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Sara Michelle's Crash Course| Questions with Verified Answers
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Sara Michelle's Crash Course|Questions with Verified Answers
Splinter hemorrhage - ✔black lines under the nail not related to melanoma but caused
by endocarditis
Seborrheic Keratosis - ✔Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - ✔Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - ✔Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - ✔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
,Contact Dermatitis - ✔Linear distribution
TXT: topical steroids & avoid irritant
Shingles - ✔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 - ✔red does not blanch
no breaks in the skin
TXT: foam dressings
Unstageable pressure injury - ✔can not see the depth of the wound bed because of
the presents of a sloth
Eschar on the heel - ✔typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the patient
Scabies - ✔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 - ✔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 - ✔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 - ✔If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - ✔Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - ✔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
Folliculitis - ✔infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
, Rosacea - ✔Erythematous facial rash that does NOT spare the
nose TXT: topical flatly gel
Lupus - ✔Erythematous facial rash that DOES spare the nasolabial folds (MALOR RASH)
Sjogren's Syndrome - ✔Very dry eyes &
mouth commonly seen in Lupus
Erysipelas - ✔Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
Purulent Cellulitis - ✔Possible MRSA
Bactrim
Clindamyacin
Doxycline
Non-Purulent Cellulitis - ✔Erythematous angry looking swollen
TXT: Keflex or PCN
Geographical tongue - ✔BENIGN
caused by spicy & hot foods
Leukoplakia - ✔can not scrape off of tongue
refer to dentists
commonly seen with HIV
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