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74 Cards in this Set

  • Front
  • Back

Ephelis

freckles



increased number of melanin but normal number of melanocytes

Melasma

facial hyperpigmentation



mask of pregnancy



the person isn't tanning

increased pigmentation and melanocyte number but it does not increase in pigmentation on sun exposure

Lentigo

patient presents with a mole that has a white ring around it



diagnosis and cause

Halo nevus



T lymphocytic infiltration of nevus cells

Spitz's nevus

spindle and epithelioid nevus cells



pinkish growth on the face of a child typically



benign

skin appedage from apocrine duct

Cylindroma

trichothelioma

skin appendage of hair follicle like structures

actinic keratosis

results form years of sun exposure



epidermal atrophy with hyperkeratosis


chronic inflammation of the dermis


leads to tan-brown rough surfaces usually on the face

herpetic like vesicles that stains for IgA

Dermatitis Herpetiformis

which topical acne drug is very teratogenic?

Tazarotene

which oral acne drug increases depression and risk of suicude

Iroretinoin (accutane)

circumscribed area, flat, set off by its color

Macule

vesicle vs bulla

vesicle is less than 5 mm


bulla is more than 5 mm

parakeratosis

retention of nuclei in the stratum corneum

ephelis

freckle

a pregnant woman present with facial hyperpigmentation

Melasma

macular hyperpigmentation due to increased number of melanocytes



does not darken when exposed to sunlight

lentigo

patient presents with dark patch of skin that does not darken when exposed to sunlight

Lentigo

patient presents with nevus on the inner thigh with abnormal borders and architecture

Dysplastic nevus

what skin layer- Desmosomes

stratum spinosum

what layer- Hemidesmosomes

Stratum basale (connect basal cells to basal lamina)

where are melanocytes located

stratum basale (the only place they are found)

what amino acid is needed to make melanin

tyrosine

what change or mutation is caused by UV-A

8-hydroxyguanine

what is the most common first mutation in squamous cell carcinoma

p53 mutation

what is the most common skin cance

basal cell


never metastasizes


easily treatable

genes involved in basal cell carcinoma

p53 and patched

PTCH-1

inhibits cell proliferation



loss of PTCH-1 leads to Basal cell carcinoma

Seborrheic dermatitis

dandruff



too much sebum allows yeast infections

patient presents with red, rough, scaling, and pruritic skin

Eczema

verruca

warts



once infected you always have the infection.


immunity is the treatment

a patient comes in with a growth on their forehead. last year they had a kidney transplant.



diagnosis?

squamous cell carcinoma



increased risk with immunosuppressives (transplants)

child presents with superficial infection on face. highly contagious. likely a strep or staph infection



diagnosis and treatment

Impetigo



mupirocin

Hidradenoma

benging eccrine neoplasm

the thing i have on my chest

seborrheic keratosis

we see langerhans cells. what layer are we in?

stratum spinosum of the epidermis

collodoin baby

fails to slough peridermal layer

by what week in development are all the epidermal layers present

week 12

fibroepithelial polyp



plus two additional names

skin tag



also called squamous papilloma or acrochordon


acrochordon

skin tag (fibroepithelial polyp)

patient presents with a growth on the skin. your attending decides to leave it alone because it will heal on its own. it resembles a squamous cell carcinoma

Keratoacanthoma

Syringoma

skin appendage (adnexal) tumor


tumor of eccrine (sweat) glands

patient worked for 20 years as a life guard. now they are presenting with very loos skin and a growth on their body



what can it progress to?

actinic keratosis with elastosis.



chronic sun exposure



almost all squamous cell carcinoma started as actinic keratosis

patient presents with mass on the face with red scaling plaques. biopsy reveals keratin pearls.

squamous cell carcinoma

immune compromised people are at increased risk of which skin cancer

basal cell carcinoma

which skin cancer is more likely to occur in the face

basal cell carcinoma

patient presents with a collection of histiocytes in the skin. he has billiary cirrhosis

Xanthoma

porliferation of langerhans cells in the dermis

Histiocytosis X

tumor with CD1a on the surface and Birbeck granules

Histiocytosis X

patient presents with lesion on the skin that contains sezary cells that resemble the gyri of the brain

Mycosis fungoides

patient presents with macules, papules, vesicles, and bullae following a herpes infection

erythema multiforme



severe version called steven johnson

the nuclei are still seen in the stratum corneum

parakaratosis seen in psoriasis

autoantibodies to desmosomes

pemphigus vulgaris



stratum spinosum

autoantibodies to hemidesmosomes

bullous pemphigoides



stratum basalis

suprabasal blister- give an example

pemphigus vulgaris

patient eats gluten and develops utricariae and vesicles

dermatitis herpetiformis



seen in people with celiac's disease

cytoplasmic inclusion body vs intranuclear inclusion body

cytoplasmic- molluscum contagiosum



intranucelar- herpes

anthralin

reduce mitonchondrial DNA production- decreases epidermal proliferation



used to treat psoriasis

what mutations cause melanoma

CDKN2a and BRAF

CDKNa and BRAF mutations cause what

melanoma

p53 mutation

squamous cell carcinoma

SHH mutation seen in what cancer

basal cell carcinoma

polyomavirus increases risk of what

Merkel cell carcinoma

8-hydroxyguanine

mutations caused by UV-A

how do we treat inflammatory acne

oral antibiotics

treatment for herpes simplex

valcyclovir

if left untreated what can progress to squamous cell carcinoma

actinic keratosis

terbinafine

tinea infection (ringworm)



"paying the $10 fine"

how will you numb the skin to take a biopsy

1 or 2% xylocaine with or without epinephrine

what size suture do you want to use on the face, scalp, extremties?

face- 6


scalp- 3


extremities- 4

what solution can be used to stop the bleeding after taking a skin biopsy

aluminum chloride

aluminum chloride

can be used to stop the bleeding after taking a skin biopsy

almost all squamous cell carcinoma started as...

actinic keratosis

damage repaired by base excision repair



damage repaired by nucleotide excision repair

UVA radiation



UVB radiation