Dermatology worksheets

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Dermatology Flashcards on Dermatology worksheets, created by Ashutosh Kumar on 22/02/2017.
Ashutosh Kumar
Flashcards by Ashutosh Kumar, updated more than 1 year ago
Ashutosh Kumar
Created by Ashutosh Kumar about 8 years ago
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Question Answer
Jim tripped a few days ago landing on his hands and knees. Today he feels generally unwell, feels hot and cold at times, and complains of a painful left hand. Describe what you see, using the appropriate terminology. What is the diagnosis? What treatment if any, would you offer Jim? What advice would you give him? 2cm crusting lesions, abrasion to hypothenar eminence, lymphadenitis. Infected abrasion surrounded by cellulitis. Oral antibiotics, clean and dress the wound, ask when he last had a tetanus shot.
Ashleigh, age 3, is bought in by her mother. She has had a runny nose and a cough for about a week. She has skin lesions as shown, present for a few days and getting worse. She is not febrile or generally unwell. Describe what you see. What are the key features? What is the diagnosis? What is this condition otherwise known as? What is the likely causative organism? What treatment and advice might you offer? Crusting confluent rash involving predominantly the left nostril and cutaneous upper lip with erythema of the underlying skin. Impetigo and cellulitis. School sores. Staph. Aureus. Topical and oral flucloxacillin.
Mike has a recurring between his toes, which is sometimes a bit itchy. He blames it on walking around barefoot at the public swimming pool. Describe your findings. What is the diagnosis? What treatment advice would you offer? Erythematous fissuring rash showing maceration. Athlete’s foot/tinea pedis. Topical miconazole.
Cellulitis Well or unwell? Febrile or not? Acute or chronic? Itchy or not? Exudate or not? Surrounding skin is..? Unwell Febrile Acute Not Not Erythematous
Impetigo Well or unwell? Febrile or not? Acute or chronic? Itchy or not? Exudate or not? Surrounding skin is..? Unwell Not Acute Not Exudate Erythematous
Fungal Infection Well or unwell? Febrile or not? Acute or chronic? Itchy or not? Exudate or not? Surrounding skin is..? Well Not Chronic Itchy Not Maceration
Name and describe this primary lesion. Give its usual dimensions. What is a bigger version of this lesion known as? Fluid filled vesicle (<0.5 cm in diameter), erythema of surrounding skin. Bulla.
David is a 54 year old man who presents with this painful rash. He feels tired and run down and has recently been under quite a bit of stress. Describe this rash using appropriate terminology. What is the likely diagnosis? What complications can you think of? How will you treat him? Right sided vesicular rash that is red and raised following T4 dermatome. Shingles (varicella zoster causes chicken pox and then reactivation in later life is called shingles/herpes zoster). Post herpetic neuralgia. Acyclovir in 1st 72 hrs (amitriptyline or gabapentin can be used later if need).
Matthew, age 4, presents with a widespread itchy rash, characterised by lesions similar to those illustrated on the previous page. He is mildly unwell with a low-grade fever, anorexia and listlessness. The rash was initially maculo-papular, appeared first on his face and is now on his trunk, abdomen and there are a few spots in crops on his limbs. What is the likely diagnosis? What treatment and advice would you offer? What is the usual time-course and pattern of infectivity for this illness? Chicken pox (VZV=varicella zoster virus). Support, calamine lotion (decreases itchiness) and antihistamines (decrease inflammation). Infectious 4 days before first vesicle appears and up to 7 days after last vesicle has crusted. Spread by droplet transmission.
Jenny, age 36, has been feeling ‘run-down’ recently and has had a cold. Describe this lesion. What is the likely diagnosis? How will you treat her? Clustered vesicles on the left lower lip and vermillion border surrounded by erythematous skin. Cold sore (HSV=herpes-simplex virus). Zovirax (acyclovir).
How will you describe the skin condition above, using the appropriate terminology? Pink maculopapular lesions with crusting on the dorsal aspect of the hand and 2nd and 3rd digits.
Molly is a 6 year old girl brought in for a review of her skin conditions. This is what she shows you/ Describe what you see. What is the likely diagnosis? Where else might you expect to find similar skin changes? What are emollients? What other topical treatment can be used for this condition? What common complications can you think of? Flexural lichenified plaque that is pink-red affecting the popliteal fossae. Ezcema. Skin creases. Moisturizers (prevent cracking of the skin from dryness and therefore prevent dust and other allergens from irritating the underlying skin). Corticosteroids. Consequences of ezcema; scarring, infection, disruption of family. Corticosteroid complications; local immunosuppression resulting in skin atrophy, telangiectasia, acne to more systemic complications including adrenal suppression and cushing’s syndrome.
Label the following topical corticosteroids according to whether they are mild, moderate, potent or very potent. Triamcinolone acetonide 0.02% (aristocort cream/ointment) Hydrocortisone 17-butyrate 0.1% (Locoid cream) Betamethasone valerate 0.1% (beta cream/ointment/scalp lotion) Clobetasol propionate 0.05% (dermol cream) Hydrocortisone 1% cream Mometasone furoate 0.1% (elocon cream) Moderate Potent Potent Very potent Low Potent
Describe these lesions. Children with a condition characterized by these lesions are well. It can last up to 18 months and there may be few or many lesions. What is this common viral infection of children called? How is it treated? 3 discrete umbilicated nodular lesions. Molluscum contagiosum (caused by the pox virus and exhibits koebner’s phenomenon). Reassurance (self-limiting).
Lucy is a three year old girl brought in to see you. She is mildly unwell and has been for a few days. She has this rash. Describe what you see. She has lesions elsewhere on her body, in places specific to this infection. Where else will you look? What is the most likely diagnosis, and which virus causes it? What should you advise Lucy’s mother to monitor? cluster of erythematous macules around the oral orifice and on the tongue. Hand, foot and mouth are affected (Coxsackie virus). Coxsackie virus. Make sure Lucy is able to eat. Potentially teratogenic.
Jack is 18 months old and has been mildly unwell for a few days. He has widespread rash. It started on his face (cheeks) and in the past 24 hours or so has spread. He has had a mildly elevated temperature but is otherwise pretty happy. Describe this rash. What is the likely diagnosis? What is the most likely causative agent? Meticulus maculopapular rash. Erythema infectiosum (slapcheeks colloquially). Parvovirus (erythrovirus).
What are the key features of the following childhood viral illnesses (and their rashes)? Measles: Rubella: Roseola: Measles: Koplick spots, appear before rash in mouth, child is often miserable. Rubella: Macular-rash which spreads over whole body. Child has fever, swollen lymph nodes (posterior triangle or occipital). Teratogenic (TORCH). Roseola: Non-vaccine preventable, child present with very high fever and often nothing else of presentation. Once the fever subsides a rash will appear. Only danger is if child is prone to febrile seizures.
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