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Skin Disorders

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Pathology | Nurse Practitioner (NP) School Study Aid

Skin Disorders
20 Picmonics to Learn | 45 mins
Acanthosis Nigricans
Associations
Endocrine Disorders
Diabetes Mellitus
Obesity
Malignancy
Presentation
Velvety Plaques
Dark, Thickened Flexural Areas
Diagnosis
Hyperkeratosis with Melanocytes
Treatment
Treat Underlying Disorder
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2 mins
Vitiligo
Pathophysiology
Autoimmune Destruction of Melanocytes
Presentation
Hypopigmentation
Acral Areas and Around Orifices
Diagnosis
Clinical Presentation + Woods Lamp
Risk Factors
Other Autoimmune Diseases
Treatment
Glucocorticoids
Tacrolimus
Phototherapy
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2 mins
Scabies
Pathophysiology
Sarcoptes Scabiei Mite
Signs & Symptoms
Pruritus
Papules with Burrows
Webs of Fingers and Toes
Axilla and Nipples
Diagnosis
Skin Scraping
Dermoscopy
Mites and Eggs on Magnification
Treatment
Permethrin Cream
Oral Ivermectin
Lindane Cream
Considerations
Wash All Linens In Hot Water
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3 mins
Pityriasis Rosea
Preceded by Upper Respiratory Tract Infection
Single "Herald Patch"
"Christmas Tree" Distribution
Plaques with Collarette Scale
Self-resolving in 6-8 Weeks
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2 mins
Lichen Planus
Pathophysiology
Mucocutaneous Disorder
30-60 year olds
Signs & Symptoms
Pruritic
Plaques or Papules
Purple & Polygonal
Often Mucosal or Genital Involvement
Wickham Striae
Diagnosis
Biopsy
Sawtooth Infiltrate of Lymphocytes
Treatment
Topical Corticosteroids
Considerations
Hepatitis C Association
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2 mins
Erythema Nodosum
Pathophysiology
Panniculitis
Painful Inflammation
Subcutaneous Fat
Anterior Shins
Risk Factors
Coccidioidomycosis
Pregnancy or OCP Use
Crohn's Disease
Tuberculosis (TB)
Histoplasmosis
Sarcoidosis
Ulcerative Colitis
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2 mins
Psoriasis
Presentation
Epidermal Hyperproliferation Keratinocytes
Defined Red Salmon Plaques
Silvery Scales
Extensor Surfaces
Bleeding when Removed
Auspitz Sign
Pruritus
Nail Changes
Histological Finding
Munro Microabscesses
Nucleated Cells in Stratum Corneum
Treatment
Retinoids
Topical Corticosteroids
Tar
Immunosuppressants
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2 mins
Atopic Dermatitis / Eczema
Presentation
Pruritic Vesicles
Inflammatory Skin Rash
Cheeks in Children
Skin Flexural Areas
Associated with Asthma and Allergic Rhinitis
Treatment
Tacrolimus
Moisturizers
Corticosteroids
Phototherapy
Avoid Triggers
Antihistamines
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2 mins
Actinic Keratosis
Sun Exposure
Papules or Plaques
Small, Rough
Erythematous
Precursor to Squamous Cell Carcinoma
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53 secs
Rosacea
Characteristics
Episodes Provoked by Alcohol, Heat, or Emotions
Erythematotelangiectatic Rosacea
Facial Flushing and Telangiectasias
Sun Protection
Topical Brimonidine
Papulopustular Rosacea
Papules and Pustules
Topical Metronidazole
Phymatous Rosacea
Rhinophyma
Laser Ablation
Considerations
Avoid Triggers
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2 mins
Necrotizing Fasciitis Pathophysiology and Characteristics
Bacterial Infection of Muscle Fascia and Subcutaneous Fat
Polymicrobial or Monomicrobial
Polymicrobial: Anaerobe + Gram Negative Enterobacteriaceae
Monomicrobial: Group A Streptococcus or Staph Aureus
Clinical Manifestations
Edema Extending Beyond Erythema
Crepitus
Pain Out of Proportion (POOP)
Anesthesia Over Affected Area (Late Finding)
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5 mins
Melanocytic Nevus
Characteristics
Benign Tumor of Melanocytes
Nested Proliferations at Dermal-Epidermal Junction
Junctional
Intradermal
Risk Factors
Genetics
Childhood Sun Exposure
Considerations
Melanoma
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2 mins
Necrotizing Fasciitis Diagnosis and Treatment
Diagnosis/Workup
Usually a Clinical Diagnosis
Soft Tissue Gas On CT
Management
Emergent Surgical Debridement
Vasopressors and Fluids
IV Immune Globulin If Strep Toxic Shock Syndrome
Antibiotic Regimen
Carbapenem Or Piperacillin-Tazobactam
PLUS Clindamycin
PLUS MRSA Coverage
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4 mins
Acne Vulgaris Presentation and Pathophysiology
Presentation
Papules/Comedones in Mild Cases
Blackheads Open, Whiteheads Closed
Pustules in Mild-Moderate Cases
Nodules/Cysts in Severe Cases
Pathophysiology
Inflammation at Hair Follicle/Sebaceous Gland
Increased Androgens
Colonization by Cutibacterium Acnes
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3 mins
Tinea (Dermatophytes): General Characteristics And Management
Fungal Cutaneous Infection
Organisms
Trichophyton
Microsporum
Epidermophyton
Clinical Features
Pruritic Rash
Segmented Hyphae On KOH
Management
Topical Azole
Terbinafine For Tinea Unguium (Nails)
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2 mins
Verrucae
Warts
Characteristics
Papillary Cauliflower Like Growths
Low-Risk Human Papillomavirus
Epidermal Hyperplasia and Hyperkeratosis
Koilocytes
Management
No Treatment Needed
Topical Salicylic Acid
Cryotherapy
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2 mins
Erythema Multiforme
Pathogenesis
Type IV Hypersensitivity Reaction
HSV
Mycoplasma Pneumoniae
Drugs
Characteristics
Targetoid Lesions
Symmetrical Distribution
EM Minor: Mild Symptoms
EM Major: Mucosal Involvement
Self-Limiting
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2 mins
Raynaud Phenomenon Characteristics and Presentation
Characteristics
Stress-induced Vasospasm
Primary Type
Primary Raynaud Phenomenon
Idiopathic
Reversible
Symmetric
Secondary Type
Secondary Raynaud Phenomenon
Autoimmune Diseases
Drugs
Severe Pain
Presentation
Ischemic Phase
Hypoxic Phase
Hyperemic Phase
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2 mins
Raynaud Phenomenon Diagnosis and Management
Diagnosis
Nailfold Capillary Microscopy
Complete Blood Count (CBC)
Antibody Testing
Management
Avoid Triggers
Smoking Cessation
Nifedipine
Topical Nitroglycerin
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2 mins
Impetigo
Pathophysiology
Transmission
Incubation
Signs & Symptoms
Non-Bullous
Bullous
Diagnosis
Clinical Presentation
Treatment
Antibiotics
Prevention
Hygiene
Return to Work or School
Complications
Post-streptococcal Glomerulonephritis
Rheumatic Fever
Staphylococcal Scalded Skin Syndrome
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2 mins

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