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Ocular Dx Exam 2 Atypical Lid Bumps
Yudcovitch 3-1-11
55
Medical
Graduate
03/01/2011

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Term
What is lentigo maligna commonly called?
Definition
Hutchinson's freckle
Term
What does 'in situ' mean?
Definition
localized to it's original area
Term
What is the minimum and mean age for lentigo maligna?
Definition
above 40; mean of 65
Term
What is a risk factor for lentigo maligna?
Definition
Fair skin
Term
Where is lentigo maligna commonly seen?
Definition
head and neck
Term
What is the malignancy risk for lentigo maligna?
Definition
15.00000%
Term
What does serpiginous mean?
Definition
Serpent-like
Term
What can have serpiginous borders?
Definition
lentigo maligna
Term
What is the tx for lentigo maligna?
Definition
refer for biopsy/surgery
Term
What are acrochordon?
Definition
skin tags, soft warts
Term
What is the incidence of acrochordon?
Definition
46.00000%
Term
What causes acrochordons?
Definition
localized elastic tissue
Term
What does pedunculated mean?
Definition
It is shaped like a stalk
Term
What type of tissue growth is acrochordon?
Definition
neoplasm
Term
What is a common comorbity for acrochordon?
Definition
obesity
Term
How do you treat acrochordon?
Definition
snip it, freeze it, zap it or apply meds
Term
What medicine treats acrochordon?
Definition
chromium picolinate 200 mcg BID
Term
What is a papilloma?
Definition
benign epithelial tumor
Term
What is the cause of papillomas?
Definition
epithelial overgrowth
Term
What shape are papillomas?
Definition
lobulated
Term
What is the treatment for papilloma?
Definition
Dermatologist consult, removal RTC q. 3-6 mo; RTC q. 1yr.
Term
What does sessile mean?
Definition
flattened
Term
What are the two shapes that papillomae can take onm?
Definition
flattened or pedunculated
Term
What commonly looks like cauliflower?
Definition
papilloma
Term
Can papilloma be pigmened or non-pigmented?
Definition
Both
Term
What is seborrheic keratosis?
Definition
basal cell nyperplasia
Term
"barnacles of old age"
Definition
seborrheic keratosis
Term
What kind of plaque are seborrheic keratosis?
Definition
hyperkeratinized
Term
What are the most common benign epidermal tumors in the elderly?
Definition
seborrheic keratosis
Term
How elevated are seborrheic keratosis spots?
Definition
1-6mm
Term
What kind of lesions are waxy, greasy, or scaly
Definition
seborrheic keratosis
Term
What is the tx for seborrheic keratosis
Definition
Derm. Consultation; cyro, excision, curettage; RTC g. 6-12 mo
Term
What is lichen planus?
Definition
A common pruitic eruption
Term
What is the typical age of onset for lichen planus?
Definition
30-60 yo
Term
What is the prevalence of lichen planus in dermatology clinics?
Definition
1% of all new pts
Term
What disease present flat topped violacous papules?
Definition
lichen planus
Term
What is the typical size of lichen planus papules?
Definition
2-4 mm
Term
What is the cause of lichen planus?
Definition
cell mediated immune response of unknown origin
Term
What is the four pronged management plan for lichen planus?
Definition
biopsy, steroids, vit A, retinoids
Term
What are verrucae?
Definition
viral warts
Term
What is a common viral cause of verrucae?
Definition
HPV
Term
What are verruca plantaris?
Definition
wart on the sole or toes of foot
Term
Are verrucae benign or malignant?
Definition
benign
Term
What are the three shapes of verrucae?
Definition
1. verruca plana 2. verruca vulgaris 3. verruca digitata
Term
What grows faster, papilloma or verrucae?
Definition
Verrucae
Term
Are verrucae contagious?
Definition
yes, on skin contact
Term
What is molluscum contagiosum?
Definition
benign skin tumor
Term
What is the cause of molluscum contagiosum?
Definition
virus (pox); associated with HIV
Term
Are molluscum contagiosum contagious?
Definition
yes; skin on skin or swimming pools
Term
What does umbilicated mean?
Definition
small divot
Term
What are commonly described as umbilicated?
Definition
molluscum contagiosum
Term
What is the description of molluscum contagiosum?
Definition
elevated, round, waxy, pearly
Term
What is the tx for molluscum contagiosum?
Definition
excision, cryo, topical salicylic acid
Term
Can molluscum contagiosum have central discharge?
Definition
yes
Term
What are the two main herpes eye infections?
Definition
zoster and simplex
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