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Derm For Internist 1

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PRESENTATION OUTLINE

DERMATOLOGY 101

PRIMARY

MACULE & PATCH

PAPULE & PLAQUE

VESICLE & BULLA

PUSTULE

SECONDARY

EROSION & ULCER

LICHENIFICATION

VERRUCA

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PURPURA

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ANNULAR

ARCUATE

SERPIGINOUS

GUTTATE

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SCALLOPED

MORBILLIFORM

SCARLATINIFORM

RETICULATED

SCLEROTIC

ERYTHRODERMIC

FOLLICULAR

DERM EMERGENCIES

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ACUTE ERYTHRODERMA

WIDESPEAD SKIN PAIN

WIDESPREAD PUSTULAR

ACUTE WIDESPREAD VESICLES, BULLAE

NECROTIC ESCHAR IN IMMUNOSUPPRESSED

RETIFORM PURPURA

THERAPY PEARLS

HOW MANY G COVER BODY X1

OINTMENT, CREAM, LOTION

TOPICAL STEROIDS

COMMON RASHES

SCRATCHING

WORKUP?

CBC, FE, TSH, SMAC, CXR

ECZEMA

LICHEN PLANUS

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PSORIASIS

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ERYTHEMA MULTIFORME

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DRUG REACTION

TIMING

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TYPES OF DRUG REACTION

PATIENT W EBV DEVELOPS RASH AFTER ABX

AMPICILLIN OR AMOXICILLIN

WHAT MEDS CAUSE SCLE?

HCTZ, TERBINAFINE

SEBORRHEIC DERMATITIS

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PITYRIASIS ROSEA

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FUNGUS

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LOTRISONE

BACTERIAL

ABSCESSES, STAPH FOLLICULITIS

ECTHYMA

IMPETIGO

PSEUDOMONAS

VIRAL

HERPES

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CRITTERS

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SKIN CANCER

MELANOMA

BENIGN GROWTHS

WHAT CAUSED THIS?

BLISTERING DISEASE

PEMPHIGUS VULGARIS

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BULLOUS PEMPHIGOID

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LINEAR IGA

CUTANEOUS MANIFESTATIONS

MOST COMMON

CRYOGLOBULINEMIA AND PCT

90% OF CASES MIXED CRYOGLOBULINEMIA

PRESENTS AS PALPABLE PURPURA

WHEN TO CONSIDER

VESSICLES ON

TENDER NODULES ON SHINS

ERYTHEMA NODOSUM

HELIOTROPE RASH

DERMATOMYOSITIS