Derm Treatments Flashcards
(54 cards)
1
Q
Molluscum Contagiosum
A
No cure
Cryotherapy
Self resolving up to 18 mos
2
Q
Verrucae / Warts
A
No cure Cryotherapy Keratolytics Laser Home remedy
3
Q
Herpes Zoster
A
Optho consult ASAP for eye Valtrex Pain Meds for neuralgia Drying agents No RX after 1 week, too late
4
Q
HSV
A
Culture
Acyclovir within 48 hrs
Topical - Abreva, Viroxyn
5
Q
Candidiasis
A
Keep dry End offending meds (if possible) Nystatin powder Fluconazole for severe DM testing / Liver testing
6
Q
Tinea Versicolor
A
Ketaconazole cream
Oral fluconazole for widespread
Selenium sulfide shampoo
7
Q
Tinea
A
Topical - azole cream Oral - Lamisil or Griseofulin Toenail - 3 mos Scalp - 6 weeks Fingernail - 1 mo
8
Q
Cellulitis
A
CBC & cultures
Oral or IV ABX : PCN or Clind
Hospitalization?
DDX : DVT vs stasis dermatitis
9
Q
Erysipelas
A
Rapid, 7 day course of oral ABX due to rapid spread : PCN
10
Q
Impetigo
A
Culture if not responding
Topical : Mupirocin, Bactroban, Xepi
Nasal culture
No sharing of items
11
Q
Black Widow Spider Bite
A
RICE Tetanus Analgesics Address HTN Antispasmodic
12
Q
Brown Recluse Spider Bite
A
RICE Pain relief Antibiotics Tetanus Debridement / grafting Watch for secondary infection
13
Q
Scabies
A
Permetherin / Elamite cream
Cover body x 2, 48* apart
14
Q
Lice
A
Rx pt and check family Topical, repeat PRN Nit combing Wash everything in hot Replace hair items
15
Q
Acanthosis nigricans
A
Check for DM
Treat wt. / dm
Keratolytics / retinoids
16
Q
Hidradenitis suppurativa
A
No cure Surgery to remove glands Antibiotics Corticosteroids Pain management
17
Q
Lipomas
A
Excision (and biopsy) for pain
18
Q
Epidermal Inclusion Cyst
A
No Rx necessary
Excision w/ lining
Culture?
19
Q
Melasma
A
Avoid sunlight High SPF Avoid hormone meds Bleaching agent Chem peel
20
Q
Vitiligo
A
High SPF Phototherapy to stimulate melanocytes Excimer laser for small Depigmentation therapy Skin grafting / tattooing MH referral
21
Q
Urticaria
A
Labs for chronic DDX for any phyla is Antihistamines Avoid systemic steroids - depress immune sys Remove offender Epi pen
22
Q
Pressure ulcers
A
Stage Culture Labs Wound care Debridement Prevent / reduce pressure Control infection Pain management
23
Q
Pilonidal disease
A
I&D w/ complete excision
Antibiotics
24
Q
Folliculitis
A
Topical ABX
Systemic ABX
ABX washes
Careful shaving
25
Onychomycosis
```
Scrape for KOH
Nail clip for PAS stain
Topical antifungal + oral
Lamisil w/ LFT’s
Laser
Nail avulsion
```
26
Paronychia
```
Bacterial culture
KOH smear
Oral ABX
Soaks
I&D
```
27
Alopecia areata
Topical or intralesional steroids
SADE immunotherapy
Wigs
Regrowth but white and fine
28
Androgenetic alopecia
```
No cure
Rx is maintenance, not regrowth
Treat early
Minoxidil / Propecia
Surgical / wigs
```
29
Bullous pemphigoid
```
Biopsy from edge & other
Blood for immunofluorescence
Oral steroids / antibiotics
Topical for limited
Immunosuppressive : methotrexate, dapsone
Prevent infection
```
30
Erythema multiforme
Topical steroid - self limiting
31
Stevens Johnson Syndrome
BX is study of choice
ICU / burn unit
Pain control
Rx as a burn victim / consults
32
Toxic Epidermal Necrosis
Remove offending drug
Pain & infection control
Rx as burn victim / consults
33
Acne
No cure, 4-6 wk treatment
Rx depends on severity, location and cost
Benzoyl peroxide - can bleach
Aczone gel
Retinoids - can irritate. Retin-A
Oral ABX: minocycline (can stain teeth), no sun exposure
Spironolactone - black box
34
Severe Acne
```
No cure, 4-6 wk treatment
Isotretinoin - Cat X teratogenic
Seen every 30 days
Lab testing, preg test, depression screen,
IPLEDGE mandate
Chem peel / laser
Microdermabrasion
Blu U (UV)
```
35
Rosacea
No cure
Avoid triggers, high SPF, gentle soaps
Topical ABX, retinoids
Mirvaso / Rhofade - 12 hrs only! Cosmetic / rebounds!
Doxycycline - low anti-inflammatory dose for long term use
36
Rinophyma
Hot loop & Rosacea Rx
37
Atopic dermatitis
```
Moisturize
Bathe less, gentle soap
Topical steroids
Eucrisa - non steroidal
Phototherapy
Oral for acute episodes only: steroids, antihistamines, ABX, biologics
```
38
Contact dermatitis
```
Remove offender
Patch testing
Topical / oral steroids
Antihistamines
Pt ed. Avoid and prevent
```
39
Seborrheic dermatitis
```
Selenium sulfide, H&S shampoo
Low potency steroids
Kertaconazole cream
Immunomodulators
Keratolytics
```
40
Dyshydrotic eczema
Prevention
Cotton gloves, socks
Topical or systemic steroids
Phototherapy
41
Nummular eczema
Bathe less
Gentle soaps
Topical steroids
DDX: tinea
42
Stasis dermatitis
Topical steroids
Elevation
Compression
43
Neurodermatitis
Psych evaluation, SSRI and antipsychotics
44
Lichen Simplex Chronicus
Potent topical steroid OINTMENT
Antipruritics
Behavior mod
DDX: Psoriasis
45
Psoriasis
```
No cure
Depends on location
Topical / oral steroids
Tar / Saran Wrap
Phototherapy / excimer laser
Methotrexate oral - LFT and no alcohol
Cyclosporine for acute flare
Biologics - SQ, IV, oral
```
46
Pityriasis Rosea
Alleviate pruritis
Topical steroids / antihistamines for severe cases
Sunlight
47
Lichen Planus
```
Can resolve
Bx
Hepatitis testing
Topical / systemic steroids
Phototherapy
Plaquenil - scalp - anti-malarial
```
48
Drug eruptions
D/C the drug & REPLACE PRN w/ different class
May take 4 weeks
Bx
49
Seborrheic Keratosis
No Rx needed
Bx if any ?
Cryotherapy or surgical
Anti-pruritic (Sarna)
50
Actinic Keratosis
Destroy w/ liquid N or topical chemotherapy
Prevent sun exposure
25% become SCC!
51
Basal Cell Skin CA
Bx
Cryotherapy, topical chemo, ED&C, excision, MOHS surgery
Regular exams
52
Squamous Cell Skin CA
Bx
Cryotherapy, topical chemo, ED&C, excision, MOHS surgery
Regular exams
53
Malignant Melanoma
Prognosis depends on stage
Surgical removal
Limit sun exposure
54
Kaposi Sarcoma
```
Complete PE
Blood / labs, HIV testing
CT / CXR
Bx & Lymph node Bx
Radiation / Chemo
Excision of single lesion
```
