Sarah Michelle Crash Course - Questions
And Answers
Treatment for Rocky Mountain Spotted Fever - -Doxycycline for any age and
regardless of pregnancy
-Presentation of Rocky Mountain Spotted Fever - -Rash on palms of hands
and soles of feet pops up after 3-5 days of initial treatment
-Presentation of Lyme Disease - -Bulls eye rash
-Lyme disease is also known as... - -Erythema migrans
-Treatment for Lyme disease over 8 years old - -Doxycycline
-Treatment for Lyme disease less than 8 years old - -Amoxicillin
-Aphthous Stomatitis vs herpes - -Aphthous Stomatits: kanker sore inside
the mouth
Herpes: painful clustered vesicles located outside the mouth
-Treatment for herpes - -Antivirals with 48-72 hours
Valtrex or Acyclovir
-Impetigo - 2 causes of bacteria - -Staph aureus & strep pyogenies
-Impetigo presentation - -Honey crusted lesions
-2 types of Impetigo treatment - -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
-Pityriasis Rosea presentation - -Christmas tree like pattern rash
Herald Patch
-pityoriasis rosea treatment - -Self limiting
-Rubeola presentation - -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
-Rubeola prevention - -MMR vaccine after 12 months old
( live vaccine)
-Mumps presentation - -Parotid gland swelling
,-Sialolithiasis: what is it! - -Salivary gland stone
Mass under chin when eating
-actinic keratosis presentation - -Dry pink lesions on a sun exposed area
-actinic keratosis treatment - -5FU cream (topical chemo) and use liquid
nitrogen (cryotherapy)
-If actinic keratosis is left untreated, what can it develop into? - -squamous
cell carcinoma
-sqamous cell carcinoma presentation - -Slow growing scaly ulcerated,
bleeds easily
-if squamous cell CA is suspected and a visible lesion is present, the next
step should be - -Refer to dermatology
-ABCDEs of melanoma - -asymmetry, border, color, diameter >6 mm,
evolving
-seborrheic keratosis: do lesions need to be removed - -No- they are benign
-most common type of skin cancer - -basal cell carcinoma
-basal cell carcinoma presentation - -Shiny, waxy, pearly
May see telangiectasia with this
-basal cell carcinoma : what should we do if we see this - -Refer to derm
-Another name for atopic dermatitis - -Eczema
-eczema (atopic dermatitis) presentation - -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
-Eczema, atopic dermatitis - treatment - -Topical corticosteroids
-3A's - -Asthma, allergies, atopic dermatitis
-Plaque Psoriasis presentation - -Silvery scales, itches
-auspitz sign, psoriasis - -pinpoint bleeding after a scale is removed or after
-Koebner phenomenon - -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
-Plaque psoriasis treatment - -Topical steroids
, -Contact dermatitis treatment - -avoid offending agents, corticosteroids
-Shingles presentation - -Severe, piercing, burning, stabbing nerve pain
along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
-shingles (herpes zoster) treatment - -Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
-Shingles prevention - -Shingrix (50 years and older). Most effective and
preferred because it's inactivated. We can give out no matter when the last
outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
-Which type of shingles must be referred out? - -Shingles close to the eyes.
Refer to ophthalmology. It may lead to vision loss
-Scabies presentation - -- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites
for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--
the burrow; but infants often do not have burrows on presentation.
-Scabies treatment - -Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
-chicken pox prevention - -Live attenuated vaccine
Only to be given after 12 months old
-When can children return to school after chickenpox - -When all the lesions
are crushed over
-Molluscum contagiosum presentation - -Flesh-colored papules w/ central
umbilication. Contagious
-anthrax presentation - -Ulcerated, black, and painless
And Answers
Treatment for Rocky Mountain Spotted Fever - -Doxycycline for any age and
regardless of pregnancy
-Presentation of Rocky Mountain Spotted Fever - -Rash on palms of hands
and soles of feet pops up after 3-5 days of initial treatment
-Presentation of Lyme Disease - -Bulls eye rash
-Lyme disease is also known as... - -Erythema migrans
-Treatment for Lyme disease over 8 years old - -Doxycycline
-Treatment for Lyme disease less than 8 years old - -Amoxicillin
-Aphthous Stomatitis vs herpes - -Aphthous Stomatits: kanker sore inside
the mouth
Herpes: painful clustered vesicles located outside the mouth
-Treatment for herpes - -Antivirals with 48-72 hours
Valtrex or Acyclovir
-Impetigo - 2 causes of bacteria - -Staph aureus & strep pyogenies
-Impetigo presentation - -Honey crusted lesions
-2 types of Impetigo treatment - -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
-Pityriasis Rosea presentation - -Christmas tree like pattern rash
Herald Patch
-pityoriasis rosea treatment - -Self limiting
-Rubeola presentation - -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
-Rubeola prevention - -MMR vaccine after 12 months old
( live vaccine)
-Mumps presentation - -Parotid gland swelling
,-Sialolithiasis: what is it! - -Salivary gland stone
Mass under chin when eating
-actinic keratosis presentation - -Dry pink lesions on a sun exposed area
-actinic keratosis treatment - -5FU cream (topical chemo) and use liquid
nitrogen (cryotherapy)
-If actinic keratosis is left untreated, what can it develop into? - -squamous
cell carcinoma
-sqamous cell carcinoma presentation - -Slow growing scaly ulcerated,
bleeds easily
-if squamous cell CA is suspected and a visible lesion is present, the next
step should be - -Refer to dermatology
-ABCDEs of melanoma - -asymmetry, border, color, diameter >6 mm,
evolving
-seborrheic keratosis: do lesions need to be removed - -No- they are benign
-most common type of skin cancer - -basal cell carcinoma
-basal cell carcinoma presentation - -Shiny, waxy, pearly
May see telangiectasia with this
-basal cell carcinoma : what should we do if we see this - -Refer to derm
-Another name for atopic dermatitis - -Eczema
-eczema (atopic dermatitis) presentation - -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
-Eczema, atopic dermatitis - treatment - -Topical corticosteroids
-3A's - -Asthma, allergies, atopic dermatitis
-Plaque Psoriasis presentation - -Silvery scales, itches
-auspitz sign, psoriasis - -pinpoint bleeding after a scale is removed or after
-Koebner phenomenon - -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
-Plaque psoriasis treatment - -Topical steroids
, -Contact dermatitis treatment - -avoid offending agents, corticosteroids
-Shingles presentation - -Severe, piercing, burning, stabbing nerve pain
along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
-shingles (herpes zoster) treatment - -Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
-Shingles prevention - -Shingrix (50 years and older). Most effective and
preferred because it's inactivated. We can give out no matter when the last
outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
-Which type of shingles must be referred out? - -Shingles close to the eyes.
Refer to ophthalmology. It may lead to vision loss
-Scabies presentation - -- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites
for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--
the burrow; but infants often do not have burrows on presentation.
-Scabies treatment - -Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
-chicken pox prevention - -Live attenuated vaccine
Only to be given after 12 months old
-When can children return to school after chickenpox - -When all the lesions
are crushed over
-Molluscum contagiosum presentation - -Flesh-colored papules w/ central
umbilication. Contagious
-anthrax presentation - -Ulcerated, black, and painless
