OTC scalp Flashcards Preview

1 Any - Pre-reg Exam > OTC scalp > Flashcards

Flashcards in OTC scalp Deck (22):
1

Symptoms for referral of dandruf

Doubt of diagnosis
Scaling on other parts of the body - indicating seborrhoeic dermatitis, eczema, psoriasis
Sidedness tendency to flaking or seborrhoeic dermatitis for the first time in middle age may be due to HIV

2

5 treatment ingredients for dandruff/ seborrhoeic dermatitis
How often to use?

Pyrithione zinc 2-3x weekly
Selenium sulphide 2x weekly for 2/52 then 1x
Ketoconazole 2x weekly then weekly or fortnight
Coal tar
Salicylic acid

Use regularly - at least twice weekly

3

Caution with selenium sulphide

Highly toxic if ingested orally

4

Pyrithione zinc and selenium sulphide mode of action

Cytostatic - reducing cell turnover

5

Can to use selenium in preg/ BF/ children

Not in first trimester of pregnancy or children under five

6

Gap required between selenium use and dying hair

48 hours

7

Which treatment of dandruff is usually for more severe or persistent ?

Ketoconazole 2%

8

Disadvantage of ointment preparations over shampoo

An absolute mess

9

Seborrhoeic dermatitis in infants is called

Cradle cap

10

Different features between seborrhoeic dermatitis and dandruff

Greasy scales and pruritis

11

Referral for seborrhoeic dermatitis

Severe should be diagnosed and managed by a doctor
Persist yellow greedy scales extending over face or eyebrows or nose or anywhere else

12

Timeframe of cradle cap

Three months of life to a year

13

Appearance of cradle cap

Scaling or scrutiny of the scalp in infants

14

Referral for cradle cap

Anywhere else on the body

Acute erythematous scaling of scalp, nappy area or other parts of body may indicate atopic eczema or generalised infantile seborrhoeic dermatitis

15

Treatment for cradle cap

Olive oil or coconut oil followed by shampooing

There are shampoos avail but these are probably no more effective

16

Signs of scalp psoriasis

Raised defined erythematous and scaly, salmon pink, silvery easily removed scales that may lead to capillary bleeding

Itching - not always
Scaly border extending just bellow hairline

17

Treatment for scalp psoriasis

Should be under dermatologist - refer


Tar based and Salicylic acid preparations (as directed by specialist)
Potent topical corticosteroid or calcipipitrol preparations (Pom)

18

Scalp ringworm is also called

Tinea capitis

19

Scaling ringworm is often acquired from
In whole does it usually occur

Dogs and cats
Almost exclusively in children

20

Signs of scalp ringworm

Tiny bald patches with broken hairs around them
Little or no itching

21

Treatment for scalp ringworm (2)

POM PO antifungals (griseofulvin or terbinifine)

22

Referral symptoms for tinea capitis

Always refer as treatment is POM

Also there maybe lymph swelling, alopecia, bacterial infection, kerion ( swollen puss filled mass)