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68 Cards in this Set
- Front
- Back
nonpalpable flat
<1cm |
Macule
|
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nonpalpable flat
>1cm |
patch
|
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palpable, solid mass that is raised
<1 cm |
Papule
|
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palpable, solid mass that is raised
1-2cm |
Nodule
|
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palpable, solid mass that is raised
>2cm |
Tumor
|
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wide
Flat, elevated, superficial papule with surface area greater than height |
Plaque
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Superficial cutaneous area of edema (ex. Mosquito bite Positive PPD) (vs. blister, which is fluid filled and flattens)
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Wheal
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Palpable fluid filled (like a blister)
<1cm |
Vescicle
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Palpable fluid filled (like a blister)
>1cm |
Bulla
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pus-filled vescicle
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Pustule
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larger and filled with semi-solid material
Palpable and fluid filled blister |
Cyst
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circular shape
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annular
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weblike shape
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reticular
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coin-shaped, not central clearing
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discoid
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if blanchable, it is
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vascular lesion
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fine uplifting of skin is called
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scale
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thick, rough-looking skin is called
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Hyperkeratosis
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common skin problems in pregnancy (3)
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PUPPP, HSV II, candidiasis
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common ear infection in pregnancy
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otitis media b/c eustacian tube becomes congested
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common middle ear problem in pregnancy
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hearing loss from otosclerosis
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common facial/middle ear problem in pregnancy
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Bell's Palsy 2/2 decreased immune response/virus proliferates
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common inner ear problem in pregnancy
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sudden deafness syndrome 2/2 hypercoagulability and microemboli
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common nose problem in pregnancy
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rhinitis 2/2 increased vascularity
starts at end of first tri and stays until done bfing |
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allergies in pregnancy
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increased cortisol may improve allergies
if paired with rhinitis, may be worse in pregnancy |
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common throat problem in pregnancy
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laryngopathia gravidarum: 2/2 increased congestion
|
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common breathing problem in pregnancy
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sleep apnea 2/2 rhinitis
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common GI problem in pregnancy
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GERD: increased pressure and increased hoarseness
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urticaria
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prurutic rx to lots of stimuli
see wheals (hives) |
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PUPPP stands for
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Pruritic Urticarial Papules and Plaques of Pregnancy
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normal skin changes in pregnancy
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hyperpigmentation (especially linea nigra)
melasma/chloasma: mask of pregnancy striae: stretch marks increased bleeding varicosities of vulva and legs spider angiomas |
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hair and nail changes in pregnancy
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hair loss PP normal
nails brittle and soft |
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most common dermatosis of pregnancy
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PUPPP
|
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Itching and papules on abdomen in 3rd trimester is...
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PUPPP
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PUPPP lasts...
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1-6 weeks
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puppp looks like... (3 characteristics)
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1-3mm erhytematous papules
coalesce into urticarial plaques have a polycyclic arrangement |
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lesions overlying the striae indicate
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PUPPP (not PG)
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vescicles 2-3mm indicates
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PUPPP (in PG vesicles evolve into larger bullae)
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tx of PUPPP
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reassurance, compresses, lotions, steriods...no need for more...will end at birth or before
antihistamines help control itch and help woman sleep |
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acute inflammation with erythema, edema, and vesiculation with weeping, severe pruritis
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eczema
|
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tx of eczema
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avoid irritants
keep skin moisturized compresses |
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papulosquamous disease
scale, papules, and plaques on elbows, knees, scalp shaprly marginated and silvery white scale |
psoriasis
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rosacea
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chronic facial disorder of pilosebaceous unit: flushing and red areas on face
|
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tinea corpus
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ringworm
annular form |
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Pityriasis versicolor
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scaling dermatosis caused by yeast
caused by heat, perspriation, or oily skin. opportunistic flora grows see: cirular, white scaling patches on upper trunk: THIS IS WHAT I HAVE |
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Impetigo
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crusted lesions/pustules
bacterial infection |
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warts are called...
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verruca vulgaris
|
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Pityriasis Rosea
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herald patch,
annual patches with raised border smaller lesions in 10-14 days symmetrical. SEE PINE TREE SHAPE!!!!! Viral. |
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Pine tree shape is
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pityriasis rosea
|
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pediculosis pubis
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crab lice
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linear, curve-shaped lesions
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scabies
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no melanocytes
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vitiligo
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freckles are under the label of
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lentigo
|
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eye changes in pregnancy
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corneal edema: hard to wear contacts
blurring of vision b/c tears change get new contacts 2/3 wks PP |
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pregnancy and asthma
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may improve or worsen
no impact on birth outcomes as long as well-controlled meds for asthma are safe in pregnancy |
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allergies in pregnancy
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see more congestion/rhinitis, but NOT more allergic rhinitis
|
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USE vs
ABUSE vs ADDICTION |
abuse: freq regular use, altered function, state of craving, failure to follwo through on ADLs/responsiblitities
addiction: w/drawal sx and cravings, drug-seeking behaviors, more drugs neededto get high, more time in drug-seeking behaviors |
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Diagnosis of substance abuse
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1: in the last year, have you done more than you meant to?
2: have you wanted/needed to cut done in the last year? |
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most accepted model of addiction
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biophyscosocial behavioral model
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stages of change
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precontemplation
contemplation w/"aha" moment action relapse prevention/maintenance relapse |
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best way to support change
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Motivation Enhancement Therapy
|
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most common medical problem PP
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PPD
|
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mostly in women (mental disorder)
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bipolar disorder II
|
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DSM criteria for panic attacks
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four physical sx develop and peak in 10 mins
discrete period |
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PMS ACOG definition
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1 physical
1 emotional remits with menses |
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PMDD DSM criteria
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5 symptoms of affect/emotions or physical
always associated with menses |
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women are 75% of pts with...
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borderline personality disorder
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PUPPP vs. PG
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PUPPP: 1st preg
PG: any preg PUPPP: UMBILICAL SPARING,located in striae, regress after delivery PG: Periumbilical at first, then spreads, worsens after delivery, results in increased fetal mort/morb! PUPP: PG: |
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tx of pg
|
relieve pruritis, prevent blisters, prevent erosion
steroids, emollients antihistamines TREAT!!!! |