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Chapters 10-13 > Chapter 13 Skin > Flashcards

Chapter 13 Skin Flashcards

(46 cards)

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1
Q

order these steroids strongest to weakest
clobetasol
betamethasone 0.025%
clobetasone/ mometasone/ betamethasone 0.1%
hydrocortisone

A

clobetasol
betametasone
clobetasone
hydrocortisone

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2
Q

what type of vehicle is best applied to hairy skin

A

lotions

also has cooling effect

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3
Q

which is the most greasy formulations

A

ointments
insoluble in water, can be combined with paraffin
more occulsive than pastes or ointments

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4
Q

what do pastes consist of

A

contsins high proportion of finely powdered solids

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5
Q

what are emollients

A 
soothe
smooth
hydrate
dry skin e.g eczema, psoriasis
apply frequently
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6
Q

ABCS

what is the advisory committee for boderline substances

A

reposible for advising in the NHS such as sunscreen

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7
Q

what are emoillients

A

added to bath water
soak in 10-20 mins
some bath emollients can be applied to wet skin undiluted and rinsed off
avoid soap in dry skin conditions

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8
Q

what are barrier creams

A

replellents such as dimeticone or silicones

used for skin rash etc

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9
Q

what is used for nappy rash

A

1st line change nappy more frequently
2nd line antifungal such as clotrimazole
Alternatively zinc oxide cream e.g metanium /ointment

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10
Q

treatment for impetigo

A

fusidic acid/ mupirocin used if long standing
no longer than 10 days
or hydrogen peroxide

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11
Q

what med is used for infected burns

A

silver sulfadiazine (flamazine)

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12
Q

angular cheilitis

A

fusidic acid

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13
Q

rosacea

A

Metronidazole

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14
Q

antifungals for skin

A

used 1-2 weeks after infection to prevent relapse

if topical not effectibve then use oral

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15
Q

what is tinea manum

A

infection on hand

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16
Q

what are the imidazole antifungals

A

terbinafine

anyhting that ends in ole

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17
Q

what is pityriasis / tinea versicolour and what are the treatment options

A

fungal infection causes small patches on skin to become scaly and discoloured
treated with ketoconazole or selenium sulfide shampoo

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18
Q

what tyoe of antifungal is used for candidiasis

A

topical imidazole

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19
Q

what do pts use if candiasis is refractory

Study These Flashcards
A

oral antifungal treatment with fluconazole

pt would 1 tablet a week for 6 months

20
Q

what type of antifungal is used for angular cheilitis

21
Q

topical antivirals example and use

Study These Flashcards
A

aciclovir cream for herpes simplex/zoster
apply as early as possible
five times a day
systemic- tablets - if frequently occur

22
Q

counselling for permethrin for scabies

Study These Flashcards
A

treat everyone in the house at the same time
adults and children over 2
elderly and children under 2 then out everywhere
whole body including face, neck, scalp and ears then wash off after 8–12 hours.

23
Q

how should a patient use permethrin

Study These Flashcards
A

apply leave for 8-12hrs then wash off
\apply 1 week later
reapply after washing hands if within 8 hrs

24
Q

scabies treatment after permethrin

Study These Flashcards
A

send child back to school 24 hrs after first treatment
can have crotamiton, corticosteroid or sedating antihistamine at night
irching- itch and eczema can last a few weeks

25
treatment for headlice and how it works
``` dimeticone coast lice interfers with water balance in lice repeat after 7 days dimeticone malathion is second line apply 8-12 hrs over night 2 applications 7 days appart treat all Household at the same time ```
26
what is the best treatment for crab lice | pthirus pubis
``` Permethrin or malathion apply and let dry wash off after 12 hrs repeat after 7 days treat all body surfaces ```
27
counselling for headlice treatment
``` risk of burn if exposed to open flame dont smoke until hair washed comb wet hair for 30 mins every 4 days for 2 weeks until finished use hair conditioner ```
28
lichenifiaction definition
scratch so much lead to leathery patches of skin
29
baseline treatment for eczema
use emollients all the time steroids depends on severity bandages can be put on top of creams
30
what is used for eczema symptoms e.g itching, weeoing, refracroty
``` lichenification- potent steroid non-sedation antihistamine for itching sedating antihistamine to help sleep exudative weeping eczema potent steroid sever refractory ecezema use phototherapy ```
31
what is psoriasis worsened by and what is used to treat it including if severe
worsened by lithium, beta blocker, ACEI, NSAID, hydroxychloroquine emollients used as adjuncts to more specific treatment pimecrolimus/tacrolimus used for atopic aczema/psoriasis calcitriol methotrexate or actretin used if severe
32
when is topical steroids used on skin and what is not
eczema, insect stings, scabies, contact dermatitis | not recommended in acne
33
what are the actives in canesten HC
Hydrocortisone and clotrimazole
34
WHat are the actives in Fucidin H
Hydrocortisone and fusidic acid
35
what are the activities in timodine
Hydrocortisone, nystatin, benzalkonium chloride and dimeticone
36
what is the name of the moderate steroid that also has antimicrobials
trimovate
37
what is the name of teh moderate steroid with urea
alphaderm
38
name potent steroids
bethamethasone valerate 0.1% mometasone furate 0.1%- elocon HYDROCRTISONE BUTYRATE-lOCOID
39
Which steroids are potent and have antimicrobial activity
Betamethasone and clioquinol/ betamethasone and neomycin fucibet synalar C and Synalar N
40
what is the name of a potent steroid that also has salicylic acid
diprosalic
41
whihc steroids are very potent
clobetasol- dermovate, etrivex, clarelux | nerisone forte
42
whihc steroids are very potent with antimicrobial activity
clobetasol with meomycin and nystatin
43
what is used for mild to moderate acne
topical tretinoin/isotretinoin/adapalene need several months Tetracyclines sytemic if topical doesnt work may need to take for 2 years
44
what treatment is used in moderate to severe acne
minocycine greater risk of lupus erthematosus like syndrome widespread tissue and organ damage Irreversible pigmentation Trimethoprim if acne resistant hormone Treatment for acne co-cyprindiol whihc contains anti-androgen
45
what is used for severe acne
``` last option severe dryness in skin, eyes, lips nose bleeds, joint pain teratogenic given for 16 weeks by consultatnt dermatologist ```
46
what treatment is used in rosacea
briminidine tartrate/ topical metronidazole-facial erythema (redness) in rosacea OR low dose doxycycline

Chapters 10-13 (4 decks)

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