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PAEA EOR PEDIATRIC TOPIC LIST Q&A
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PAEA EOR PEDIATRIC TOPIC LIST Q&AWhat is the common causative "bug" in diaper dermatitis? Correct Ans -
Candidiasis
What is the treatment for diaper dermatitis, commonly caused by candida?
Correct Ans - Topical Nystatin, Lotrimin, Diflucan (Fluconazole) PO for 2
weeks
Keep area clean, dry and open to air!
Perioral dermatitis is most common in what age group? Correct Ans -
Young women (age 16-45)
Patient presents with discrete erythematous micropapules and
micropapulovesicles that often become confluent on the face with "sparing of
the vermilion border". What is the likely diagnosis? Correct Ans -
Perioral dermatitis
The cause of perioral dermatitis is unknown but can be aggravated by chronic
________ use Correct Ans - oral steroid
What is the treatment for perioral dermatitis, a common skin disorder in
young women that presents with micropapulovesicles that spare the
vermillion border? Correct Ans - Avoid topical steroids. Topical tx:
Metronidazole .75% gel BID or Azelaic acid BID, erythromycin 2% gel BID.
Systemic tx: Minocycline/Doxycycline 100mg daily until clear, then 50mg
daily for another 2 months
What are some common allergy causing drugs in peds? Correct Ans -
Anticonvulsants, Insulin (esp animal sources of insulin), Iodinated (containing
iodine) xray contrast dyes (these can cause allergy-like reactions), Penicillin
and related antibiotics, Sulfa drugs
Jessie is a 4y2mo old female presenting to your clinic with a history of what
appears to be a 1st exposure drug reaction. You know that since it is the first
time, she likely hasn't had any problems and her immune system may have
produce an antibody called ___ against the drug. Correct Ans - IgE
,1st exposures to allergies don't always cause drug eruptions because your
body makes an antibody (IgE). However, in the second exposure your body
makes _____ which causes the allergy symptoms. Correct Ans -
histamine
What are the 6P's of Lichen Planus? Correct Ans - Planar, purple,
polygonal, pruritic, papules, plaques
Patients with lichen planus may present with lacy, reticular white lines
covering the lesions. These are called.. Correct Ans - Wickham Striae
Patients with lichen planus may form in lines related to scratching. This is
called the _______ phenomenon. Correct Ans - Koebner
After lesion resolution occurs in lichen planus, post inflammatory
________________________ may cocur. Correct Ans - Hyperpigmentation
What is the normal distribution of lichen planus/ Correct Ans -
Cutaneous lesions form on FLEXOR surfaces of: wrists, forearms, legs.
Oral lichen planus, genitalia, scalp lichen planus, nail lichen planus
WHAT IS TREATMENT OF LICHEN PLANUS? Correct Ans - USUALLY
SELF LIMITING, BUT CAN BE TREATED WITH ANTIHISTAMINES LIKE
HYDROXYZINE, OR LOCAL STEROIDS LIKE BETHAMETHASONE ETC
LICHEN PLANUS LOOKS LIKE THIS.......... Correct Ans -
What is the normal age of onset of pityriasis rosea? Correct Ans - 10 -
43 years
Pityriasis roasea is most common in what seasons? Correct Ans -
Fall/spring
Though the etiology of pityriasis rosea is unknown, this virus is suspected.
Correct Ans - suspect herpes virus type 7 (HSV 7)
Presents with single Herald Patch- oval slightly scaly plaque 2 cm, salmon
colored with fine callorette of scale. 2 weeks later-fine scaling papules and
,plaques with collarette of scale in a Christmas tree distribution of trunk. What
is the likely diagnosis? Correct Ans - Pityriasis Rosea
T or F. Pityriasis Rosea is usu. self-limited and resolves on its own in 6-12
weeks. Correct Ans - True
What is the treatment for pityriasis rosea? Correct Ans -
antihistamines, topical steroids, UVB light. self limiting
THIS IS WHAT PITYRIASIS ROSEA LOOKS LIKE.............. Correct Ans -
JJ is a 7yr3mo female who presents with a fever, chills and body aches.
Integumentary exam reveals a painful purplish red rash that spreads and
blisters. What syndrome is she suffering from? Correct Ans - Steven
Johnson Syndrome
This is a vesiculobullous disease of skin, mouth, eyes, genitalia. Ulcerative
stomatitis leads to hemorrhagic crusting. Correct Ans - Steven Johnson
Syndrome
Name 5 drugs that may cause SJS. Correct Ans - sulfonamides, PCN,
phenytoin, phenobarbital, Allopurinol
What is the treatment for SJS including supportive treatment? Correct Ans
- D/C offending drug immediately. Supportive tx: fluid and electrolyte
balance, fluids, high caloric supplementation, prevention of sepsis. Steroids-
controversial
This is a progression of SJS to full thickness skin detachment. Correct Ans
- Toxic epidermal necrosis
Sheet like peeling of the epidermis with slight pressure is called a positive
____________ sign and is often seen in toxic epidermal necrosis Correct Ans -
Nikoloksy
What is the treatment for toxic epidermal necrosis? Correct Ans -
Aggressive fluid & electrolyte management, wound care, pain control
, What is the principle risk factor for erythema multiforme? Correct Ans -
HSV
Patient presents with targetoid "iris" lesions that are dusky red and round,
maculopapules, typically on extremities, may have oral mucosal involvement.
What is the likely diagnosis? Correct Ans - Erythema Multiforme
This skin disorder occurs in younger males, freq recurrences, less fever,
milder mucosal lesions, no association with collagen vascular dz, HIV, or
cancer
(SJS, Erythema Multiforme, TEN)?? Correct Ans - Erythema Multiforme
What is the treatment for erythema multiforme, a skin d/o that occurs in
younger males that presents with targetoid "iris" lesions that are dusky, red
and round, maculopapules that are typically on extremities and may have
mucosal involvement? Correct Ans - Prednisone
THIS IS ERYTHEMA MULTIFORME................ Correct Ans -
WHAT IS AN EXANTHEM? Correct Ans - *any eruptive skin rash that
may be associated with fever or other systemic symptoms.
*Causes include infectious pathogens, medication reactions and, occasionally,
a combination of both.
*In children, exanthems are most often related to infection and, of these, viral
infections are the most common.
THIS IS AN EXANTHEM....... Correct Ans - EXAMPLE IS ROSEOLA
Open comedones are called _____ heads, while closed comedones are called
_____heads Correct Ans - black, white
How do you manage acne vulgaris/ Correct Ans - *Do not squeeze
lesions: forces pus into dermis, causes inflammation and scarring.
*Limit washing face to 2-3 times per day.
*Avoid abrasive soaps, gear soap to skin condition. Skin dry: Purpose soap.
Skin oily: Dial soap.
*Change cosmetics to water based products.
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