Other Dermatological Conditions (PEARLS) SMARTYPANCE.COM
Terms in this set (33)
Dark patches at skin folds (neck and underarms common)
Chronic follicular occlusive disease manifested as recurrent inflammatory nodules, abscesses, sinus tracts, and complex scar format
Hyperpigmentation of the sun-exposed areas of the face, usually due to ↑ in estrogen
Pruritic raised erythematous wheals?
A teenager with pain, discomfort and swelling above the anus or near the tailbone that comes and goes
Name the stage of the decubitus: Full-thickness loss of skin with extension into subcutaneous tissue but not through the underlying fascia.
Name the stage of the decubitus: Intact skin with signs of impending ulceration and erythema that does not blanch with pressure.
Name the stage of the decubitus: Full-thickness loss of skin and subcutaneous tissue and extension into muscle bone tendon or joint capsule.
Name the stage of the decubitus: Partial-thickness loss of skin involving epidermis and possibly dermis.
Where do lower extremity ulcers due to arterial insufficiency most commonly occur?
Lateral Malleolus (usually painful)
Where do lower extremity ulcers due to diabetes most commonly occur?
Heels and toes
Where do lower extremity ulcers due to venous stasis most commonly occur?
Medial malleolus (usually painless)
What disorder is most likely with asymptomatic hyperpigmentation of the face of a pregnant woman?
What percentage of body area had been burned in a patient with burns to the chest and abdomen?
Formal fluid resuscitation is required for what percentage of body area burned in an child?
Formal fluid resuscitation is required for what percentage of body area burned in an adult?
List some of the medications which may cause acanthosis nigricans.
Steroids - Insulin - Niacin - Protease inhibitors - Oral contraceptives - Human growth hormone
List the malignancies most commonly associated with acanthosis nigricans
Lymphoma or GI/GU malignancy
List the genetic disorders most commonly associated with acanthosis nigricans.
Down's syndrome - Multiple genetic insulin resistance syndromes
List the endocrine disorders most commonly associated with acanthosis nigricans.
Insulin resistance - Metabolic syndrome - Diabetes
A 25 year old male has a large red tender abscess located in the gluteal cleft near the coccyx. What is your diagnosis?
What stage decubitus ulcer does a patient have if there is full thickness loss of skin and subcutaneous tissue with extension into the muscle and bone?
A man presents to the ED with shortness of breath and hives after eating shellfish at a local restaurant. Describe the lesions you would expect to see.
Red, pruritic well-demarcated wheels
A 32 year old pregnant female presents with a hyperpigmentation across her forehead and cheeks. She is concerned and wants it removed. What is your plan?
Advise her that it will generally resolve after the pregnancy is completed.
A large woman presents with painful red indurated lesions under her left armpit. They are tender and have not improved with oral antibiotics. What is the next step?
I&D (Incision and Drainage)
What percent of body surface area has been burned in a patient who has the entire chest abdomen and groin involved?
9% +9% + 1% = 19%
What percentage of Burns in children require IV fluid resuscitation?
Burns greater than 10% in children require IV fluid resuscitation - Burns greater than 15% in adults require IV fluid resuscitation
Acanthosis Nigricans is commonly associated with what endocrine disorder?
Insulin resistance and diabetes
A 56 year old male with high sugars has intertriginous areas with dark, velvety skin, that looks like dirt on the skin that won't wash off. What is your diagnosis?
What is the difference between a furuncle and a carbuncle?
A furuncle involves one hair follicle - A carbuncle involves many hair follicles
What is the treatment for a furuncle or a carbuncle?
Incision and drainage (I&D) and cephalexin
Tender indurated area at perianal area/gluteal cleft?
What is the recommended treatment of a pilonidal cyst?
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