Corn,Warts, Callus

Question 1

-any area of skin susceptible to the virus,
rough cauliflower-like appearance; plantar warts disrupt normal skin ridges, no skin ridges, usually not painful but pain may occur if the wart is located in areas undergoing repeated pressure (soles of the feet), may be around for several months or several weeks

Answer 1

wart

Question 2

-over bony prominences in the feet or in the bunion, raised sharply demarcated hyperkeratotic lesions with a central core, painful, may get get bigger

Answer 2

corn

Question 3

________: weight-bearing areas of the foot (ex: back of the heel where shoe is often rubbing or ball of foot or surfaces underneath toes), raised yellowish thickening of the skin; broad based with diffuse borders, normal pattern of skin ridges remain, usually NOT painful but pain may occur if the callus is located in an area where significant pressure may occur (i.e. soles of the feet), may get bigger

Answer 3

callus

Question 4

Wart is caused by HPV infection

Question 5

What is a corn caused by?

Answer 5

Friction from tight fitting shoes or narrow shoes

Question 6

Callus caused by friction, walking barefoot, structural foot problems

Question 7

To prevent spread of warts we are going to treat with salicylic acid

Question 8

Salicyclic acid can be used for warts,corns, and calluses

Question 9

Corns are on bony prominences

Question 10

Pharmacists are only treating nongenital warts

Question 11

If there are warts on any type of gential or face those are referrals!!

Question 12

Corns are on bony prominent like a knuckle on the feet or on the bunion

Question 13

A wart can occur on any part of the skin and its one of the HPV viruses

Question 14

We typically see warts on the hand and feet, nails

As a pharmacist we are only treating warts on the hands and feet if they are small enough*

Question 15

This is a wart…it’s a cauliflower crater like and you can’t see a skin print here because its disrupting skin surface we are treating common,flat juvenile warts…we are NOT treating venereal which is genital and plantar is very painful…and we need to differentiate if its on the bottom of the foot is it really a wart or callus which we can tell by looking at it

Question 16

Self-treatment of common and plantar warts SHOULD NOT CONITUNE PAST _____. A medical provider should evaluate patients who have warts that do not completely resolve after 12 weeks

Answer 16

12 weeks

Question 17

Using cryotherapy most warts will resolve after ____treatment. Self treatment of common and plantar warts may be repeated every 2-3 weeks. Treatments should not continue beyond 3 months or a maximum of four treatments.If this regimen does not completely resolve the wart, the pt must be referred to a medical provider for evaluation and treatment

Answer 17

one

Question 18

Using cryotherapy most warts will resolve after _______ treatment. Self treatment of common and plantar warts may be repeated every 2-3 weeks. Treatments should not continue beyond ___months or a maximum of _______ treatments.If this regimen does not completely resolve the wart, the pt must be referred to a medical provider for evaluation and treatment

Answer 18

one

3 months

4 treatments

Question 19

Treatment for Warts are salicylic acid (less than 17% for common warts on our hands…higher concentration are more for plantar warts which are on the bottom of the feet)

-Cryotherapy (freezing wart)

-Duct tape (Duct tape works for a wart because your suffocating it and you can use it combination with salicylic acid or you can put the duct tape on by itself and just leave it there and change it every couple of days and continue to really suffocate it and then at one point when you pull off the duct tape the wart will come off)

Question 20

Treatment for Warts

Salicylic acid 40% these come in pads and strips

Salicylic acid 17% is more the liquids and gels

Question 21

Treatment for warts

Salicylic acid 40%

Soaking area in warm water for 5 minutes which will soften skin and cause the salicylic acid to be more effective and if we are using a pad,strip, make sure it’s the right size for the wart and you can cut them and cover it…remove it after _____ hrs and repeat every 48 hours until wart is removed it will eventually come off

Answer 21

48 hours

Question 22

Treatment for warts

17% Salicylic acid Liquid/gel–>_____ drop at a time to cover it and try not to get on the healthy skin you really just want to drop it on the wart and let it dry and then repeat

Answer 22

one

Question 23

Exclusions to self-treatment for Warts

Not treating warts on the face, genitalia, or in the nails

Extensive-one site (meaning more than one site)

If plantar wart is painful

Chronic debilitating disease)

Physical, mentally impaired

Question 24

If there is so many warts you would refer pt to the doctor!!

Question 25

Exclusions for wart
less than 3 years,pregnancy or breastfeeding, chronic conditions, large or multiple warts located on area of the body, bleeding wart,discolored wart, painful wart, face, breasts,armpits,fingernails, genitalia

Warts that have not resolved after 12 weeks is a referral

Salicylate allergy

Question 26

Multiple warts on different parts of the body you can treat it as long as its small enough

Question 27

An eraser tip of a wart is fine

Question 28

Exclusions for self care for corns, calluses, and wart
-Chronic conditions
-Anything is hemorrhaging or oozing or blood

Question 29

With a callus you can see skin ridges

Question 30

_______-hyperkeratotic area with a central core that’s the difference with a corn you have this core in the middle

Question 31

Treatment for Corn and Calluses with Salicylic Acid

Soak the affected foot in warm water for ____.Then remove the macerated, soft white skin of the corn of callus by scrubbing gently with a rough towel, pumice stone, or callus file.

For a corn or callus no more than twice a day..your applying it directly to the corn or callus until its covered and allow it to dry and your looking up to _____days

Answer 31

5 minutes

14 days

Question 32

Salicylic acid Treatment for corn and calluses*

pads or plasters are similar you want to it and cover it to the size of the corn or callus they do have the medicated disks if you want to make sure it’s the right size your removing that with 48 hours and you can reapply but our length of treatment here is 14 days

Question 33

Ingrown toenail that is infected, redness, swollen…pus and this is a _________!!)

Answer 33

referral

Question 34

When trimming toe nail do it _______don’t round them and sometimes you can put it a piece of cotton under ingrown nail for it to go straight out

Answer 34

straight

Question 35

Treatment of Ingrown Toenail

Educate to prevent it from happening

Warm water soaks (10-20 minutes for multiple times a day)

Relieve pressure
-Insertion of small ______wisps or dental floss under the impinged nail edge has a 79% rate of symptomatic improvement

Referral is necessary if the condition is recurrent or gives rise to an oozing discharge, pain, or severe inflammation

Answer 35

cotton

Question 36

If a pt wants to purchase Ingrown toenail pain reliever TELL PT NOT TO BUY IT ITS BOGUS THERAPY

Question 37

We recommend ibuprofen, acetaminophen, and naproxen if pt is experiencing pain from ingrown toenail

Question 38

You need SPF 15 a shotglass which is 1 ounce to protect from sun and how often do you need to reapply? After going in the _______

Answer 38

water

Question 39

1 ounce of sunscreen to protect from sun so reapply every ______hours after swimming

Answer 39

2 hours

Question 40

We can do cryotherapy in someone who allergic to salicylate and they have a wart