61.2 📚 國考版醫垫國考 / PGY OSCE

61.2.0.1 📌 Cram Sheet

61.2.0.1.1 🔥 高 yield 10
  1. Acanthosis nigricans = DM / obesity / 突癌 = gastric cancer
  2. Necrobiosis lipoidica = DM
  3. Pyoderma gangrenosum = IBD / leukemia
  4. Erythema nodosum NODOSUM: idiopathic, OCP, drug, Sarcoid, UC, Microbe (Strep, TB)
  5. Dermatitis herpetiformis = celiac (IgA, dapsone)
  6. Pretibial myxedema = Graves’
  7. Heliotrope + Gottron = dermatomyositis (cancer 關聯)
  8. Calciphylaxis = ESRD + 鈣磷高
  9. Sweet syndrome = AML/MDS
  10. Janeway / Osler / splinter = IE
61.2.0.1.2 🔢 必背
皮膚埵 病
Acanthosis nigricans DM / cancer
Necrobiosis lipoidica DM
Pyoderma gangrenosum IBD
Erythema nodosum sarcoid, TB, IBD, Strep
Dermatitis herpetiformis Celiac (IgA)
Heliotrope rash Dermatomyositis
Gottron papules Dermatomyositis
Sweet syndrome AML, MDS
Necrolytic migratory erythema Glucagonoma
Calciphylaxis ESRD
Pretibial myxedema Graves’
Hyperpigmentation + vitiligo Addison’s
Striae + buffalo Cushing’s
Janeway / Osler IE
Erythema migrans Lyme
Spider angioma Cirrhosis

61.2.0.2 ⭐ 高 yield

61.2.0.2.1 NODOSUM (Erythema Nodosum)
  • NO cause idiopathic
  • Oral contraceptive
  • Drugs (sulfa)
  • Overseas (fungal)
  • Sarcoidosis
  • Ulcerative colitis (IBD)
  • Microbial: TB, Strep, Yersinia
61.2.0.2.2 Dermatomyositis Cancer Risk
  • 6-fold ↑ ovarian, lung, GI, breast
  • Cancer screening required at diagnosis
61.2.0.2.3 Dermatitis Herpetiformis
  • Symmetric, extensor, intensely pruritic
  • IgA at dermal papillae (DIF)
  • Celiac association
  • Treat: gluten-free + dapsone
61.2.0.2.4 Necrolytic Migratory Erythema (Glucagonoma)
  • 4 D’s: Dermatitis (NME), Diabetes, DVT, Depression
  • Plus weight loss, anemia

61.2.0.3 🎯 自我檢枬

  1. Acanthosis nigricans 突癌? → Gastric cancer
  2. Necrobiosis lipoidica? → DM
  3. Pyoderma gangrenosum 病? → IBD
  4. Heliotrope rash? → Dermatomyositis
  5. Janeway lesion? → IE
  6. Calciphylaxis 病? → ESRD
  7. Pretibial myxedema? → Graves’
  8. NME 4D? → Dermatitis, Diabetes, DVT, Depressionglucagonoma
  9. Erythema migrans? → Lyme
  10. Dermatitis herpetiformis treatment? → Gluten-free + dapsone

⚠ AI 草皿。