Dermatology for Studs

Dermatology Notes for the USMLE

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Acanthosis nigricans


Acanthosis nigricans --> Stomach adenocarcinoma

Actinic Keratosis


Risk of squamous cell carcinoma

Basal Cell Carcinoma


Begins as shiny papule and later develops umbilicated center which may ulcerate and develop peripheral telangiectasias

Basal Cell Carcinoma --> 'pearly' appearance

Treatment: excision

Contact Dermatitis


Contact to what?


E.g. nickel earrings most common form in women

Erysipelas

Fiery red rash, painful('St. Anthony's fire')

Cause: Streptococci


Tx: Pen G

Herpes Zoster


Reactivation of latent varicella-zoster virus from dorsal root neurons when patient immunocompromised (cancer, steroids, fatigue, trauma etc.)

Impetigo

honey colored crusted lesions

Causes: Staph aureus or group A b-hemolytic Streptococcus


Tx: Mupirocin

Kaposi Sarcoma


Seen in AIDS patients commonly in upper body (remember Tom Hanks in 'Philadelphia')

Associated with herpesvirus 8

Malignant tumor of endothelial cells

Lice


Treatment: permethrin cream

Lichen Planus

Polygonal shaped violaceous plaques and papules

Lipoma


Treatment: surgical excision or liposuction

Malignant Melanoma


Neoplasm of melanocytes


Treatment: surgery, and if that fails, prognosis poor

Depth of invasion best prognostic factor --> <> 1.7 mm – potential for metastasis

Asymmetry, borders irregular, color changes, diameter increased

Pemphigus vulgaris

oral mucosa - how vulgar

Pediculosis (lice)

Tx: Pyrethrins > (OTC – over the counter)

Psoriasis


New Latin, from Greek psōriasis, from psōrian to have the itch, from psōra itch

Pruritus may or may not be present

Silvery scaly lesions
> extensor surfaces: elbows, knees

Treatment: Phototherapy --> UVA, UVB or PUVA

Scabies


Caused by mite Sarcoptes scabei

Seborrheic Dermatitis (dandruff)

Tx: shampoo > Zinc, Selenium

Stasis Dermatitis

Lower extremities, hyperpigmentation, extravasated blood, hemosiderin in the tissue, varicose veins

Steven's Johnson Syndrome


Stevens – Johnson Syndrome (Erythema multiforme major) --> Hypersensitivity reaction to drugs --> mucous membrane involvement --> oral cavity , conjunctiva , respiratory tract

Toxic Shock Syndrome


Toxic Shock Syndrome --> staphylococcus attached to a foreign body (tampon use in female during menstruation)

Urticaria or Hives

Antihistaminic

Vitiligo


It is believed that Michael Jackson suffered from vitiligo

Depigmentation

Patients often have antibodies to melanin

Warts


Caused by human papillomavirus
(HPV)

Hirsutism


Drugs: minoxidil

Impetigo


Cause:

Staphylococci>Streptococci

Squamous Cell Carcinoma


Develops in preexisting actinic (solar) keratosis lesions which follow sun exposure

Keloids


Do not excise, you might make it worse (remember 'Flowers of Hiroshima')

Moles


Treatment
: Observe closely, biopsy/excise any suspicious lesion, avoid sun exposure/wear sun block

The...Tineas!

.

Tinea Capitis


Treatment

Oral antifungal

Tinea Versicolor


Multiple hypo- or hyper- pigmented macular lesions

Where?

Trunk, upper back, upper arm, neck, face

Cause: Malessezia furfur

Tinea Pedis (Athlete Foot)


Treatment: topical antifungal

Erythema Nodosum


Ulcerative colitis

Gay Medical Mnemonic Fiction: Dermatology

Wednesday, February 3, 2010

School of Medicine, medical school, Medical School, medical students, medicine, medical student, student, medical education, research, application, Medicine, residency, financial aid, Office, Education, school, the School, Physician, Medical Schools, graduate students

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