cards

Question 1

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Answer 1

SCC

Question 2

first line tx of keloid scarring

Answer 2

intralesional steroids

Question 3

predisposing factors to keloid scars

Answer 3

dark skin
young adults, rare in elderly
common sites: sternum, shoulder, neck, face, extensor surface of limbs, trunk

Question 4

mng of rosacea

Answer 4

simple measures
- Avoid triggers
- recommend daily application of a high-factor sunscreen
-camouflage creams, green tinted foundation may help conceal redness

predominant erythema/flushing
-topical brimonidine gel may be considered for patients with predominant flushing but limited telangiectasia
brimonidine is a topical alpha-adrenergic agonist
this can be used on an ‘as required basis’ to temporarily reduce redness
it typically reduces redness within 30 minutes, reaching peak action at 3-6 hours, after which the redness returns to the baseline

mild-to-moderate papules and/or pustules
topical ivermectin is first-line
alternatives include: topical metronidazole or topical azelaic acid
moderate-to-severe papules and/or pustules
combination of topical ivermectin + oral doxycycline

Question 5

differentials for rosacea

Answer 5

Acne, periorificial dermatitis, seborrhoeic dermatitis, facial keratosis pilaris, cutaneous SLE

Question 6

presentation of pityriasis versicolor

Answer 6

Light patches on the trunk which can be mildly pruritic

Question 7

what is pityriasis veriscolor

Answer 7

superficial cutaneous fungal infection caused by Malassezia furfur (formerly termed Pityrosporum ovale)

Question 8

features lichen planus

Answer 8

pruritic, polygonal, violaceous papules and plaques which often affect the flexor surfaces of the forearms.

Question 9

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Answer 9

lichen planus

Question 10

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Answer 10

lichen planus

Question 11

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Answer 11

lichen planus

Question 12

when treating acne with abx, keep in mind

Answer 12

Abx should NOT be used as monotherapy

Question 13

immediate first aid mng burns

Answer 13

Immediate first aid
airway, breathing, circulation
burns caused by heat: remove the person from the source. Within 20 minutes of the injury irrigate the burn with cool (not iced) water for between 10 and 30 minutes. Cover the burn using cling film, layered, rather than wrapped around a limb
electrical burns: switch off power supply, remove the person from the source
chemical burns: brush any powder off then irrigate with water. Attempts to neutralise the chemical are not recommended

Question 14

mng of urticaria

Answer 14

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Question 15

paeds new onset purpura - next step?

Answer 15

referred immediately for investigations to exclude ALL and meningococcal disease

Question 16

presentation of lichen sclerosis

Answer 16

itchy white spots typically seen on the vulva of elderly women

Question 17

hirtutism vs hypertrichosis

Answer 17

Hirsutism is often used to describe androgen-dependent hair growth in women, with hypertrichosis being used for androgen-independent hair growth

Question 18

causes of hirtuism

Answer 18

Polycystic ovarian syndrome is the most common causes of hirsutism. Other causes include:
Cushing’s syndrome
congenital adrenal hyperplasia
androgen therapy
obesity: thought to be due to insulin resistance
adrenal tumour
androgen secreting ovarian tumour
drugs: phenytoin, corticosteroids

Question 19

Causes of hypertrichosis

Answer 19

drugs: minoxidil, ciclosporin, diazoxide
congenital hypertrichosis lanuginosa, congenital hypertrichosis terminalis
porphyria cutanea tarda
anorexia nervosa