Sara Michelle's Crash Course Exam Study
Guide
Aphthous Stomatitis - answerinside of the mouth
red base with white ulcer
topical relief
Herpes - answeroutside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - ...
Aphthous Stomatitis - answer✔inside of the mouth
red base with white ulcer
topical relief
Herpes - answer✔outside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - answer✔Chicken bumps
seen in children
most of the time will outgrow
rough patches small acne- like bumps from too much keratin blocking hair follicles
TXT: emollients & moisturizers
Rocky Mountain Spotted Fever - answer✔Tic Bite
TXT: Doxycycline- even if pregnant
rash 3-5 days after symptoms on palms of hands and soles of feet
North Carolina
Sialolithiasis - answer✔mass under the chin while eating
salivary gland stone
Actinic keratosis - answer✔dry pink lesions on sun exposed areas
if left untreated may lead to CANCER- squamous cell carcinoma
TXT: 5-FU or cryotherapy
Cafe au Lait Spotsq - answer✔Benign & do not require interventions unless you have more that
8= neurofibromatosis
Malignant Melanoma - answer✔Asymmetry
Border irregularity
Color
Diameter > 6mm
Evolving or Elevated above the skin
could also present as a dark spot under the nail that is not related to trauma
Splinter hemorrhage - answer✔black lines under the nail not related to melanoma but caused by
endocarditis
Seborrheic Keratosis - answer✔Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - answer✔Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - answer✔Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - answer✔Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Shingles - answer✔Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent corneal scaring &
blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated also give at 50 years
old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury - answer✔red does not blanch
no breaks in the skin
Unstageable pressure injury - answer✔can not see the depth of the wound bed because of the
presents of a sloth
Eschar on the heel - answer✔typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the patient
Scabies - answer✔between fingers & ties intently pruritic & everyone in the house has same
symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get rid of it
effectively
Chicken Pox - answer✔Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice - answer✔Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may need 2
treatments. wash bedding & other items in hot water
Molluscum Contagiosum - answer✔If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - answer✔Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - answer✔Recurrent issue- not due to hygiene more linked to genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
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