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Definition
Pt presents with 1-2cm of hairloss Mentioned some burning/itching before hairloss The bald patch is smooth and shiny There was some pitting and irregular patterns in the rows of their nails |
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Intralesional kenalog Topical class I steroid Checking TSH and thyroid antibodies Anthralin Topical Immunotherapy Oral Steroids |
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Female pt presents with elevated DHEA-S and chronic hairloss. |
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Minoxidil (Rogaine) Finasteride (Propeca) (Males) Hair transplants Scalp reduction Weaves |
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Pt presents with thick yellow nails after trauma to the toe. |
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Tx Oral lamisil or sporanox Keep nails dry Vinegar & Listerine soaks |
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Can be acute, chronic, or drug induced Acute- Bacterial or viral; tx w/ antibiotic covering staph and drain lesion
Chronic- Due to irritant dermatits |
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Pt presents with Veelvety brown thickening of the skin of the axillae, flexural areas of the posterior neck
Pt. is obese, and has diabetes |
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Silvadene cream for superficial injury |
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Hidradentitis Suppurativa |
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Definition
Pt presents with chronic pus discharge as well as scarring. Pt is obese and presents with comedones containing two or more openings. Pt. presents with large painful abscesses |
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Hidradentitis Suppurativa Tx |
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Definition
Oral antibiotics (tetracycline) Topical clindamycin Hibiclens soap Accutane Surgery |
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Definition
Pt presents with single or multiple or single non-capsular tumors |
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Epidermal Inclusion Cysts (EIC) |
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Definition
Pt. presents with invaginated epidermis with a lining. |
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Pt. presents with hyperpigmentation of the face after sun exposure. Pt. is pregnant/on BC. |
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Tx Hydroquinones Retinoids SPF 30 |
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Pt presents with folliculitis in the gluteal cleft. |
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Surgical treatment, with acute conditions requiring I&D |
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Pt. has a tissue breakdown due to lack of blood flow. Could be due to venous, arterial, or neuropathic. |
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Definition
Maintain mobility, elevate affected area, compression devices. Hyperbaric tx Eliminate bacteria and necrotic debris Debridement speeds healing |
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Pt. produces with hives. May present with angiodema and possibly dermographism. |
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Antihistamines Oral/topical steroids Suggest allergy testing |
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Pt. Presents with spots of hypopigmentation |
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SPF 30 Topical steroids with holiday (Class 3) Could be a sign of melanoma metastasis |
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Definition
Pt. presents with pale pink, nermous, discrete, narrow-to-wide, projections on a broad base in the genital area. Surface is smooth or vevety, moist, and lacks hyperkaratosis. Young sexually active pt. present with multifocal bilateral red or brown slightly raised smooth papules. |
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Definition
Cryosurgery Immunotherapy (imiquimod) Podophyllin (NOT FOR PREGGERS) TCA |
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Definition
Pt. presents with dz caused by enteroviruses, echo virus, and coxsackievirus. Rash is generalized erythematous macules and papules with areas of confluence, pissibly urticarial, vesicular, or petechial. Presentation is also on the palms and soles.
Associated with Parvovirus B-19, slap cheeks 5th dz. |
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Definition
Pt. presents with elevated IgG antibody titer as well as grouped vesicles on an erythematous base (dewdrop on a rose petal) and then umbilicate. Vesicles are uniform in size, the mucous membranes ahave exudate, and the skin leasions form crusts. They recur with trauma. |
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Pt. presents with discrete 2-5mm papules, slightly umbilicated, flesh colored, and dome shaped. May be a sign of sexual abuse. KOH test reveals inclusion bodies |
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Curretage Crysurgery Imiquimod Cantharidin KOH Oral cimetidine Laser TCA None |
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Definition
Pt. Appears in march, April, or May. with dewdrop on a rose petal lesions. Can lead to encephalitis and a 35% mortality in adults; can also lead to pneumonia, hepatitis, and is dangerous in pregnancy. Tzanck smear is positive. |
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Pt. has an eruption of plaques then vesicles and crusts along a single dermatome. Check for ophthalmic infection, because it could cause blindness. Check for vesicular rash on ear or in mouth because could cause palsy. |
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Valtrex/Famvir (As opposed to Acyclovir) Oral Steroids Nerve blocks Silvadene Pain control Expect PHN |
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Pt. presents with benign epidermal neoplasms and is positive for HPV. They attend to appear at sites of trauma and obscure skin lines. They evolve into dome shaped gray brown hyperkeratotic growths. |
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Definition
Cryosurgery Imiquimod Candida antigen Uptone's paste Cantharidin |
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Cellulitis and Erysipelas |
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Definition
Pt. Presents with erythema, edema, and pain. There's a fever and leukocytosis. In small children there's buccal lesions and there could be lymphatic streaking and demarcation. |
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Cellulitis and Erysipelas tx |
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Definition
Adults Broad Spectrum cephalosporin, diclox. MRSA- Bactrim, Clinda (Expect C-Diff)
Kids Surgical drainage Intubation/Trach Cephalosporin Rifampin prophylaxis |
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Definition
Pt. presents with superficial skin infection caused by strep, staph, or both. Could present as Bullous or nonbullous (Bullous would be staph). Post strep glomerulonephritis possible. Anti-streptolysin titer absent or low. |
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Definition
Mupirocin and Polysporin Intranasal mupirocin bid x 5 Oral- ceph or diclox |
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Pt. presents with a pusule that separates stratum corneum resulting in a red, denuded, glistening surface with a cigarette paper like advancing border. Mucous membranes have white curdy material and satellite lesions. |
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Antifungal creams (zoles) Oral antifungals Corn starch powder |
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Pt. presents with multiple small circular macules and patches of various color. Scaly powder with scraping, and KOH reveals spaghetti and meatballs. Resists Terbinafine (lamisil) or grisefulvin |
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Pt. presents with Erythematous plaque with central clearing and advancing border. KOH positive. Woods light shows blue green in the hair, white for TV, and Coral red for Corynebacterium. |
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Hyperhydrosis and sliminess |
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Topical antifungals Lamisil (terbinafine) Sporanox (itraconazole) Diflucan (fluconazole) Griseofulvin (scalp and kids) |
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Pt. presents with a pink, flat, scaly red patch on sun-exposed skin. |
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Cryotherapy Immunomodulation Aldara Chemotherapy: 5-Flourouracil Solaraze |
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Definition
Topical: Aldara, Carac, Efudex
Destruction: Liquid Nitro, ED&C
Excision Mohs Radiation |
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Pt. presents with hyperpigmented area. Pt. has aids or is older mediterranean man. |
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