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Dermatology Medical (MD/DO) School Study Aid

Systemic & Skin Mycoses
5 Picmonics to Learn | 9 mins

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Blastomyces
Characteristics
Fungi
Hyphae Form at 20°-25°C
Yeast Form at 37°C
Round Yeast
5-15 Micrometer (um or μm)
Single Broad-Based Buds
Thick Doubly-Refractive Walls
East of the Mississippi River and Around the Great Lakes
Signs and Symptoms
Pneumonia
Skin Infection
Bone Infection
Granulomatous Response
Treatment
Itraconazole
Amphotericin B
2 mins
Histoplasmosis
Fungi
2-5 um
Yeast cells within macrophages
Starling Bird Poop
Bat poop
Caves
Mississippi and Ohio river valley
Pneumonia
Caseating granuloma
Erythema Nodosum
1 min
Coccidioidomycosis
Characteristics
Fungi
Dimorphic
Southwest
After earthquakes
Spherule
20-60 um
Signs and Symptoms
Pneumonia
Meningitis
Bone Infection
Skin infections
Erythema Nodosum
Granulomatous Inflammation
Caseous Necrosis
1 min
Paracoccidioido-mycosis
Fungi
Latin America
Common in Brazil
Budding yeast with captain wheel formation
40-50 um
Pneumonia
39 secs
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
3 mins

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