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Contact dermatitis - 🧠 ANSWER ✔✔- linear distribution, localized
-Treatment: topical steroids
Vesicular lesions - 🧠 ANSWER ✔✔treat within 48-72 hours with antiviral
medication.
Chronic ulcerative stomatitis - 🧠 ANSWER ✔✔- autoimmune
- larger in size and number
-weeks-months to resolve
,-resistant to topical steroids
-Treatment: Hydroxychloroquine.
Impetigo - 🧠 ANSWER ✔✔-Honey crusted
-Yellow-dry drainage
-usually on face
-Bullous vs. Nonbullies
-Bullous typically MRSA, Treatment is doxycycline
Pityriasis rosacea - 🧠 ANSWER ✔✔"CHRISTMAS TREE" pattern rash
(rash on CLEAVAGE lines). "HERALD PATCH" - spreads to back and
abdomen
-usually goes away on own
Brown recluse spider bite - 🧠 ANSWER ✔✔- possible white halo
-Systemic symptoms
Erythema Migrans (Lyme disease) and RMSF - 🧠 ANSWER ✔✔- Treatment
is doxycycline
-RMSF: North Carolina, tick bite, rash on palms/soles
,-3-5 days after symptoms begin
-Lyme disease: "bulls' eyes"/Target lesion
- doxycycline (amoxicillin if pregnant).
Measles (Rubeola) - 🧠 ANSWER ✔✔- kolpiks spots
- fever
-cough, congestion, conjunctivitis
-3-5 days after initial symptoms, rash
- Koplik spots are tiny grains of white sand.
- Give MMR at 12 months to prevent reoccurrence.
Mumps - 🧠 ANSWER ✔✔- parathyroid gland swelling (also seen in bulimia)
- salivary gland stone
Actinic keratosis - 🧠 ANSWER ✔✔- dry, scaly lesions on sun-exposed area
-pink, yellow, tan, pale, brown
-Treatment: topical 5FU, cryotherapy
- precursor to squamous cell carcinoma
Cafe-au lait spots - 🧠 ANSWER ✔✔- hyperpigmentation
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3
, -typically, benign
-> 6-8, underlying neurofibromatosis
Intertrigo - 🧠 ANSWER ✔✔- rash present in skin folds
-minimize moisture, antifungal, topical steroids
Malignant melanoma - 🧠 ANSWER ✔✔-asymmetry, border color, diameter
> 6mm, evolution
- black/brown spot under nail vs. splinter hemorrhage (endocarditis).
Seborrheic keratosis - 🧠 ANSWER ✔✔-"pasted on", older adults
- benign
Basal cell carcinoma - 🧠 ANSWER ✔✔-shiny, waxy, pearly
- telangiectasias present= visible blood vessels across lesion.
- most common type of skin cancer
-Biopsy, refer to dermatology.
Atopic dermatitis (Eczema) - 🧠 ANSWER ✔✔-intensely pruritic, itch,
scratch, itch cycle
- located on flexor surfaces (creases)