Paediatric Dermatology - Liam

Question 1

Eczema

• pharmaceutical management

Answer 1

• Emollients - prevention of flares
• Topical steroids - treatment of flares

Question 2

Eczema

• emollient thin cream

Answer 2

E45

Question 3

Eczema

• emollient thick cream

Answer 3

50:50 ointment

Question 4

Eczema

• steroid ladder

Answer 4

• Mild
  
  • Hydrocortisone 0.5%
• Moderate
  
  • Eumovate
• Potent
  
  • Betnovate
• Very potent
  
  • Dermovate

Question 5

Eczema

• bacterial infection

Answer 5

Staph aureus

Question 6

Eczema herpeticum

• organism

Answer 6

Herpes simplex virus or varicella zoster virus

Question 7

Nappy rash

• pathology

Answer 7

Contact dermatitis in nappy area (friction)

Question 8

Differentiate between nappy rash and candidal infection

Answer 8

• Candidal
  
  • Rash extends into skin folds
  • Larger red macules
  • Presence of oral thrust with white coating on tongue

Question 9

Impetigo

• organism

Answer 9

Staph aureus or strep pyogenes

Question 10

Impetigo

• classifcation

Answer 10

Bullous or non-bullous

Question 11

Non bullous impetigo

• treatment

Answer 11

Topical fusidic acid

Oral flucloxacillin

Question 12

Bullouis impetigo:

• treatment

Answer 12

Oral or IV flucoxacillin

Question 13

Urticaria

• pathology

Answer 13

Release of histamine by mast cells

Question 14

Urticaria

• classfication

Answer 14

• Acute
  
  • Allergic reaction
• Chronic
  
  • Autoimmune reaction

Question 15

Urticaria

• management

Answer 15

Antihistamines (fexofenadine)

Oral steroids for severe flares