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MJ- F2 E6- Derm and ID > Derm treatments > Flashcards

Derm treatments Flashcards

1
Q

Tx for atopic dermatitis (3)

A

Steroids

Antihist. PO

Topical calcineurin inhibitors

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2
Q

first line tx for seborrhic dermatitis?

A

Desonide Cream

Selenium sulfide shampoo

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3
Q

Tx for Dyshidrotic eczema

A

Topical steroids

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4
Q

Tx for stasis dermatits

A

Tx venous insufficiency

Topical corticosteroids, abx, tx ulcers, reduce edema

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5
Q

3 treatments for Drug eruption

A

Discont. Drug

PO antihistamines

topical steroids

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6
Q

Tx for lichen planus-3

A

Topical, intralesional, or oral steroids

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7
Q

Tx for pityriasis rosea

A

Resolves on its own

Can give: antihist, steroids topical

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8
Q

Tx for mild to mod Psoriasis vulgaris (6)

A

Topical corticosteroids, Emollients, Vit D analogues, Coal, tar, UV, retinoids

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9
Q

Tx for moderate to severe psoriasis vulgaris (4)

A

Methotrexate

cyclosporine

PO retinoids.

Biologics “–mab”

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10
Q

Tx for Erythema multiforme

A

Tx cause, discont drug

Sxs- oral antihist. Topical steroids

Recurrent- antivirals (herpes simplex)

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11
Q

How do you tx SJS? (5)

A

Discont. Drug

Supportive care (ICU/burn): fluids & electrolyte, pain

Systemic steroids

Ophthalmology consult

Medical alert to offending drug

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12
Q

Tx for TEN

A

Burn center admit

fluid electrolyte replacement

skin grafting

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13
Q

Tx for urticaria

A

Allergen avoidance

Antihistamines

Systemic steroids

Epi

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14
Q

Tx for Bullous pemphigoid

A

Punch Biopsy: Immunofluorescence for Ig deposits

TX: topical, systemic steroids

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15
Q

Tx for Rosacea

A

Avoidance of triggers, sun protection

Metronidazole

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16
Q

Tx for Hidradenitis suppurativa

A

Difficult.

Abx

Intralesional steroid

Isotretinoin

Surgical

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17
Q

Tx and prevention for Actinic Keratosis

A

Cryotherapy

Topical fluorouracil

Topical imiquimod

Prevention: regular use of UVA/UVB sunscreen and sun protective clothing

18
Q

Tx for seborrhic keratosis

A

none necessary

19
Q

tx for Basal cell carcinoma

A

Surgical excision, curettage, MOHS surgery

20
Q

Tx for Squamous cell carcinoma

A

Excision

MOHS surgery

21
Q

Tx/management of malignant melanoma

A

EXCISIONAL BIOPSY

Full skin exam q. 6 mo for 2 yrs, then annually.

22
Q

Tx for Kaposi Sarcoma

A

AIDS assoc- HAART, refer to oncologist/HIV specialist

Non AIDs- cryotherapy, radiation, chemo

23
Q

Tx for tinea pedis/corporis/cruris

A

topical azoles x4-6wks

24
Q

Tx for onychomycosis

A

ORAL -azoles x12 weeks

25
Q

tx for tinea versicolor

A

TX: shampoo: selenium sulfide

26
Q

Tx for Candidiasis

A

keep area dry, clean, cool

Loose clothing

Topical antifungals

Topical steroids

27
Q

Tx for condyloma acuminata (genital warts)

A

surgical removal

electrocautery laser

imiquimod

HPV vaccine

28
Q

Tx of Palmoplantar warts

A

Spontaneously resolve

Acids, cryotherapy, retinoid cream, surgical removal, duct tape, laser- all irritating or destructive

Imiquimod ,candida antigen

29
Q

Tx of Herpes Zoster (shingles)

Prevent post- herpetic neuralgia

Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption

Pain control

A

Prevent post- herpetic neuralgia

Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption

Pain control

30
Q

Molluscum Contagiosum

A

Curettage, acids, cantharidin

Topical therapy- retinoid

31
Q

IMPETIGO

A

topical mupirocin or retapamulin

Prevent: hygiene, bath daily w/ abx soap, hand washing, check family

32
Q

Erysipelas

A

IV abx if systemic

Or PO PCN or amoxicillin

33
Q

Cellulitis

A

Abx covering beta hemolytic strep & MRSA

Cefazolin IV or cephalexin PO

34
Q

Scabies

A

Permethrin topical lotion/cream apply from the neck down in every crack and crevice left on the skin for 10-12 hrs & then wash it off

35
Q

Pediculosis (lice)

A

Permethrin OTC or overnight for resistance

36
Q

Alopecia aerate

A

Reassurance- spontaneously resolve in 6 mo.

Topical steroid

Topical minoxidil

Intralesional steroids

Derm referral

37
Q

Paronychia

A

Warm compress

I&D- bacterial culture

PO abx

38
Q

Vitiligo

A

Sunscreen, cosmetic cover up

Repigmentation- topical steroids, tacrolimus, PUVA, grafting

39
Q

Melasma

A

Sunscreen, hydroquinone, tretinoin, chemical peels, laser tx.

40
Q

Acanthosis Nigricans

A

Fasting plasma insulin and glucose, weight loss counseling.

Topical therapy for cosmetic purposes

41
Q

Pressure Ulcers

A

Prevention- change positions q. 2 hrs.

Ulcer care- debride, clean, wet dry dressing, occlusive

Bacterial culture if secondary infevtion is suspected

42
Q
A

MJ- F2 E6- Derm and ID (11 decks)

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