Derm
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oval yeast, stains gram pos | candida albicans
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Acetowhitening: | Condyloma acuminate
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most important prognostic indicator in malig melanoma: | Breslow level: depth of lesion measured in mm from top of clinical lesion to bottom
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On a Tzanck smear, these are suggestive of virus: | multinucleated giant cells
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Wood’s light fluoroscopy | Dermatophytes infections, Erythrasma (coral red)
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Clark level: | level of anatomic invasion in melanoma; esp important in areas w/thinner skin (eyelids, ears, genitals)
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diascopy is used to see: | vascular lesions
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when doing a KOH prep always scrape the: | border of the lesion
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fluoresces white with wood's lamp | vitiligo
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fluoresces coral red with wood's lamp | erythasma
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clinical evaluation of chronic urticaria | complete H&P, CBC, LFT's, TFT's, RFT's, ESR or CRP, bx in cases of vasculitis
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lichen simplex chronicus dx studies | KOH to r/o fungal; bx: hyperplasia & hyperkeratosis
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lichen planus | bx & immunofluorescence to confirm; Hep C screen (+ HCV often seen in lichen planus pts)
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lichen planus tx | topical steroids, occlusive dressings; cyclosporine for oral lesions; systemic tx for severe; poss PUVA tx
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Hyperplastic prickles cells w/excess keratin = | skin warts (HPV)
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Wood’s light: Coral red = | Erythrasma (2/2 Corynebacterium minutissimum)
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KOH: Hyphae & buds, spaghetti & meatballs | Fungus, Candida
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HSV labs | HSV viral cx, antigen detection tests, antibody titers
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Created by:
Abarnard
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