns, yellow-dark brown oval plaque
dermatofibroma benign proliferation of fibroblasts
dermatofibroma presentation mild pruritis, flesh-tone or hyper pigmented papule or nodule
lipoma mature fat cells enclosed by a thin fibrous capsule that develop in subcutaneous tissues
lipoma presentation soft, contender, flex tone mobile nodule
most common type of cutaneous cyst epidermoid cyst
epidermoid cyst discrete nodules resulting from the implantation and proliferation of epidermal elements within the dermis
tinea corporis ringworm
tinea pedis athletes foot
tinea pedis can be interdigital or hyperkeratosis
part of the normal flora found on skin and mucus membranes candida
most common candida Candida albicans
clinical syndromes of candida infections oropharyngeal "thrush", esophagitis, vulvovaginitis/balanitis, intertrigo, nipple thrush
treatment for candida infectioins topical or oral anti fungal s
pityriasis versicolor yeast infection of the skin
pityriasis versicolor generally seen in adolescents and young adults
pityriasis versicolor presentation n mild pruritis, hyper/hypopigmented macules and patches
pityriasis versicolor treatment topical antifungals
scabies infestation of the skin by the mite sarcoptes scabiei
transmission of scabies direct and prolonged skin to skin contact
presentation of scabies pruritus , may see small erythematous papules and thin burrows on skin
diagnosis of scabies clinical, microscopic exam- skin scraping
treatment of scabies permethrin cream, environmental control
pediculosis LICE- obligate, blood sucking parasites that can infest the human head, body, and pubic region
treatment of lice permethrin shampoo/cream
pediculosis capitis is most common in children
transmission of pediculosis capitis direct contact and some fomites (NOT hygiene related)
pediculosis capitis presentation PRURITUS
pediculosis corporis is generally seen in people with poor hygeine
pediculosis corporis presentation pruritis , may visualize mites on body or gathered along clothing seams
simple skin and soft tissue infections cellulitis, impetigo, folliculitis, abscess
complicated skin and soft tissue infections deep abscess, necrotizing fasciitis, gangrene, animal bite infections, diabetic foot infections
risk factors specific for cellulitis, erysipelas, and abscess formation skin barrier disrupted bc of trauma, skin inflammation, edema , obesity, immunosuppression, existing skin infection
cellulitis areas of skin erythema, edema, warmth; develop as a result of bacterial entry via breaches in the skin barrier
cellulitis occurs over areas of skin breakdown
microbiology of cellulitis beta-hemolytic streptococci
erysipelas lesions are raised above the level of surrounding skin, clear line of demarcation between involved and uninvolved tissue
microbiology of erysipelas beta-hemolytic streptococci
erysipelas usually occurs over the face, ears, lower legs (more common in extremes of age)
abscess painful, fluctuant erythematous nodule with or without surrounding cellulitis
abscess microbiology staphylococcus aureus, streptococcus
abscess clinical features collection of purulent material with surrounding granulation, painful swelling, central fluctuant, overlying skin necrosis
impetigo caused by staphylococcus aureus, group A beta-hemolytic streptococcus pyogenes
impetigo generally occurs in young children
impetigo presentation vesicles that rupture, leaving erosion and honey colored crust, usually around mouth and nose
treatment of impetigo topical antibiotics
examples of necrotizing soft tissue infections necrotizing forms of fasciitis, myositis, and cellulitis
infection of the deep soft tissues that result in progressive destruction of the muscle fascia and overlying subcutaneous fat necrotizing fasciitis
2 types of necrotizing fasciitis polymicrobial type 1, mono microbial type 2
necrotizing soft tissue infections are characterized by fulminant tissue destruction, systemic signs of toxicity, high mortality
infection of skeletal muscle typically caused by gas (RARE) necrotizing myositis
risk factors for necrotizing soft tissue infections major penetrating trauma, recent surgery, blunt trauma, immunosuppression, skin breach, malignancy, obesity, alcohol use disorder
distribution of necrotizing soft tissue infections LE most common, perineum, head and neck region
class 1 soft tissue infection simple infection, no systemic signs or symptoms, amenable to outpatient management with topical or oral antibiotics
class 2 soft tissue infection systemic signs and symptoms indicating spread, stable comorbities, may require inpatient management
class 3 soft tissue infection infection with systemic signs and symptoms spread , or uncontrolled cormobidities, impatient required
class 4 soft tissue infection infection with signs of potentially fatal systemic sepsis , surgery may be indicated
most common skin disorder in the US acne vulgaris
acne vulgaris chronic inflammatory disease involving the pilosebaceous unit
4 main factors leading to formation of acne lesions increased sebum production, hyperkeratinization of hair follicle, colonization by propionibacterium acnes, inflammatory response
acne vulgaris predisposing factors genetics, medications, mechanical occlusion and pressure, oil containing cosmetics
treatment for acne vulgaris OTC products, topical and oral antibiotics, retinoids, accutane
rosacea chronic facial skin condition of unknown cause , seen in adults , lesions have variable morphology
lesion description of rosacea red papules and pustules, thickening of nasal skin (rhinophyma), flushing, telangiectasias
treatment of rosacea topical metronidazole, oral antibiotics, laser therapy
herpes simplex transmission oral secretions, contact with vesicular fluid
presentation of herpes simplex cold sores
diagnosis of herpes simplex tzank smear, PCR
treatment of herpes simplex supportive, oral antivirals
chicken pox (varicella zoster) primary infection with varicella zoster virus
presentation of varicella zoster prodrome, pruritis, skin lesions
diagnosis of varicella zoster tzank smear, PCR
treatment of varicella zoster supportive unless immunocompromised
herpes zoster reactivation of varicella zoster virus
presentation of herpes zoster prodrome, PAIN, skin lesions- dermatomal distribution, severe atypical variants involving face/ear/eye
treatment of herpes zoster supportive, pain control, oral antivirals
Created by: thomask9
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