PANCE STUDY GUIDE - DERM 5%
If its not itchy its not –
- Eczema
when to use systemic steroids instead of topical? –
when rash covers > 20% of body
____ does NOT cross the Vermillion boarder like herpes –
Perioral Dermatitis
purple, planar, polygonal, pruritic, papules - Lichen Planus
Lichen Planus is linked to –
Hepatitis C
ACEi use
silvery, plate-like scale –
Psoriasis
bleeding spot after skin is pulled in psoriasis –
Auspitz's sign
Acne - once you start getting nodules you are classified at –
Moderate acne
Many nodules –
severe acne
Tx for comedones –
• Benzoyl peroxide
• Retinoids (Tretinoin
Abx for acne - Tetracyclines family –
avoid sun and preg, kids < 8 deposits in teeth
Doxycycline
Tx for Nodules/cysts - Accumetane/Isotretinoin –
DONT get pregnant!, Can elevate lipids
Steroids
Pearly umbilicated papules (1-5 mm) - Molluscum Contagiosum –
pox virus
, • Vesicles grouped on an
erythematous base - Herpes Simplex Virus
hot tub –
Pseudomonas
Tx for Pseudomonas –
Ciprofloxacin
Tx of Tinea –
ketoconazole, clotrimazole
DOC for Capitus –
griseofulvin
Tx of choice for nails –
Terbinafine (Lamisil) or Itraconazole
(Sporanox)
Clinical; "beefy red" with satellite papules/pustules –
Canadia
Tx of Canadia –
Nystatin or Azole (Diflucan)
- Rough, "sandpapery" patch
of scaly papules to
hypertrophic crusted lesions;
pigmented variety –
Actinic Keratosis
dark colored neoplasms –
Noted on face, shoulders,
chest, and back
- Can resemble mal - Seb Keratosis
_____ can convert to SCC –
Actinic Keratosis
Pearly white traslucent rolled boarder –
may bleed and ulcercate. can come and go - Basal Cell Carcinoma
- Localized "eczematous"
area that does not itch –
Squamous Cell Carcinoa
If its not itchy its not –
- Eczema
when to use systemic steroids instead of topical? –
when rash covers > 20% of body
____ does NOT cross the Vermillion boarder like herpes –
Perioral Dermatitis
purple, planar, polygonal, pruritic, papules - Lichen Planus
Lichen Planus is linked to –
Hepatitis C
ACEi use
silvery, plate-like scale –
Psoriasis
bleeding spot after skin is pulled in psoriasis –
Auspitz's sign
Acne - once you start getting nodules you are classified at –
Moderate acne
Many nodules –
severe acne
Tx for comedones –
• Benzoyl peroxide
• Retinoids (Tretinoin
Abx for acne - Tetracyclines family –
avoid sun and preg, kids < 8 deposits in teeth
Doxycycline
Tx for Nodules/cysts - Accumetane/Isotretinoin –
DONT get pregnant!, Can elevate lipids
Steroids
Pearly umbilicated papules (1-5 mm) - Molluscum Contagiosum –
pox virus
, • Vesicles grouped on an
erythematous base - Herpes Simplex Virus
hot tub –
Pseudomonas
Tx for Pseudomonas –
Ciprofloxacin
Tx of Tinea –
ketoconazole, clotrimazole
DOC for Capitus –
griseofulvin
Tx of choice for nails –
Terbinafine (Lamisil) or Itraconazole
(Sporanox)
Clinical; "beefy red" with satellite papules/pustules –
Canadia
Tx of Canadia –
Nystatin or Azole (Diflucan)
- Rough, "sandpapery" patch
of scaly papules to
hypertrophic crusted lesions;
pigmented variety –
Actinic Keratosis
dark colored neoplasms –
Noted on face, shoulders,
chest, and back
- Can resemble mal - Seb Keratosis
_____ can convert to SCC –
Actinic Keratosis
Pearly white traslucent rolled boarder –
may bleed and ulcercate. can come and go - Basal Cell Carcinoma
- Localized "eczematous"
area that does not itch –
Squamous Cell Carcinoa
