Daisy Shared "Derm Exam" - 27 Picmonics
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Derm Exam
ABCDEs of Melanoma
- Asymmetry
- Border
- Color
- Diameter
- Evolving
1 min
Actinic Keratosis
- Sun Exposure
- Papules or Plaques
- Small, Rough
- Erythematous
- Precursor to Squamous Cell Carcinoma
53 secs
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
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
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
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
2 mins
Melanoma Diagnosis
- Signs
- ABCDE Mnemonic
- Asymmetry
- Border irregularity
- Color variation
- Diameter > 6mm
- Evolution over time
- Diagnosis
- S-100 Tumor Marker
- LDH (Lactate Dehydrogenase) Screens for Metastasis
- Treatment
- Wide Local Excision
- Adjuvant Therapy
1 min
Melanoma Mechanism and Characteristics
- Mechanism
- Associated with Sunlight Exposure
- Mutation in B-RAF kinase
- Large Number of Moles
- Fair-Skinned People at Higher Risk
- Growth Phases
- Radial Growth Phase
- No Metastasis
- Vertical Growth Phase
- Depth of Tumor Correlates with Risk of Metastasis
1 min
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
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
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
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
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
3 mins
Skin Anatomy
- Characteristics
- Epidermis
- Keratinocytes
- Melanocytes
- Dendritic Cells
- Merkel Cells
- Dermis
- Sweat Glands
- Hair Follicles
- Sebaceous Glands
- Hypodermis
3 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
Staphylococcus aureus Disease
- Skin Infections
- Impetigo
- Abscesses
- Exfoliative Toxin
- Scalded Skin Syndrome
- Toxic Shock Syndrome (TSST 1)
- Binds to MHC II and T Cell Receptor
- Food Poisoning
- Acute Bacterial Endocarditis
- Pneumonia
- Osteomyelitis
2 mins
Syphilis
- Characteristics
- Treponema pallidum
- Spirochete with characteristic motility
- Signs and Symptoms
- Painless chancre
- Condylomata lata
- Generalized lymphadenopathy
- Rash on palms and soles
- Aortitis
- Gummas
- Neurosyphilis
- Argyll Robertson pupils
- Vasa vasorum
- Tabes dorsalis
- Treatment
- Penicillin
- Jarisch-Herxheimer reaction
2 mins
Varicella (Chickenpox)
- Mechanism
- Varicella Zoster Virus (VZV)
- Signs and Symptoms
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Considerations
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
2 mins
Varicella Zoster Virus (VZV)
- Herpesvirus 3
- Characteristics
- Enveloped
- Double Stranded DNA
- Signs and Symptoms
- Chickenpox
- Pneumonia
- Encephalitis
- Trigeminal and Dorsal Root Ganglia
- Shingles
- Diagnosis
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusion
- Treatment
- Acyclovir
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
