Thomas Shared "Derm" - 25 Picmonics
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Derm
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
2 mins
Actinic Keratosis
- Sun Exposure
- Papules or Plaques
- Small, Rough
- Erythematous
- Precursor to Squamous Cell Carcinoma
53 secs
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
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
2 mins
Pemphigus Vulgaris
- Pathophysiology
- Autoantibodies against desmosomes
- Symptoms
- Flaccid Bullae on Skin
- Oral Mucosa Involvement
- Intraepidermal Acantholysis
- Fluid Loss
- Infection
- Nikolsky Positive
- Diagnosis
- Biopsy showing Autoantibodies
- Treatment
- IVIG and Plasmapheresis
- Oral Steroids
- Immunosuppressants
2 mins
Stevens-Johnson Syndrome
- Etiologies
- Drugs
- Symptoms
- < 10% of Body Surface Area (BSA) Involved
- 10-30% BSA Overlaps with Toxic Epidermal Necrolysis (TEN)
- Fever
- Affects Skin and Mucous Membranes
- Bullae Formation
- Necrosis
- Sloughing of Skin
- High Mortality Rate
- Treatment
- Supportive Care
- IVIG (Intravenous Immunoglobulin)
3 mins
Bullous Pemphigoid
- Linear Deposits of IgG
- Affects Hemidesmosomes
- Epidermal Basement Membrane
- Tense Blisters on Skin
- Nikolsky Negative
- Contain Eosinophils
- Rarely Affect Oral Mucosa
2 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
2 mins
Basal Cell Carcinoma of the Skin
- Pathophysiology
- Most Common Skin Cancer
- 2/3 of Cases Due to UV Light Exposure
- Pink, Pearl-like Lesions
- Rolled Borders
- Telangiectasias
- Commonly Upper Lip
- Diagnosis
- Shave Biopsy
- Pallisading Nuclei
- Treatment
- Mohs Micrographic Surgery
2 mins
Pityriasis Versicolor (Tinea versicolor)
- Mechanism
- Lipid-Dependent Fungus
- Fatty Acids Damage Melanocytes
- Malassezia Furfur
- Hot, Humid Weather
- Signs and Symptoms
- Hypopigmentation
- Hyperpigmented Patches
- Diagnosis
- Spaghetti and Meatball Appearance on KOH Prep
- Fragmented Hyphae with Clusters of Yeast
- Treatment
- Topical or Oral Antifungals
- Selenium Sulfide
- Zinc
4 mins
Hirsuit-
- Meaning
- Hairy
32 secs
Seborrheic Dermatitis
- Reaction to Malassezia yeast
- Scales on scalp, face, central chest, external auditory canals
- May be hypopigmented
- Thin scaling plaques
- Erythema
- Treatment
- Desonide (low potency topical steroid)
- Ketoconazole cream
- Antidandruff shampoo
- Infantile seborrheic dermatitis is cradle cap
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
3 mins
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
2 mins
Types of Burns
- Superficial Thickness
- Sunburn
- Superficial Partial Thickness
- Blisters
- Blanching
- Deep Partial Thickness
- Little or Non-blanching
- Full Thickness
- Waxy White, Yellow or Black
- Decreased Pain
2 mins
Epidermal inclusion cyst
- Mobile subcutaneous nodule with punctum
- "Sebaceous cyst"
- Cheesy-white debris
- Surgical excision
- Benign (does not require treatment)
Verrucae
- Warts
- Characteristics
- Papillary Cauliflower Like Growths
- Low-Risk Human Papillomavirus
- Epidermal Hyperplasia and Hyperkeratosis
- Koilocytes
- Management
- No Treatment Needed
- Topical Salicylic Acid
- Cryotherapy
2 mins
Mollusca Contagiosum
- Pox Virus
- Central Umbilication
- Lasts 3-9 months
- Treatment
- Canthacur
- Imiquimod
- Currettage
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)
2 mins
Squamous Cell Carcinoma of the Skin
- Epidemiology
- 2nd Most Common Skin Cancer
- UV Light Exposure
- Long-term Immunosuppression
- Arsenic Exposure
- Signs/Symptoms
- Ulcerative Red Lesion
- Precursor Actinic Keratosis
- Commonly Lower Lip
- Diagnosis
- Biopsy shows Keratin Pearls
- Treatment
- Mohs Micrographic Surgery
2 mins
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