CDU dermatologist Chart

What is the pathophysiology of vitilligo?

Autoimmune destruction of Melanocytes

What is the top treatment for vitiligo in order

1)Sunscreen 2) topical corticosteroids 3) Tacrolimus (TCIs)

What illness has White depigmented, macules , around offices and acral joints

Vitiligo

What are the three main causes for Melasma

Hormonal( pregnancy, OCP) UV Sunlight, Genetics

What skin condition, causes light/dark brown patchy, maculate hyper pigmentation along the forehead, upper lip

Melasma

What is the treatment of Melasma

1) Sunscreen, 2) Triple Blend (Hydroquinone, Trentinoin, Hydrocortisone

What skin condition appears around 30y/o is benign, clump of blood vessels on the surface of the skin. (Erythematous Papule)

Cherry Angioma

What is the treatment for Cherry Angioma

Treatment unnecessary, cauterize, cryosurgery

What skin condition presents with benign fibrous tumors

Fibroma

What is the treatment of a Fibroma

Shave/scissor biopsy, removal, excision

What skin condition presents with Benign tumor, neoplasm and fat cells

Lipoma

What is the treatment of Lipomas

Nothing, 2) surgical removal

What is the skin condition of macrophages containing fat droplets.

Xanthoma

What is the treatment is used for Xanthoma

Chemical, laser and surgical treatment. Treat underlying cause

What should be order with the presence of Xanthoma

Cholesterol Panel.

What skin condition presents in primarily adults over 50 with soft, orange, yellow plaque around eyelids

Xanthlasma

What is the treatment for Xanthlasma

Chemical, Laser, and surgical Treatment

What skin condition appears in 30y/o. Often presents as a stuck on waxy, warty, puritic and evolves.

Sebborhic Keratosis

What is the treatment of Sebborhic Keratosis

1) No Treatment, Cryotherapy, Shave, biopsy

What skin condition is button like, with deep papule and positive dimple signs, that forms from ingrown hair, or begging scar tissue

Dermatofibroma

What is the treatment for dermatofibroma

Punch Biopsy

What skin condition is present in newborn with light brown, macula/patch that are well circumscribed

Cafe au latte macule

When should you give a referral of a newborn with cafe au latte.

When they have >6 spots, or 5mm. Evaluate for neurofibromatosis

What skin condition presents as a vascular tumor in infants. That presents as a patch and becomes a red ulcerating plaque weeks later.

Infantile "strawberry" Hemangioma

What is the treatment of Strawberry Hemangioma

1) Resolves itself after 6-12mo, 2) Topical Timolol, 3) Systemic Propanalol

What is the skin condition that present with Non-blanching, non-evolving, that darkens with age

Port-wine Stain

What is the treatment of port-o wine stains

Pulse dyed laser

What is the skin condition, present in newborns described as a "stork bite or angel kiss.

Nevis Simplex, Salmon Patch

What is the treatment of Salmon Patch

1) Nothing, will fade over time

What is the skin condition that is a clump of melanocytes less than 1 cm. (Often benign)

Benign Nevi

What are the two ways Benign Nevi's formed

Hereditary (birthmark), Sun exposure

What is the Screen & treatment for Benign Nevi

Screening: ABCDE's, Surgical Removal if fails test, pt at risk

What skin condition presents as Rough,Scaly, itchy, pink in color that is caused by long term exposure in the sun.

Actinic Keratosis (AK)

what is actinic keratosis a precursor to?

squamous cell carcinoma (SCC)

Who are the demographic/ occupation most affected by Actinic Keratosis

(sun exposed) workers, over 40, Albino, light eyes

What is the treatment of Actinic Keratosis

(1,Cryotherapy, Electrodessication,)
(2 Topical Fluorouracil cream, Imiqmod)

What is the duration of Topical Fluorouracil when used on the Face.

2 weeks

What is the duration of Topical Fluorouracil when used on the body

4 weeks

What is the skin condition that presents with Pearly, Rolled edges.

Nodular BCC

What is the most common Basal cell carcinoma

Nodular

What skin condition presents with, pink, scales, plaques ( on trunk and limbs). Invades adjacent tissue

Superficial BCC

What skin condition presents with Nodular or superficial, HOWEVER have central black brown specks and globules. (Invades adjacent tissuesO

Pigmented BCC

What skin condition presents with skin colored scar/plaques, usually pink or white, invades adjacent tissue.

Sclerosis BCC /Morpheaform BCC

What skin condition presents with pink, pudunclated dome, papule shaped and often seen in back/lumboscaral/ Invades adjacent Tissue

Fibroepithelioma BCC/ Pinkus BCC

Who are the demographic/ occupation most affected by Basal Cell Carcinoma (BCC)

1) Men
2) fair skin people
3) immunosuppressed,
4) Genetic History/ Genetic Syndrome

What is the preferred Biopsy method for most BCC

1) Shave Biopsy
2)Punch biopsy for (morpheafrom)

What is the treatment for BCC

1) Surgical Excision
2) Mohs surgery
3) radiation

What skin condition presents with, non healing wound in a sun exposed areas often red, elevated with thick scaley margins, eroded lesion

Squamous Cell Carcinoma

What is the Precourser of SCC

Actinic Keratosis

What are the causes for Squamous Cell Carcinoma

1)Chronic Inflammation
2) Industrial Carcinogens
3) Inorganic arsenic
4)HPV
5)immunosuppression

What is the treatment of SCC

Excision biopsy, (4mm margins)
2) Mohs surgery
3) Radation

Repeat Check ups

What is the skin condition, presents as a metastasized Nevi, abnormal growth, asymmetrical, no clear defined border.

Melanoma

Who is at risk for Melnoma

1) Men
2) people with 5 atypical moles
3)People with Red hair/freckles
4)People with Sunburn before age 14
5) Family history, extensive tanning bed use

What is the treatment for Melanoma

1) Wide excision w/ clear margins (1-2cm)
2) If over 1mm- Lymph node Resection
3)Interferon therapy
4) Monoclonal AB (ipilummab)

What is the skin condition, that presents with clogged pores, increased sebum, and inflammation around the face, neck and trunk.

Acne Vulgaris

What age range are you unlikely to see acne.

Mid-childhood acne 1-7 years old. (Indicative of pituitary issue)

What is the treatment for mild acne

Benzoyl Peroxide (BPO), Topical Retinoid,

What is the treatment for Moderate Acne

Benzoyl Peroxide (BPO), Topical Retinoid, Topical Antibiotic

What is the treatment for severe acne

1) Isotertinoin ( BY ITSELF)
2) Benzoyl Peroxide, Topical antibiotic, Oral Antibiotic, Topical Retinoid, Glucocorticoids

What is the treatment for Hormonal Acne

1) spironolactone
2) oral contraceptives
3) Winlev

How long can you use Oral Teracyclines in treatment of acne before switching to BACTRIM

3 months

What skin condition presents with, facial flushing, redness, telangiectasia in lips nose cheeks and fingers

Rosacea

What are the treatment plans for Rosacea

T.A.M.S

1) Tetrocyclines (oral)
2) Azelic Acid
3)Metronidazole (topical)
4)Sodium Sulfacetamide (topical)

5) Antibiotics(topical)

Who are the demographic/ occupation most affected by Rosacea

1)Female
2) 30-50 years
3) Fair Skin
4)Genetic
5)Alcoholism (skin flushing)

What skin condition presents with papule/pustules causing inflammation of hair caused by bacteria/fungus

Folliculitis

What is the name of the BACTERIA responsible for Folliculitis

Staphylococcus Aureus

What is the name of the FUNGAL responsible for Folliculitis

Pityrosporum Folliculitis

What is the treatment for Folliculitis

Bacterial :Benzoyl Peroxide (BPO) / Antibacterial soap/ Clindamycin (anti-biotic lotion)

Fungal: Ketoconazole Cream

What is the skin condition, that doesn't respond to typical treatment. Appears after staying in a hot tub

Hot Tub Folliculitis

What is the name of the bacteria that causes Hot tub Folliculitis

Pseudomonas Aeruginosa

What is the treatment of Hot tub Folliculitis

1) BPO+ Topical Clindamycin
2) Oral antibiotics (Cipro)

What is the skin condition that, forms Folliculitis after shaving

Pseudo Folliculitis Barbe

What is the treatment of Pseudofolliculits barbe

1) Stop shaving
2) Lubcration during shaving/ single blade razor
3) BPO+ Clindamycin+retinol+moisturizer

What is the skin condition that presents with, interconnecting abscesses, atrophic scarring, with active papule and pustules

Acne Conglobata

What is the treatment for Acne Conglobata

Topical Antibiotics, oral Antibiotics, oral isotrentanoin and oral prednisone.

What is the skin condition that presents with, painful sterile pustules/ nodules, significant scarring, in groin, chest and inguinal clefts

Hidradentis Suppurativa

Who are the demographic/ occupation most affected by Hidradentis Suppurativa

1)Female
2) All Races
3)Genetic
4)Obesity
5) Stress
6) other factors (smoking drugs hormones)

What is the treatment of Hidradentis Supprativa

1) BPO + Antibacterial Soap
2) Lose weight, reduce friction, oral antibiotics

3) If hormonal, spirolactone, finasteride, metformin

What is the skin condition that present, as a large red bump over gluteal cleft

Pilonidal cyst

Who are the demographic/ occupation most affected by Pilondal Cyst

1) curly hair
2) genetic
3)bad hygiene
4) people who sit to often
5) male

What is the treatment for piliondal cyst

1) No treatment if asymptomatic

2) I & D, excision of abscess

3) refer to gen surgery

4) Pain Management/ oral antibiotics

What is the skin condition that presents with, grey/black velvety texture located in neck, axillae and groin

Acanthosis Nigricans

What is the treatment of Acanthosis Nigricans

1) Treat Underlying issues (glucose and insulin test)
2) Exfoliative cream - Salicylic acid, urea, retinoids

Who are the demographic most affected by Acanthosis Nigricans

1) Diabetic/ insulin resistance
2)obese
3)genetic

What skin condition presents with, Spongiosis in histology, lichenification, IgE response and presents with dry itchy skin

Eczema-atopic Dermatitis

How does eczema present in infants body regions?

Cheeks, perioral, wrists, extensor arms and legs

How does eczema present in Adults body regions?

Hands, Feet, flexural, extensor

What is the treatment for Eczema

1) Protective barrier (stop itching)
2) Antihistamine(Benadryl,Zyrtec, hydrazine)
3) avoid triggers
4) Topical Corticosteroids, glucorticoids, hydrocortisone

What is the skin condition that presents with, Tiny pruritic vesicles on hands and feet (microvasularization) , followed by intense itching and lichenifcation

Dihydrostic Eczema

What is the Treatment for Dihydrostic Eczema

1) Protective barrier (stop itching)
2) Antihistamine(Benadryl,Zyrtec, hydrazine)
3) avoid triggers
4) Topical Corticosteroids, glucorticoids, hydrocortisone

What is the skin condition that presents with abnormal response to normal yeast (malazzezia), effects beard, scalp, eyebrows, and babies cradle cap.

Sebborhic Dermatitis

Who are the demographic most affected by Sebbhorhic Dermatitis

1) Infants
2) Young-middle aged adults
3) old men
4)Psoriasis

What is the treatment for Seborrhea Dermatitis

1) Scalp Treatment ( Ketoconazole Shampoo (2-3x per week)
2)Skin Treatment ( Ketoconazole Cream 2x a day)+ Hydrocortisone or TCIs

What is the skin condition that presents with bilateral swelling in lower legs, that may ulcerate.

Stasis Dermatitis

What is the treatment of Statis dermatitis

1) 2 weeks of medium strength topical steroid (Triamiconolone)-

2) Control edema, compression socks, leg wrapping

What are the two types of contact dermatitis

irritant and allergic

What are commons symptoms seen in irritant dermatitis

Lichenified, Burning, stinging, ISOLATED, scabbing, ulceration

What are common symptoms seen in Allergic Dermatitis

Intense Pruritus, stinging, edema, FEVER (immune mediated)

Treatment for contact dermatitis

ACD: Topical Corticotropin steroid, patch test if unknown, if severe 2 weeks prednisone taper or IM Kenalong

ICD: Remove Irritant, Class 1 corticosteroids, Systemic glucorticoids (2 week taper), Barrier cream

What skin condition presents with, irritated, itchy skin, possible vitamin D deficiency, with a sensitivity to light

Photosensitivity