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68 Cards in this Set

  • Front
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nonpalpable flat
<1cm
Macule
nonpalpable flat
>1cm
patch
palpable, solid mass that is raised
<1 cm
Papule
palpable, solid mass that is raised
1-2cm
Nodule
palpable, solid mass that is raised
>2cm
Tumor
wide
Flat, elevated, superficial papule with surface area greater than height
Plaque
Superficial cutaneous area of edema (ex. Mosquito bite Positive PPD) (vs. blister, which is fluid filled and flattens)
Wheal
Palpable fluid filled (like a blister)
<1cm
Vescicle
Palpable fluid filled (like a blister)
>1cm
Bulla
pus-filled vescicle
Pustule
larger and filled with semi-solid material
Palpable and fluid filled blister
Cyst
circular shape
annular
weblike shape
reticular
coin-shaped, not central clearing
discoid
if blanchable, it is
vascular lesion
fine uplifting of skin is called
scale
thick, rough-looking skin is called
Hyperkeratosis
common skin problems in pregnancy (3)
PUPPP, HSV II, candidiasis
common ear infection in pregnancy
otitis media b/c eustacian tube becomes congested
common middle ear problem in pregnancy
hearing loss from otosclerosis
common facial/middle ear problem in pregnancy
Bell's Palsy 2/2 decreased immune response/virus proliferates
common inner ear problem in pregnancy
sudden deafness syndrome 2/2 hypercoagulability and microemboli
common nose problem in pregnancy
rhinitis 2/2 increased vascularity

starts at end of first tri and stays until done bfing
allergies in pregnancy
increased cortisol may improve allergies

if paired with rhinitis, may be worse in pregnancy
common throat problem in pregnancy
laryngopathia gravidarum: 2/2 increased congestion
common breathing problem in pregnancy
sleep apnea 2/2 rhinitis
common GI problem in pregnancy
GERD: increased pressure and increased hoarseness
urticaria
prurutic rx to lots of stimuli
see wheals (hives)
PUPPP stands for
Pruritic Urticarial Papules and Plaques of Pregnancy
normal skin changes in pregnancy
hyperpigmentation (especially linea nigra)
melasma/chloasma: mask of pregnancy
striae: stretch marks
increased bleeding
varicosities of vulva and legs
spider angiomas
hair and nail changes in pregnancy
hair loss PP normal
nails brittle and soft
most common dermatosis of pregnancy
PUPPP
Itching and papules on abdomen in 3rd trimester is...
PUPPP
PUPPP lasts...
1-6 weeks
puppp looks like... (3 characteristics)
1-3mm erhytematous papules
coalesce into urticarial plaques
have a polycyclic arrangement
lesions overlying the striae indicate
PUPPP (not PG)
vescicles 2-3mm indicates
PUPPP (in PG vesicles evolve into larger bullae)
tx of PUPPP
reassurance, compresses, lotions, steriods...no need for more...will end at birth or before

antihistamines help control itch and help woman sleep
acute inflammation with erythema, edema, and vesiculation with weeping, severe pruritis
eczema
tx of eczema
avoid irritants
keep skin moisturized
compresses
papulosquamous disease
scale, papules, and plaques on elbows, knees, scalp
shaprly marginated and silvery white scale
psoriasis
rosacea
chronic facial disorder of pilosebaceous unit: flushing and red areas on face
tinea corpus
ringworm
annular form
Pityriasis versicolor
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
Impetigo
crusted lesions/pustules
bacterial infection
warts are called...
verruca vulgaris
Pityriasis Rosea
herald patch,
annual patches with raised border
smaller lesions in 10-14 days symmetrical.
SEE PINE TREE SHAPE!!!!! Viral.
Pine tree shape is
pityriasis rosea
pediculosis pubis
crab lice
linear, curve-shaped lesions
scabies
no melanocytes
vitiligo
freckles are under the label of
lentigo
eye changes in pregnancy
corneal edema: hard to wear contacts
blurring of vision b/c tears change
get new contacts 2/3 wks PP
pregnancy and asthma
may improve or worsen
no impact on birth outcomes as long as well-controlled
meds for asthma are safe in pregnancy
allergies in pregnancy
see more congestion/rhinitis, but NOT more allergic rhinitis
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
Diagnosis of substance abuse
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?
most accepted model of addiction
biophyscosocial behavioral model
stages of change
precontemplation
contemplation w/"aha" moment
action
relapse prevention/maintenance
relapse
best way to support change
Motivation Enhancement Therapy
most common medical problem PP
PPD
mostly in women (mental disorder)
bipolar disorder II
DSM criteria for panic attacks
four physical sx develop and peak in 10 mins

discrete period
PMS ACOG definition
1 physical
1 emotional
remits with menses
PMDD DSM criteria
5 symptoms of affect/emotions or physical

always associated with menses
women are 75% of pts with...
borderline personality disorder
PUPPP vs. PG
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:
tx of pg
relieve pruritis, prevent blisters, prevent erosion

steroids,
emollients
antihistamines

TREAT!!!!