NR667 - Derm
Antibiotics: gram + vs gram -; MRSA; pregnancy
Hives
Systemic derm conditions - Shingles / Lupus / Viral Exanthems
Potency
Seborrheic Keratosis - "stuck on appearance"
Cafe Au Lait Spots - hyperpigmentation assoc. w/ Neurofibromatosis
Pityriasis Rosea - Christmas tree pattern distribution / Herald Patch
Seborrheic Dermatitis (aka cradle cap) - Scaly / Greasy; Associated w/ Parkinson's
Head Lice - Pruritis of scalp / Tx with Permethrin
Animal bites - "those who are bitten we tx w/ Augmentin" - ANSWER: Clinical Presentation: subjective &
objective findings
How to diagnose
DDx
Management - pharm & nonpharm
F/u care
Normal course vs Complications
When to refer
Skin CA - ABCDE - ANSWER: A: Asymmetry (best predictor of malignancy)
B: Border
C: Color
D: Diameter larger than a pencil eraser (6mm)
E: Enlarging or Elevated
Basal Cell Carcinoma - ANSWER: Most common but least dangerous form / slow growing / secondary to sun
exposure / typically found on sun-exposed surfaces (most commonly on face as pink or flesh-colored papule)
Commonly described as shiny, waxy, or pearly domed nodule
, Telangiectasis (visible blood vessels across the lesion) = present
Dx: biopsy or excision of lesion
Actinic Keratosis - ANSWER: Dry, rough, scaly, patches that develops on sun-damaged skin & do not heal
(bleeds easily)
Usually many of them & may be a variety of colors d/t an individual's skin tone
Premalignant / precursor to squamous cell carcinoma
An area of erythema surrounds the lesion
Most commonly found on face, bald scalp, & forearms
REFER:
~Treated w/ 5-FU, Cryotherapy, &/or lasers by Dermatologist
Squamous Cell Carcinoma - ANSWER: Malignant tumors of the skin, arising from various skin layers
Slow-growing, scaly appearing, non-healing ulcers
Itchy & bleed easily
Can result from untreated actinic keratosis (more red in color)
Dx: biopsy or excision of lesion
Macule - ANSWER: Primary lesion
Antibiotics: gram + vs gram -; MRSA; pregnancy
Hives
Systemic derm conditions - Shingles / Lupus / Viral Exanthems
Potency
Seborrheic Keratosis - "stuck on appearance"
Cafe Au Lait Spots - hyperpigmentation assoc. w/ Neurofibromatosis
Pityriasis Rosea - Christmas tree pattern distribution / Herald Patch
Seborrheic Dermatitis (aka cradle cap) - Scaly / Greasy; Associated w/ Parkinson's
Head Lice - Pruritis of scalp / Tx with Permethrin
Animal bites - "those who are bitten we tx w/ Augmentin" - ANSWER: Clinical Presentation: subjective &
objective findings
How to diagnose
DDx
Management - pharm & nonpharm
F/u care
Normal course vs Complications
When to refer
Skin CA - ABCDE - ANSWER: A: Asymmetry (best predictor of malignancy)
B: Border
C: Color
D: Diameter larger than a pencil eraser (6mm)
E: Enlarging or Elevated
Basal Cell Carcinoma - ANSWER: Most common but least dangerous form / slow growing / secondary to sun
exposure / typically found on sun-exposed surfaces (most commonly on face as pink or flesh-colored papule)
Commonly described as shiny, waxy, or pearly domed nodule
, Telangiectasis (visible blood vessels across the lesion) = present
Dx: biopsy or excision of lesion
Actinic Keratosis - ANSWER: Dry, rough, scaly, patches that develops on sun-damaged skin & do not heal
(bleeds easily)
Usually many of them & may be a variety of colors d/t an individual's skin tone
Premalignant / precursor to squamous cell carcinoma
An area of erythema surrounds the lesion
Most commonly found on face, bald scalp, & forearms
REFER:
~Treated w/ 5-FU, Cryotherapy, &/or lasers by Dermatologist
Squamous Cell Carcinoma - ANSWER: Malignant tumors of the skin, arising from various skin layers
Slow-growing, scaly appearing, non-healing ulcers
Itchy & bleed easily
Can result from untreated actinic keratosis (more red in color)
Dx: biopsy or excision of lesion
Macule - ANSWER: Primary lesion
