Most common type of skin cancer in USA - ANS Skin cancer
Most common type of skin cancer - ANS basal cell carcinoma
basal cell carcinoma symptoms - ANS Appearance varies; smooth, shiny bump,
pink to pearly white
Basal cell carcinoma common locations - ANS cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - ANS biopsy. if not an option,
refer to derm
, 2
Actinic keratosis - ANS Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard - ANS Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - ANS small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to
ooze, crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
squamous cell cancer - ANS chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANS rims of ears, lips, nose, face
and top of hands
precursor lesion to squamous cell cancer - ANS actinic keratosis
, 3
squamous cell carcinoma diagnosis by? - ANS biopsy gold standard. if biopsy is
not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - ANS
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure
to UV light (sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE) - ANS asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - ANS Most common type of melanoma in dark
skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing
spot or mole in the palms, or the soles of the feet
, 4
seborrheic keratosis - ANS soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ANS Streptococcus pneumoniae- most common
strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - ANS High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions
(purpura) which are non-blanchable
Is bacterial meningitis a reportable disease - ANS yes!
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