Shared Flashcard Set

Details

Peds: Derm
Peds: Derm Exam 2
80
Anatomy
Graduate
03/01/2012

Additional Anatomy Flashcards

 


 

Cards

Term
reticulated reddish blue marbling of the skin:
Definition
Cutis Marmorata
Term
symmetrical variable degrees of blue color in hands and feet:
Definition
acrocyanosis
Term
benign macular slate grey blue-black poorly circumscribed lesion:
Definition
mongolian spot
Term
most common vascular skin lesion in newborns:
Definition
Macular Hemangioma
Term
pink to bright red splotchy macuular skin lesions:
Definition
Macular Hemangioma
Term
protuberant collection of capillaries that expand within first year of life. Usually regress by age 9 y/o.
Definition
Capillary (Strawberry) Hemangioma
Term
Port-Wine Stain is aka __ __.
Definition
Nevus Flammeus
Term
Unilateral red macular skin lesion present at birth.
Definition
Port-Wine Stain
Term
Port-Wine Stain pathophysiology:
Definition
mature dilated dermal capillaries that fail to involute
Term
Port-wine stains are usually on the __ and __.
Definition
head and neck
Term
Port-wine stains fade/darken with aging?
Definition
darken to purple
Term
port wine stain tmt:
Definition
- make-up
- tattooing
- laser
- cryosurgery
Term
Storge Weber Syndrome with port-wine stain characteristics:
Definition
Tell Lucy Suzy Can't Go.
- Trigeminal involvement of port-wine stain
- Leptomeningeal venous angioma
- Seizures (intracranial calcifications)
- Contralateral hemiparesis
- Glaucoma
Term
normal neonatal inflammatory response:
Definition
Erythema Toxicum Neonatorum
Term
Bening transient self-limited neonatal dermatosis characterized by erythematous macules with white yellow papules on top. Labs show eusinophilia within the macules.
Definition
Erythema Toxicum Neonatorum
Term
does erythema toxicum neonatorum affect the palms and soles of feet?
Definition
no
Term
inclusion pilosebaceous cysts with retined keratin:
Definition
milia
Term
mc location for milia:
Definition
nose
cheeks
chin
forehead
Term
Miliaria rubra is aka __ __ most commonly in __ __. This is caused by deep obstruction of __ __ __ resulting in leakage of sweat into __ causing __.
Definition
- heat rash
- flexural surfaces
- eccrine sweat glands
- dermis
- inflammation
Term
Miliaria rubra is aka __ __ most commonly in __ __. This is caused by deep obstruction of __ __ __ resulting in leakage of sweat into __ causing __.
Definition
- heat rash
- flexural surfaces
- eccrine sweat glands
- dermis
- inflammation
Term
superficial 1-2 mm clear thin walled vesicles without erythema caused by eccrine sweat obstruction in the epidermal layer:
Definition
Miliaria Crystallina
Term
Eczema is a collection of skin disorders characterized by __, __, and __. These disorders include:
Definition
- pruritis, exudation, and lichenification
- Atopic Dermatitis
- Seborrheic Dermatitis
- Nummular Eczema
- Dyshidrosis
- Contact Dermatitis (allergic and irritant)
Term
MC of all pediatric dermatoses:
Definition
Atopic Dermtitis
Term
infantile atopic dermatitis:
Definition
- develops b/w 1 and 6 months of age and lasts until age 2-3 y/o
- symmetrical red, itchy papules associated with oozing and crusting
- usually on cheeks, forehead, scalp, trunk, and extremities
- usually EXTENSOR surfaces
Term
infantile atopic dermatitis affects __ surfaces.
Definition
extensor
Term
Childhood atopic dermatitis occurs b/w ages __ and __ years old. It presents as circumscribed scaly patches on wrists, ankles, antecubital fossa, popliteal fossa, and flexural surfaces.
Definition
4 and 10
Term
Adolescent atopic dermatitis:
Definition
12 y/o into the thirties
flexural surfaces of arms, neck, and legs, sometimes dorsal surfaces of hands and feet
Term
Atopic dermatitis aka:
Definition
- pruritis
- eczema
Term
Atopic dermatitis tmt:
Definition
MALTOSI
- Maintain skin hydration
- Avoid frequent bathing and alkali soaps
- Lubricating emolients
- Topical corticosteroids
- Oral antihistamines
- Systemic corticosteroids in severe cases
- Immunomodulators (risk of malignancy)
Term
Seborrheic dermatitis tmt:
Definition
- topical corticosteroids
- selenium sulfide shampoos
- ketoconazole shampoos and creams
Term
honey colored crust:
Definition
impetigo
Term
Impetigo etiology:
Definition
- Group A beta hemolytic strep (Strep. pyoderma)
- Staphylococcus aureus (bullous impetigo)
Term
cause of bullous impetigo?
Definition
coagulase positive staph aureus
Term
Complication of strep pyoderma impetigo:
Definition
- Poststerptococcal glomerulonephritis
Term
complications of bullous impetigo:
Definition
- speticemia
- osteomyelitis
- septic arthritis
- pneumonia
Term
Impetigo tmt:
Definition
- PCN, Cephalosporins, Macrolides
- Topical abx: Mupirocin (Bactroban)
- Oral abx: Clindamycin, Dicloxacillin, Keflex
Term
Staphylococcal Scalded Skin Syndrome aka __ __is characterized by generalized tender __ __ which develop __ and then varying degrees of __. Most common in children less than __ _. There is superficial exfoliation of the __ __ of the __ caused by exfoliative toxins from the __ __ __ __ Phage group __.
Definition
- Ritter's Disease
- macular erythema
- bullae
- peeling
- less than 5 years
- stratum corneum of the epidermis
- coagulase positive Staph aureus
- Phage group III
Term
Classic initial skin lesion begins as a dusky red macule or erythematous wheal that evolves into an iris or target sign:
Definition
Erythema Multiforme
Term
Pediculosis capitis:
Definition
head lice
Term
contagious skin dermatoses caused by large pox virus:
Definition
Molluscum contagiousum
Term
Molluscum Contagiosum tmt:
Definition
- Spontaneous remission
- Curettage (remove core)
- Cryotherapy
- Exfoliative peel (imiquimod, tretinoin)
- Cantharidin with occlusive tape
Term
Dx of tinea:
Definition
- KOH
- Culture
- Wood's light
Term
Tmt of tinea:
Definition
- topical antifungals: Oxistat, Clotrimazole, Miconazole
Term
solitary or multiple patches of alopecia on scal with short broken off hairs (black dots):
Definition
Tinea capitis
Term
Dx of tinea capitis:
Definition
fungal culture
Term
Tinea capitis tmt:
Definition
- Oral Griseofulvin 4-12 weeks
- Topical antibiotics
Term
Complications of tinea capitis:
Definition
- Kerion
- Secondary bacterial infection
- Scarring
Term
Herald patch followed by Christmas tree distribution of macules:
Definition
Ptyriasis rosea (MC in adolescents and young adults)
Term
Prodrome associated with Ptyriasis Rosea:
Definition
- may have prodrome of mild fever, malaise, nasal congestion, sore throat, and headache
Term
tmt of Ptyriasis Rosea:
Definition
- self-limiting
- NO tmt
Term
Cause of Erythema Chronicum Migrans:
Definition
- Lyme Disease- Borrelia burgdorferi- Ixodes dammini- Tick
Term
Dx of Erthema Chronicum Migrans:
Definition
Titers
Term
Erythema Migrans (Lyme's Disease) tmt:
Definition
- Doxycylcine
- Macrolides
- Beta lactams

early tmt is important to prevent neurologic, cardiac, and arthritic complications
Term
Warts tmt:
Definition
SSPECC:
- Spontaneous remission
- Salicylic acid
- Podophyllum resin
- Elecrodesiccation
- Cryotherapy
- Curettage
Term
Type I acne vulgaris:
Definition
- open comedomes- black heads
- closed comedomes- white heads
Term
Type II acne vulgaris:
Definition
- papulopustular- inflammatory papules
Term
Type III acne vulgaris:
Definition
cystic- nodular cysts, deep follicular inflammation
Term
Henoch-Schonlein Purpura should only be treated with corticosteroids if:
Definition
- severe intestinal hemorrhage
- CNS involvement
Term
tender warm erythematous plaque with ill-defined borders:
Definition
cellulitis
Term
cellulitis cultures will usually reveal:
Definition
- H. influenza
- Strep sp.
- Staph sp.
Term
Cellulitis tmt:
Definition
- Dicloxacillin
- Keflex
- Clindamycin
- IV abx
Term
Varicella lesions appear __ to __ days after exposure.
Definition
14 to 16 days after exposure
Term
Rubella aka :
Definition
German Measles
Term
Rubella (German Measles) virus is shed in :
Definition
- nasopharyngeal secretions
- blood
- feces
- urine
Term
besides maculopapular rash with Rubella, what is another physical exam finding?
Definition
enlarged TENDER lymph nodes
Term
virus that causes Erythema Infeciosum (Fifth's Disease):
Definition
Parvovirus B19 (4-28 day incubation period)
Term
Erythema infectiosum (Fifth's disease/Parvovirus B19) symptoms:
Definition
- Fever
- Headache
- URI symptoms
- Lacy rash sparing palms and soles
- Waxes and wanes over 1-3 weeks
Term
Erythema Infectiousum (Fifth's Disease) tmt:
Definition
- Avoid heat, sunlight, stress, and exercise (cause rash to flare)
- Isolate 1 week or until fever resolves
- Symptomatic care
Term
Erythema infectiousum rash starts on __, while Roseola infantum rash starts on __.
Definition
- face
- trunk (you have a rose on your trunk)
Term
cause of Roseola Infantum:
Definition
Herpes virus 6 and 7 (HHV 6 and 7)
Term
what age does Roseola occur:
Definition
mostly b/w 6 and 15 months
90% before age 3 years
Term
Symptoms of Roseola Infantum:
Definition
- Fever of 101-106 or 3-5 days that resolves abruptly
- URI symptoms
- Abdominal pain
- Vomiting
- Diarrhea
Term
Roseola tmt:
Definition
- fluids
- tylenol
Term
Erythema Infectiosum: Parvovirus B19
Roseola Infantum: HHV 6 and 7
Hand-Foot-Mouth Disease: Coxsachievirus A16
Definition
Term
virus thta causes Hand Foot Mouth Disease:
Definition
Coxsachievirus A16
Term
Herpangina symptoms:
Definition
- Sudden fever
- Headache
- Sorethroat
- Backache
- Vomiting
- Abomdinal pain
- Drooling
- Dysphagia
Term
how is Rubeola (Measles) spread?
Definition
- nasopharyngeal secretions
- blood
- urine
Term
what viral exanthem is viable at room temp for 34 hours?
Definition
Rubeola (Measles)
Term
Rubeola incubation:
Definition
10-12 days
Term
Rubeola (measles) stages:
Definition
1. Prodrome with fever and dry cough for 3-5 days
2. 2-4 days rash develops (Koplik spots-greyish white dots0
3. Final stage- maculopapular rash that is slighlty hemmorhagic with high fever
Supporting users have an ad free experience!