Skin conitions Flashcards

(48 cards)

1
Q

What are the four main functions of the skin?

A

Protection, barrier against microorganisms, sensory input, and temperature regulation.

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2
Q

What should you check first when assessing a rash?

A

Whether the rash is non-blanching, which may require immediate referral.

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3
Q

What is a non-blanching rash?

A

A rash that does not fade when pressed with glass. It may indicate serious conditions like meningitis and requires urgent referral.

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4
Q

What are common symptoms of atopic eczema?

A

Itchiness, redness, inflammation, rash, dry and cracked skin, pruritus.

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5
Q

When should atopic eczema be referred?

A

Failure of treatment, on the face, in children, during pregnancy or breastfeeding, broken or oozing skin, red flag symptoms.

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6
Q

What are red-flag symptoms for skin conditions?

A

Bleeding, weeping, yellow crusts (infection), non-blanching rash, fever.

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7
Q

Name some common skin conditions that can cause a rash.

A

Atopic eczema, contact dermatitis, psoriasis, allergies, fungal infections.

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8
Q

What causes contact dermatitis?

A

Inflammatory response after exposure to irritants penetrating the skin barrier.

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9
Q

What aggravates contact dermatitis?

A

Type, concentration, quantity, and duration of irritant exposure.

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10
Q

What is the role of emollients?

A

Moisturize the skin, reduce water loss, soothe itching, soften cracks, manage dry/scaly conditions.

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11
Q

Name the 4 types of emollients and examples.

A

Occlusive (e.g. Diprobase®), Humectant (e.g. Doublebase®), Antipruritic (e.g. Eurax®), Antiseptic (e.g. Dermol®).

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12
Q

What are topical corticosteroids used for?

A

Treat inflammatory skin conditions, reduce redness, itching, and inflammation.

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13
Q

Give two examples of topical corticosteroids.

A

Hydrocortisone Clobetasone butyrate

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14
Q

What are restrictions on selling corticosteroids OTC?

A

Over age 10 (hydrocortisone) /12 (clobetasone), max 7-day use, not for face/broken/infected skin, max 15g, not during pregnancy/breastfeeding.

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15
Q

What is a fingertip unit (FTU)?

A

Amount squeezed from fingertip to first crease, treats twice the size of flat hand.

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16
Q

What changes in the skin cycle occur in psoriasis?

A

Reduced from 5–6 weeks to 3–7 days, causing plaque build-up.

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17
Q

What are common symptoms of psoriasis?

A

Redness, silvery plaques, scaling, dry raised patches, well-defined boundaries.

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18
Q

When should psoriasis be referred?

A

Extensive/infected lesions, hair loss, abnormal lumps, pregnancy, breastfeeding, or first-time presentation.

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19
Q

Where is psoriasis usually located?

A

Scalp, knees, elbows, often symmetrical.

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20
Q

What are treatments for psoriasis?

A

Emollients, coal tar products (Capasal®, Cocois®), oral meds like methotrexate.

21
Q

What are symptoms of athlete’s foot?

A

Itchy, dry, flaky skin, white patches, cracked skin, raw areas between toes.

22
Q

How is athlete’s foot treated?

A

Antifungal creams (e.g. clotrimazole), 2–3 times daily, continue 7 days after symptoms clear.

23
Q

What advice should be given for athlete’s foot?

A

Keep feet dry, use separate towel, wear cotton socks, avoid scratching or barefoot walking.

24
Q

When should athlete’s foot be referred?

A

No improvement, severe pain, redness/swelling, diabetic or immunocompromised patients.

25
What are signs of ringworm?
Itchy, dry, scaly patches with defined border and central clearing.
26
How is ringworm treated?
Antifungal cream, apply outside-in, 2–3 times daily, continue 7 days after symptoms resolve.
27
What causes thrush and where can it occur?
Fungal overgrowth in moist areas; common in vagina, penis, or skin folds.
28
Symptoms of thrush?
Itching, burning, white discharge (vaginal or penile), irritation.
29
Thrush treatment options?
Clotrimazole or fluconazole (topical/oral), continue treatment 7 days after resolution.
30
Advice for managing thrush?
Use emollients instead of soap, wear cotton underwear, avoid sex if painful, don’t use deodorants/douches.
31
When should thrush be referred?
>2 episodes in 6 months, under 16 or over 65, pregnant, immunocompromised, or treatment failure.
32
What causes shingles?
Reactivation of varicella-zoster virus (chickenpox), lies dormant in nerve tissue.
33
Key symptoms of shingles?
Burning, nerve pain, unilateral blistering rash, fever, sensitivity to touch.
34
When to refer shingles?
Immediately—early antiviral treatment reduces symptoms and prevents long-term pain.
35
How can community pharmacy help manage shingles symptoms?
Analgesics (paracetamol, NSAIDs), keeping rash clean, loose clothing, non-adherent dressings.
36
What are symptoms of bites and stings?
Itching, burning, pain, swelling; possible systemic symptoms like anaphylaxis.
37
What are red flag symptoms of insect bites?
Intense swelling, insect still present, restricted blood flow, breathing difficulty, flu-like symptoms.
38
Treatments for bites and stings?
Analgesics, antihistamines (oral/topical).
39
What is cellulitis?
Bacterial infection of deep skin layers and tissue; often enters via broken skin.
40
Symptoms of cellulitis?
Sudden redness, swelling, pain, hot skin, fever, chills, nausea, fast HR/BP, confusion.
41
What can lead to cellulitis?
Cuts, burns, bites, eczema, athlete’s foot—any condition that cracks skin barrier.
42
What is meningitis and its types?
Inflammation of brain/spinal cord membranes. Types: bacterial (emergency) and viral.
43
Symptoms of meningitis in infants?
High fever, vomiting, drowsiness, seizures, stiff neck, dislike of bright light, non-blanching rash.
44
What is melanoma?
A type of skin cancer, linked to UV exposure.
45
Risk factors for melanoma?
Pale skin, red/blonde hair, moles/freckles, sunburn, weakened immune system, family history.
46
What does ABCDE stand for in melanoma screening?
Asymmetry, Border, Colour, Diameter, Enlargement/Elevation.
47
What should you do if melanoma is suspected?
Refer the patient to a doctor immediately.
48
What are the side effects of topical corticosteroids?
Skin thinning Skin more vulnerable to infection Skin changing colour