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SARAH MICHELLE LIVE REVIEW EXAM
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SARAH MICHELLE LIVE REVIEW EXAM
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SARAH MICHELLE LIVE REVIEW EXAMAphthous Stomatitis - ANSWER Inflammation of the mouth with small, painful ulcers;
canker sores.
Herpes Simplex - ANSWER -painful vesicles on an erythematous or reddened base
-educate to reduce transmission by kissing, sharing utensils, etc
-Must treat with antivirals within 48-72 hours
Chronic Ulcerative Stomatitis (CUS) - ANSWER -Autoimmune condition with larger
legions and numerous caused by lichen planus
-Takes weeks to months to resolve
-Resistant to topical steroids
-Treat with hydroxychloroquine
Keratosis Pilaris - ANSWER -Commonly referred to as chicken bumps or chicken
skin
-Treat with emollients and moisturizers
-Educate that they will likely outgrow
Impetigo - ANSWER -Honey crusted lesions commonly found on the face
-Typically caused by strep pyogenes and staph aureus
Impetigo Treatment - ANSWER -Bullous: Treat with oral antibiotics (typically
cephalexin or dicloxacillin (doxy for MRSA)
-Non-bullous: Mupirocin ointment
Pityriasis Rosea - ANSWER -Starts with a herald patch then full distribution (may be
Christmas tree pattern)
-Likely found on chest, abdomen, or back
-Will heal on own- lasts weeks to months before full resolution
Brown Recluse Spider Bite - ANSWER -Typically patient notices once tender and
deep purple in appearance
-Possible white halo surrounding with systemic symptoms
-Symptom management and antibacterial ointment
Rocky Mountain Spotted Fever - ANSWER -Precipitated by a tick bite
-Presents 3-5 days after initial s/s began
-Treat with doxycycline (high mortality if not treated)
-KEY WORDS: North Carolina, tick bite, rash on palms/ soles
Lyme Disease - ANSWER -"Bulls eye" lesion
-Known as erythema migrans
-Treat with doxycycline (Amoxicillin if pregnant)
Measles - ANSWER -S/S: cough, congestion, & conjunctivits; rash 3-5 days after
-Koplik's spots in mouth- on buccal mucosa
, -Prevent with MMR vaccine at 12 months age
Mumps - ANSWER -Parotid gland swelling
Sialolithiasis - ANSWER Mass that appears under the chin AFTER eating (salivary
gland stone)
Actinic keratosis - ANSWER -Dry, scaly lesions on sun exposed areas (may be pink,
yellow, tan, pale, or brown
-Treat with topical 5-FU or cryotherapy
-Precursor to squamous cell carcinoma
Squamous Cell Carcinoma - ANSWER -Slow growing, scaly ulcerations that are red
and bleed easily
-Diagnosed with biopsy
Cafe Au Lait spots - ANSWER -Hyperpigmentation not typically treated
-If more than 8 spots, this may indicate neurofibromatosis
Intertrigo - ANSWER -Commonly found in skin folds under breasts or abdominal
folds
-Treat with antifungals and occasionally topical steroids
-Avoid moisture and friction
Malignant melanoma - ANSWER A- Asymmetry
B- Border irregularity
C- Color differentiation
D- Diameter >6 mm
E- Evolution
-Another sign may be black or brown line under fingernail with no trauma (splinter
hemorrhage with endocarditits)
Seborrheic keratosis - ANSWER -"Pasted on" lesions
-Benign lesions that do not need to be removed
Basal cell carcinoma - ANSWER -Most common type of skin cancer
-Shiny, waxy, pearly lesions with telangiectasias (visible blood vessels on lesion)
-Biopsy lesion and refer to dermatology for removal
Atopic dermatitis (Eczema) - ANSWER -Scratch, itch, scratch cycle typically in flexor
surfaces
-Treat with emollients & topical steroids
-REMEMBER 3 A's: Atopic dermatitis, asthma, allergies
Nummular eczema - ANSWER -Simple, round shaped eczema lesions on arms and
legs
-Use high- potency steroids
Plaque psoriasis - ANSWER -Thick, silvery scales
-Treated with topical steroids, emollients, coal tar
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