Curriculum Treatment Flashcards by Paapa A-Odame

Mild cellulitis

first-line treatment

Amoxicillin

Flucloxacillin

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Severe cellulitis

first-line treatment

Stronger gram +ve antibiotic
Benzylpenicillin
Flucloxacillin

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in patients allergic to penicillin first-line treatment for severe cellulitis

Clindamycin

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Mild atopic eczema
Moderate atopic eczema
Severe atopic eczema

First line topical treatments?

Emollients

Topical corticosteroids

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Infantile haemangioma
(benign vascular tumour)
first-line treatment

Propranolol

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Congenital Melanocytic Naevi (CMN)

First line recommended imaging

MRI

Any child born with two or more congenital melanocytic nevus in any location should have a routine MRI scan of the brain and spine, preferably by the age of six months,

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Mongolian blue spots

first-line treatment

No treatment necessary

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Sebaceous Naevus

first-line treatment

No treatment necessary

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Tuberous Sclerosis
hint: think scans
first-line treatment

4 Options
• MDT
• MRI
• Renal Imaging 
• Genetic counselling

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Impetigo
(golden crusted lesions)
first-line treatment

Antibiotic for infection

• Flucloxacillin

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Scarlet Fever
(group A streptococcus)

First line treatment for the infection + backup?

Antibiotic for infection
• Penicillin
• Erythromycin

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Urticaria

Recommended patient lifestyle management advice and a recommended medication (hint: think hayfever)

Avoid trigger

Antihistamines

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Psoriasis

First line topical treatments

Topical Treatments
• Emollients
• Topical steroids
• Vitamin D analogues - calciprotriol
• Vit D and steroid combinations

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Psoriasis

Systemic therapy treatment examples

Biologics example

Methotrexate Tablets (immunosuppressant)
Acitretin (Retinoid)
Ciclosporin Tablets (immunosuppressant)

4 Biologics:
• Infliximab
• Etanercept
• Adalibumab
• Ustekinumab

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Scalp Psoriasis

first-line treatment according to NICE
back up for first line according to NICE

Potent topical corticosteroid OD + review after 4 weeks

Vitamin D preparation

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Diphtheria first-line treatment
(Corynebacterium)

Name one Topical treatment
Name one Systemic treatment

Topical Treatment
Clindamycin

Systemic Treatment
Oral Erythromycin

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Necrotising Fasciitis
(Group A Strep)

Name the four medications used to treat Necrotising Fasciitis

Metronidazole
Clindamycin
Tazocin
Gentamicin

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Common Warts
(HPV epidermal infection)

Name three treatment options if warts do not self-resolve after 6-12 months

Salicylic acid
Lactic acid
Cryotherapy – repeat every 3-4 weeks
Curettage Scraping
Excision

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Genital Warts
(HPV 6/11 infection)

Name two creams
Name a treatment option if the cream does not work

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First Line Treatment
Creams
• Podophyllotoxin 0.15%
• Imiquimod 5%

Second Line Treatment
• Cryotherapy

Scabies
(Infestation by Sarcoptes scabiei mite)

Name a topical treatment and give instructions on how to use

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Topical treatment

Permethrin 5% (insecticide)

left on for 24 hours
applied to neck down
reapplied to hands after washing
repeated after 1 week

Seborrhoeic dermatitis
(Eyebrow Dandruff)
(Nose dandruff)

Name 2 creams that can be used to relieve symptoms

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Moderately potent topical steroids

* Topical tacrolimus ointment (Protopic)

Flexural Psoriasis first-line treatment

Underboob

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Topical Agents

• Mild or moderate potency
topical steroids

• Combination therapies with
anti fungals

• Silkis ointment Vitamin D
analogue

Herpes Simplex first-line treatment

Herpes Zoster first-line treatment

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antiviral cream

Tinea corporis first-line treatment

thrush first-line treatment

candida oesophagitis first-line treatment

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topical antifungal (fluconazole)

thrush nystatin

oral antifungal

ACNE first-line treatment Acne vulgaris first-line treatment Acne rosacea first-line treatment mild

topical retinoids topical metronidazole or azelaic acid

Bullous pemphigoid first-line treatment Pemphigus vulgaris first-line treatment Pemphigus foliaceus first-line treatment

Corticosteroids (oral or cream) dapsone high doses of steroid medication Topical treatment with corticosteroids and antibiotics

Erythrodermic psoriasis You are the GP Patient presents with this condition What do you need to tell them at the end of the consultation when discussing management? (hint: dont forget to referr or admit to hospital if necessary)

That you will arrange for an immediate same-day specialist dermatology assessment

rapidly developing angiodema first-line treatment

Give slow intravenous (IV) or intramuscular (IM) chlorphenamine and hydrocortisone

anaphylaxis first-line treatment

IM adrenaline

BASAL CELL CARCINOMA first-line treatment Stage 0 Stage 1 Stage 2

Consider topical imiquimod1 to treat stage 0 melanoma in adult Offer excision with a clinical margin of at least 1 cm to people with stage I melanoma Offer excision with a clinical margin of at least 2 cm to people with stage II melanoma

BENIGN NAEVI first-line treatment

watch and wait

Bowen’s Disease (in situ squamous cell carcinoma) first-line treatment non melanoma skin cancer

Freezing with liquid nitrogen Curettage Excision 5-fluorouracil cream

Malignant melanoma first-line treatment

Chemotoxic chemotherapy Immunotherapy BRAF V600 targeted therapy

SEBORRHOEIC KERATOSIS first-line treatment also known as seborrhoeic warts

Benign if patient wants removed cryotherapy or curettage

SOLAR (ACTINIC) KERATOSIS first-line treatment | Rough areas of sun damaged skin can be brown in appearance

destructive therapies - cryotherapy, - dermabrasion, - photodynamic therapy [PDT]), topical medications - topical fluorouracil - imiquimod, - mebutate, - diclofenac chemical peels

SQUAMOUS CELL CARCINOMA first-line treatment | non melanoma skin cancer

SCC Mgx 1st Line = Surgical excision 4mm margins if lesion <20mm in diameter. 6mm margins if lesion >20mm in diameter. Mohs micrographic surgery high-risk patients and in cosmetically important sites.

Melasma (chloasma) first-line treatment For symptoms of abnormally tan or dark skin discoloration

Benign Avoiding triggers, such as the oral contraceptive pill  sun avoidance + sun-blocking  Skin-lightening agents  Chemical peels, dermabrasion and laser treatment.  Skin camouflage.

Vitiligo first-line treatment

Image Topical corticosteroids — Mid- to super-high-potency topical corticosteroids are commonly used as a first-line therapy for the treatment of limited vitiligo However no treatment is an option

Alopecia areata first-line treatment If there is evidence of hair regrowth If there is no hair regrowth and the person has less than 50% hair loss If there is no hair regrowth and the person has more than 50% hair loss, or treatment is preferred

no treatment watch and wait Consider a trial of a potent topical corticosteroid

Erythema multiforme first-line treatment Mild rashes Severe rashes

will clear up in a few weeks spontaneously In the absence of infection, oral corticosteroids are sometimes given in the early stages of the eruption.

Stevens Johnson syndrome first-line treatment What causes Stevens Johnson syndrome normally? Is a big hint to treatment

medication induced remove offending medication IVIG corticosteroids

Toxic epidermal necrolysis first-line treatment | The usual cause is the same as for Stevens Johnson syndrome which is a hint to treatment

medication induced remove offending medication

Eczema herpeticum (widespread herpes simplex virus infection) You are the A and E doctor Patient presents with areas of rapidly worsening, painful eczema clustered blisters consistent with early-stage cold sores punched-out erosions 1–3 mm fever lethargy You suspect Eczema herpeticum what do you need to give them as first line treatment?

IV Aciclovir

Venous Leg Ulcer You are the GP Patient presents with this condition What do you need to tell them when discussing the management of a venous leg ulcer?

keep the ulcer clean and in a dressing | use compression bandages if there is no problem with arterial supply to leg

Guttate psoriasis You are the GP Patient presents with this condition What do you need to tell them at the end of the consultation when discussing the prognosis of guttate psoriasis?

usually a self-limiting condition that typically resolves within 3–4 months of onset, and reassure that it is not infectious

Erythema Nodosum

No active treatment

Curriculum Treatment Flashcards

(46 cards)