NR-576 Differential Diagnosis in Adult-Gerontology Primary Care
Midterm Exam (Newly Updated)
Question:
Eczema herpeticum
Answer:
primary HSV infection in atopic dermatitis. Umbilicated vesicles over eczema areas, fever, LAD. Can be life threatening in infants. Tx- acyclovir.
Question:
Erythema multiforme
Answer:
skin disorder resulting from a generalized allergic reaction to an illness, infection, or medication. iris-shaped lesions with polymorphous disseminated macular, papular, nodular, vesicular, bullous, and target (bull's eye-shaped) lesions of the skin and mucous membranes
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Question:
herpes zoster
Answer:
viral disease affecting the peripheral nerves, characterized by painful blisters that spread over the skin following the affected nerves, usually unilateral; also known as shingles
Question:
actinic keratosis
Answer:
precancerous skin condition of horny tissue formation that results from excessive exposure to sunlight
Question:
basal cell carcinoma
Answer:
malignant tumor of the basal cell layer of the epidermis. Elevated papules that have a pearly appearance, with some crusting. Slow progression without pain, Occurs in sun-exposed areas, Often on face, May ooze, crust, or bleed.A spot or a bump that is getting larger or a sore that is not healing. Appears as a thick, rough patch that may bleed if scratched or scraped. Some patients think they are warts with a raised border and crusted surface
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Question:
squamous cell carcinoma
Answer:
Type of skin cancer more serious than basal cell carcinoma; firm papule with a scaly (keratotic) rough surface with irregular borders. These lesions may even present as cutaneous horns, with columnar hyperkeratosis atop an erythematous base
Question:
Melanoma
Answer:
Asymmetrical, Border- irregular, Color- dark or uneven, Diameter- >6mm, Evolution- change in shape, size, color, "Ugly duckling" - does not resemble other moles or skin growths on the body, Refer to dermatology
Question:
acne vulgaris
Answer:
open and closed comedones, found on face, sometimes body. Painful and tenderness from multiple deep pustules, nodules, and cysts
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