AANP 2025 Complete Review 2-2 (1)
100% Verified
Downloaded by: gradebooster |
Distribution of this document is illegal
,AANP 2020 Review:
1. Penny and Ruphy Crash Course
2. Walden Review
3. Haley Review
4. Helen Stone Crash Course
Dermatology
Descriptor words are the most words, do not focus on the location that will help you
the most.
Acne Rosacea “N95 Acne”
• Acne around the nose and mouth, pimples are small and cause discoloration
of the skin.
• Treat with topical metronidazole gel, topical sulfa drugs.
Scabies
• mites, they burrows they will have a linear lesion, serfientine lesions, it is not
an infection. Treat with Prometheren cream 5% for 8-14 hours, wash
everything soap and water and treat close contacts.
Fifth’s disease (erythema infectiousium)
• young patients with slapped rosy red cheeks This is an infection of parvo virus
B19
• Confirmed by clinical assessment this is (cheap). Stay hydrated, and prevent
fever.
ROSEeola inphantom
• (maculopapular rash, also known as 6 th disease caused by human herpes virus
6)
• High fever caused by URI when the fever goes away than a rash forms. Tx by
supportive care, hydration, ibuprofen.
Hand foot and mouth
• (cocksucker of a disease or cocksacky 16 virus) symptomatic care.
• Blisters on the hands, feet, inside the mouth, patient will complain of sore
throat, anorexia, pain with acidic foods
• Treat with salt water gargles, NSAIDs for pain no asprin.
RubeOla
• It is the Original measles, cOugh, cOryza (runny nose), cOnjectivits, kOplik
spot, high grade fever, macular papular rash.
• With this disease the rash and fever stay unlike roseola.
• You treat these patients with the measles vaccine at 12 months of age
because it is a live vaccine. Their immune system needs to be strong. You
cannot give this to a pregnant mom, you have to wait four weeks to give this
vaccine. If the patient is 13 years old make sure you tell them to wear
protection they cannot get pregnant. What if a patient had a blood transfusion
when can you give it to them then? It takes 3 months for us to replace our red
blood cells so they have to wait three months.
, • measles, mumps, rubella vaccinations do not give to pregnant ladies, no
immunocompromised
Rubella
• rebel against the Germans for three days (it only last three days). It is a low
grade fever and they have a rash with the fever for only three days. The rash
macular papular rash is the entire body.
Kawasaki’s disease
• patients will have a strawberry tongue, desquamation of the hands and feet,
swelling of the hands and feet, and hemorrhagic conjunctivitis.
• This is from a viral infection and affects the medium size arteries from head to
toe.
• With these patients we need to give them high doses of aspirin and IGG
therapy to avoid blood clots from inflammation of the arteries.
Scarlentina or Scarlet Fever (group b strep)
• Sandpaper rash, strawberry tongue, and strep throat the three S’s.
• Scarlintina is caused by Strep Throat we treat strep throat with Penicillian VK
Mumps
• complication from the mumps can cause inflammation of testies, mastitis, or
inflammation of ovaries. Patients will have puffy cheeks up by the ear, the
salivary gland up by the ear that is inflamed called parotitis they will have
fever, muscle aches, loss of appetite (ooforitis, orchitis)
Ring worm
• Annular lesion with central clearing
• Tinnia corprus (my body is a corpes) It is superficial you have to use a topical.
(azole is antifungals). It is a dry circular lesion with central clearing. Treat with
clometrazole.
• Tinnia capitis (in the hair) and tinnea innumguinal (in the finger nail) use
grycofluvent or turfenapine (6-12 months of treatment usually) orally or any
other oral medications that end in “azole” These are in the hair follicles, and
hard to reach places requiring oral treatment. Obtain a baseline LFT prior to
giving these medications. This type of fungus takes time to heal.
Basal Cell Carcinoma
• is the most common skin cancer- PUTS (pearly, ulcerated, telegenic vessels,
shiny).
• Do a shave biopsy to further assess this lesion and refer to dermatology.
The most common cancer resulting in mortality is melanoma because it usually
metastases before we know about it.
, Squamous Cell Carcinoma
• scaly, bleeds very easily. We do not biopsy benign lesions. Actinic Keratosis is
the precursor to squamous cell carcinoma. It is rough, flesh colored, and scaly
in sun exposed areas. Tx with cryotherapy (burns skin lesions off) or 5FU
cream squamous cell carcinoma.
• RUBS (rough, ulcerated, bleeds easy, scaly) this is the key to finding
squamous cell carcinoma.
• If you rub the lesion and it does not come off, and has been there over time,
than it is actinic keratosis.
• Do not remove skin cancer lesions on the face, refer them to dermatology, if
not on the face do a punch biopsy to give dermatology a reference of how far
the cancer is.
Melanoma
• Assess and refer. This is the cancer that will kill you. It is a silent killer. Cancer
does not grow in a symmetrical form it will be asymmetrical, irregular borders.
• 6mm or bigger, brown lesion
Impetigo “The Florida Creep and Crud”
• honey colored lesions on the lips. Treat topical use muporicin or bactroban.
Caused by Strep pyogenes, and staph areas are gam positive on our skin.
• It travels, and is highly contagious.
Erysipelas
• Upper dermal layer infection caused by staph aurerus gram positive
• Well demarcated lesion, you can see everything that is red on this patients,
erythema, induration.
• Treat with Keflex or dicloxcillin. If allergic to PCN give macrolide such as
azithromycin, erythromycin, clarithromycin.
Fun fact levofloxin can cause achillies tendon rupture, do not give to children, and
can cause cardiovascular issues such as prolonged QT intervals in elderly.
MRSA
• purulent drainage, bacterium, clindamycin, and doxycycline are the only
treatments. PURLENT drainage key indicator
Lyme Disease
• Errythemia Nigricans, bulls eye lesions, this is referred to as lymme disease,
treat with doxycycline.
Rocky Mountain Spotted Fever.
• Macular papular rash on the hands and feet.
• patient was out camping, fever, rash on hands and feet. Treat lyme disease
and RMSF treat with doxycycline 100mg BID for 10-21 days. If patients rash
does not clear up and is still sick, the dose will need to be extended. In 21
days if it does not get better THAN refer.
• You need to do everything you can in practice. The differential diagnosis is
syphilis we diagnose syphillis with RPR tx with PEN G. G is for Gonads. RPR is
the cheaper test than a punch biopsy so do an RPR VDL to check between
RMSF or syphilis
Mollusca Contagiousum
• Water bead with a central plug
This is a viral infection, it is itchy, no treatment, treat symptoms, give
Atatarax, or reinol to stop itching and get rid of fluid.
100% Verified
Downloaded by: gradebooster |
Distribution of this document is illegal
,AANP 2020 Review:
1. Penny and Ruphy Crash Course
2. Walden Review
3. Haley Review
4. Helen Stone Crash Course
Dermatology
Descriptor words are the most words, do not focus on the location that will help you
the most.
Acne Rosacea “N95 Acne”
• Acne around the nose and mouth, pimples are small and cause discoloration
of the skin.
• Treat with topical metronidazole gel, topical sulfa drugs.
Scabies
• mites, they burrows they will have a linear lesion, serfientine lesions, it is not
an infection. Treat with Prometheren cream 5% for 8-14 hours, wash
everything soap and water and treat close contacts.
Fifth’s disease (erythema infectiousium)
• young patients with slapped rosy red cheeks This is an infection of parvo virus
B19
• Confirmed by clinical assessment this is (cheap). Stay hydrated, and prevent
fever.
ROSEeola inphantom
• (maculopapular rash, also known as 6 th disease caused by human herpes virus
6)
• High fever caused by URI when the fever goes away than a rash forms. Tx by
supportive care, hydration, ibuprofen.
Hand foot and mouth
• (cocksucker of a disease or cocksacky 16 virus) symptomatic care.
• Blisters on the hands, feet, inside the mouth, patient will complain of sore
throat, anorexia, pain with acidic foods
• Treat with salt water gargles, NSAIDs for pain no asprin.
RubeOla
• It is the Original measles, cOugh, cOryza (runny nose), cOnjectivits, kOplik
spot, high grade fever, macular papular rash.
• With this disease the rash and fever stay unlike roseola.
• You treat these patients with the measles vaccine at 12 months of age
because it is a live vaccine. Their immune system needs to be strong. You
cannot give this to a pregnant mom, you have to wait four weeks to give this
vaccine. If the patient is 13 years old make sure you tell them to wear
protection they cannot get pregnant. What if a patient had a blood transfusion
when can you give it to them then? It takes 3 months for us to replace our red
blood cells so they have to wait three months.
, • measles, mumps, rubella vaccinations do not give to pregnant ladies, no
immunocompromised
Rubella
• rebel against the Germans for three days (it only last three days). It is a low
grade fever and they have a rash with the fever for only three days. The rash
macular papular rash is the entire body.
Kawasaki’s disease
• patients will have a strawberry tongue, desquamation of the hands and feet,
swelling of the hands and feet, and hemorrhagic conjunctivitis.
• This is from a viral infection and affects the medium size arteries from head to
toe.
• With these patients we need to give them high doses of aspirin and IGG
therapy to avoid blood clots from inflammation of the arteries.
Scarlentina or Scarlet Fever (group b strep)
• Sandpaper rash, strawberry tongue, and strep throat the three S’s.
• Scarlintina is caused by Strep Throat we treat strep throat with Penicillian VK
Mumps
• complication from the mumps can cause inflammation of testies, mastitis, or
inflammation of ovaries. Patients will have puffy cheeks up by the ear, the
salivary gland up by the ear that is inflamed called parotitis they will have
fever, muscle aches, loss of appetite (ooforitis, orchitis)
Ring worm
• Annular lesion with central clearing
• Tinnia corprus (my body is a corpes) It is superficial you have to use a topical.
(azole is antifungals). It is a dry circular lesion with central clearing. Treat with
clometrazole.
• Tinnia capitis (in the hair) and tinnea innumguinal (in the finger nail) use
grycofluvent or turfenapine (6-12 months of treatment usually) orally or any
other oral medications that end in “azole” These are in the hair follicles, and
hard to reach places requiring oral treatment. Obtain a baseline LFT prior to
giving these medications. This type of fungus takes time to heal.
Basal Cell Carcinoma
• is the most common skin cancer- PUTS (pearly, ulcerated, telegenic vessels,
shiny).
• Do a shave biopsy to further assess this lesion and refer to dermatology.
The most common cancer resulting in mortality is melanoma because it usually
metastases before we know about it.
, Squamous Cell Carcinoma
• scaly, bleeds very easily. We do not biopsy benign lesions. Actinic Keratosis is
the precursor to squamous cell carcinoma. It is rough, flesh colored, and scaly
in sun exposed areas. Tx with cryotherapy (burns skin lesions off) or 5FU
cream squamous cell carcinoma.
• RUBS (rough, ulcerated, bleeds easy, scaly) this is the key to finding
squamous cell carcinoma.
• If you rub the lesion and it does not come off, and has been there over time,
than it is actinic keratosis.
• Do not remove skin cancer lesions on the face, refer them to dermatology, if
not on the face do a punch biopsy to give dermatology a reference of how far
the cancer is.
Melanoma
• Assess and refer. This is the cancer that will kill you. It is a silent killer. Cancer
does not grow in a symmetrical form it will be asymmetrical, irregular borders.
• 6mm or bigger, brown lesion
Impetigo “The Florida Creep and Crud”
• honey colored lesions on the lips. Treat topical use muporicin or bactroban.
Caused by Strep pyogenes, and staph areas are gam positive on our skin.
• It travels, and is highly contagious.
Erysipelas
• Upper dermal layer infection caused by staph aurerus gram positive
• Well demarcated lesion, you can see everything that is red on this patients,
erythema, induration.
• Treat with Keflex or dicloxcillin. If allergic to PCN give macrolide such as
azithromycin, erythromycin, clarithromycin.
Fun fact levofloxin can cause achillies tendon rupture, do not give to children, and
can cause cardiovascular issues such as prolonged QT intervals in elderly.
MRSA
• purulent drainage, bacterium, clindamycin, and doxycycline are the only
treatments. PURLENT drainage key indicator
Lyme Disease
• Errythemia Nigricans, bulls eye lesions, this is referred to as lymme disease,
treat with doxycycline.
Rocky Mountain Spotted Fever.
• Macular papular rash on the hands and feet.
• patient was out camping, fever, rash on hands and feet. Treat lyme disease
and RMSF treat with doxycycline 100mg BID for 10-21 days. If patients rash
does not clear up and is still sick, the dose will need to be extended. In 21
days if it does not get better THAN refer.
• You need to do everything you can in practice. The differential diagnosis is
syphilis we diagnose syphillis with RPR tx with PEN G. G is for Gonads. RPR is
the cheaper test than a punch biopsy so do an RPR VDL to check between
RMSF or syphilis
Mollusca Contagiousum
• Water bead with a central plug
This is a viral infection, it is itchy, no treatment, treat symptoms, give
Atatarax, or reinol to stop itching and get rid of fluid.
