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Derm 4 (Inflam Skin)

Step-2

QuestionAnswer
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