what words should you think for molluscum? - Answers dome shaped and umbilicated papules
- not resolving
Older-elderly adult with dry, round, red colored unhealing lesions, rough and scaly
"feels like sandpaper" - Answers actinic keratosis
An erythemous, indurated lesion with scaling present is likely? - Answers Squamous cell carcinoma
ABCDE of melanoma detection - Answers A - asymmetry
B - border irregularity
C - color changes
D- diameter > 6mm
E - evolving / changing size
Waxy pearly domeshaped lesion that does not heal - Answers basal cell carcinoma
hypopigmented round macules on the chest and shoulders that appear after sun exposure - Answers
tinea versicolor
annular plaque with central clearing and scaling at the edges - Answers tinea corporis = ring worm
how to treat tinea infections? - Answers 1st line: topicial terbinifine BID x 7-14 days
2nd line: topical azoles BID x 7-14 days
when to use PO terbinifine? - Answers 1. onychomycosis --> use 250 mg daily x 90 days (very long)
, 2. if poor response to topical treatment
3. if large body surface area is affected
Tinea versicolor treatment options - Answers 1st line = selenium sulfide shampoo
2nd line = oral fluconazole
candida infections treatment options - Answers 1st line = clotramazole cream
2nd line = desonide or hydrocortisone 1% steroid cream
sebborhaic dermatitis treatment options - Answers 1st line = ketoconazole topical
2nd line = desonide or hydrocortisone 1% cream
patient presents to high temps, followed by pink maculo-papular rash with white halos to the trunk
ages 6 months - 4 years - Answers roseola infantum (6th disease)
patient presents with red rash to cheeks, "slap like", low grade temp
4-10 year olds - Answers erythema infectiousm (5th disease)
= parvovirus
maculopapular rash to face with fever and koplik spots in unvaccinated child - Answers measles
morbilliform - Answers resembling measles
maculopapular rash that starts on face and progress to rest of body within 24 hours
+ for petichial lesions to soft palata - Answers rubella
+ forsheimer's sign