Matthew Shared "Derm 2" - 44 Picmonics
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Derm 2
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
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
Psoriasis Pharmacology
- Cyclosporine
- Methotrexate
- Topical Agents
- Antibody Therapy
- Infliximab
- Adalimumab
- Etanercept
- Guselkumab
- Natalizumab (Tysabri)
- Ustekinumab
- Ixekizumab
- Secukinumab
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
2 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
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
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
Tuberous Sclerosis
- Characteristics
- Autosomal Dominant
- Signs and Symptoms
- Hamartomas in CNS and Skin
- Phakoma
- Subependymal Giant Cell Astrocytoma
- Seizures
- Intellectual Disability (Mental Retardation)
- Adenoma Sebaceum
- Shagreen Patch
- Ash-leaf Spots
- Renal Angiomyolipoma
- Cardiac Rhabdomyoma
2 mins
Rubeola Virus
- Characteristics
- RNA Virus
- Paramyxovirus
- Signs and Symptoms
- Measles
- Rash Spreads From Head to Toe
- Koplik Spots First
- Red Spots with Blue-White Center on Buccal Mucosa
- Cough
- Coryza
- Conjunctivitis
- Subacute Sclerosing Panencephalitis
- Giant Cell Pneumonia in Immunosuppressed Patients
- Warthin-Finkeldey Multinucleated Giant Cells
- Treatment
- Vitamin A
3 mins
Rubella
- Characteristics
- RNA Virus
- Matonaviridae
- Enveloped
- Icosahedral
- SS Positive Linear
- Signs and Symptoms
- German Measles or Three-Day Measles
- Fever
- Postauricular Tenderness
- Lymphadenopathy
- Truncal Rash
- Arthritis
- Congenital TORCH Infection
2 mins
Exanthema Subitum (Roseola Infantum)
- Mechanism
- Human Herpesvirus Type 6
- Signs and Symptoms
- Sudden High Fever
- Maculopapular, Nonpruritic Rash
- Considerations
- Febrile Seizures
- Tepid Baths
- Ibuprofen
- Acetaminophen
2 mins
Roseola
- Exanthem
- Herpesvirus 6
- Enveloped
- Double Stranded DNA
- Linear
- Signs and Symptoms
- High Fevers Can Lead to Seizures
- Diffuse Macular Rash After Fever
1 min
Systemic Lupus Erythematosus (SLE) Diagnosis and Clinical Features
- IM DAMN SHARP acronym
- Immunoglobulins
- Malar rash
- Discoid rash
- Antinuclear antibody
- Mucositis
- Neurologic disorders
- Serositis
- Hematologic disorders
- Arthritis
- Renal disorders
- Photosensitivity
2 mins
Systemic Lupus Erythematosus (SLE) Mechanism, Treatment and Complications
- Mechanism and Characteristics
- Systemic Autoimmune Disease
- 9:1 female to male ratio
- Treatment
- Glucocorticoids
- NSAIDS
- Hydroxychloroquine
- Cyclophosphamide
- Complications
- Lupus nephritis
- Libman-Sacks Endocarditis
- Secondary Antiphospholipid Antibody Syndrome
- Other
- Drug-induced lupus
2 mins
Polymyositis / Dermatomyositis Disease
- Pathophysiology
- Idiopathic Inflammatory Myopathy
- More Common in Women
- Endomysial Inflammation with CD8+ Cells (Polymyositis)
- Perimysial Inflammation with CD4+ Cells (Dermatomyositis)
- Signs and Symptoms (Both)
- Symmetric Proximal Muscle Weakness
- Dysphagia
- Lung and Cardiac Involvement
- Signs and Symptoms (Dermatomyositis)
- Malar Rash
- Shawl-like Shoulder Rash
- Gottron Papules on Knuckles
- Heliotrope Rash
3 mins
Polymyositis / Dermatomyositis Diagnosis and Treatment
- Diagnosis
- Increased CK (CPK)
- Increased Aldolase
- Anti-JO-1 Antibody
- Anti-SRP Antibody
- Antinuclear Antibody
- Abnormal EMG
- Biopsy
- Treatment
- Corticosteroids
- Methotrexate
- Azathioprine
- Treatment For Resistant Disease
- Intravenous Immunoglobulin (IVIG)
- Cyclophosphamide
- Rituximab
- Calcineurin Inhibitors
2 mins
Kawasaki Disease
- Pathophysiology
- Prevalent in Asian Children
- Necrotizing Vasculitis
- Signs and Symptoms
- Fever
- Strawberry-Red Tongue and Mucosa
- Lymphadenopathy
- Desquamative Skin Rash
- Erythema and Edema of the Hands and Feet
- Conjunctivitis
- Coronary Aneurysm
- Treatment
- Intravenous Immunoglobulin (IVIG)
- Aspirin
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
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
2 mins
Henoch-Schonlein Purpura
- Most Common Childhood Vasculitis
- Follows Pharyngeal or Respiratory Infection
- Palpable Purpura on Legs and Buttocks
- Arthralgia
- Intestinal Hemorrhage
- Black Stool (Melena)
- Associated with IgA Nephropathy
2 mins
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