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Dermatology > Treatment Update > Flashcards

Treatment Update Flashcards

1
Q

1st-line treatment

Guttate Psoriasis for everyone

A

Heals itself over 3-4 months

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2
Q

1st-line treatment

Venous Leg Ulcer for everyone

A

Compression

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3
Q

1st-line treatment

Eczema Herpeticum for everyone

A

IV aciclovir

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4
Q

1st-line treatment

TEN/SJS first-line treatment for everyone

A

Remove medication

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5
Q

1st-line treatment

Erythema Multiforme for everyone

A

Heals itself over a few weeks

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6
Q

1st-line treatment

Alopecia Areata with evidence of hair regrowth first-line treatment for everyone

A

nothing

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7
Q

1st-line treatment

Alopecia Areata no hair regrowth and the person has less than 50% hair loss first-line treatment for everyone

A

watch and wait

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8
Q

1st-line treatment for
Alopecia Areata no hair regrowth and the person has more than 50% hair loss, or treatment is preferred first-line treatment for everyone

A

topical corticosteroid

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9
Q

Vitiligo 1st-line treatment for everyone

A

Cosmetic

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10
Q

SCC 1st-line treatment for everyone

A

Surgical Excision

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11
Q

Actinic Keratosis 1st-line treatment for everyone

A

Fluorouracil cream twice a week

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12
Q

Solar Keratosis 1st-line treatment for everyone

A

Fluorouracil cream twice a week

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13
Q

Seborrhoeic keratosis 1st-line treatment for everyone

A

Cryotherapy or curettage for warts

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14
Q

Malignant Melanoma 1st-line treatment for everyone

A

Excision Biopsy according to Breslow thickness

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15
Q

Bowens Disease 1st-line treatment for everyone

A

A single freeze-thaw cycle with liquid nitrogen for 20-30 seconds and topical fluorouracil or

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16
Q

Stage 0 basal cell carcinoma 1st-line treatment for everyone

A

imiquimod topical

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17
Q

Stage 1 basal cell carcinoma 1st-line treatment for everyone

A

excision + 1cm margin

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18
Q

Stage 2 basal cell carcinoma 1st-line treatment for everyone

A

excision + 2cm margin

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19
Q

rapidly developing angiodema 1st-line treatment for everyone

A

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

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20
Q

Erythroderma 1st-line treatment for everyone

A

Same day referral to dermatologist

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21
Q

Bullous Pemphigoid 1st-line treatment for everyone

A

referral to dermatologist + corticosteroid

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22
Q

Pemphigus vulgaris 1st-line treatment for everyone

A

No cure use corticosteroids to manage

23
Q

Pemphigus foliaceus 1st-line treatment for everyone

A

referral to dermatologist + potent or higher strength topical steroid

24
Q

Comedonal Acne first-line treatment for everyone except pregnant women

A

Topical Retinoid Cream such as adapalene

25
Q

Comedonal Acne second-line treatment for everyone

A

Topical Azelaic acid Cream

26
Q

1st Treatment of mild to moderate papular for all people

A

Topical Epiduo Gel (Adapalene + benzyl peroxide)

27
Q

2nd line Treatment of mild to moderate papular for all people

A

Topical Duac Gel@ (clindamycin + benzyl peroxide)

28
Q

3rd Line treatment if 1st and 2nd line dont work?

A

Add an antibiotic tablet to the topical therapy such as tetracycline: limecycline

29
Q

Antibiotic tablet - limecycline max duration before you should stop

A

3 months

30
Q

Mild moderate acne in pregnant women 1st line treatment

A

Topical benzyl peroxide

31
Q

Severe acne in any person

A

Early referral to dermatologist for specialist treatment with the aim of preventing scarring

32
Q

Small atrophic scars

A

dermal filler to lift the indentation

33
Q

Keloid scars

A

try medical treatment first with topical steroid trial for 2 weeks
If that fails can consider laser resurfacing

34
Q

Tinea corporis, fungal ringworm infection first-line treatment

A

First try topical antifungal agents - drugs that end with zole in this case ITRACONAZOLE or terbinafine

35
Q

Tinea corporis, fungal ringworm infection back up if first line treatment fails

A

Oral antifungal agents such as TERBINAFINE or ITRACONAZOLE

36
Q

Oral thrush first-line treatment

A

Nystatin

Canesten Thrush Oral 150mg capsules

37
Q

Candida Oesophagitis first-line treatment

A

Nystatin

38
Q

Herpes Zoster Shingles first-line treatment

A

Aciclovir

39
Q

Herpes Simplex infection around the mouth first-line treatment for everyone

A

Start treatment ASAP with Aciclovir

40
Q

Varicella-Zoster Chicken Pox first line treatment for everyone

A

No treatment can recommend calamine for itching

41
Q

Flexural Psoriasis first-line short term treatment

Underboob

A

short-term use of a mild or moderate potency topical corticosteroid

42
Q

Scalp Psoriasis first line treatment for everyone

A

tar based shampoo applied generously and left on for an hour

43
Q

Flexural Psoriasis first-line long term treatment

Underboob

A

Calcitriol or tacalcitol

44
Q

Flexural Psoriasis backup short term treatment if first line fails to work
(Underboob)

A

topical tacrolimus cream under specialist supervision

45
Q

Erythrodermic psoriasis initial management until specialist dermatoligical assessment?

A

Generous quantities of emollients

46
Q

Severe psoriasis that is resistant to initial topical treatments first line management?

A

Systemic therapy, methotrexate, ciclosporin, acitretin,

47
Q

Chronic stable psoriasis being managed with emollients, other treatment measures

A

UVB phototherapy

48
Q

Seborrhoeic dermatitis
(Eyebrow Dandruff)
(Nose dandruff)
Name 2 creams that can be used to relieve symptoms

A

Topical steroid cream and topical tacrolimus cream

49
Q

Scabies
(Infestation by Sarcoptes scabiei mite)

Name a topical treatment and give instructions on how to use

A

Topical treatment

Permethrin 5% (insecticide)

  • left on for 24 hours
  • applied to neck down
  • reapplied to hands after washing
  • repeated after 1 week
50
Q

Genital Warts
(HPV 6/11 infection)

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

A

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

Second Line Treatment
• Cryotherapy

51
Q

Nec Fasc first line antibiotics after debridement

A

Metronidazole, Clindamycin, Tazocin, Gentamicin

52
Q

NOTIFIABLE disease

Diphtheria overgrowth in the soft palate and on the skin first line treatment for this medical emergency.

A

If person not vaccinated advise to apply clindamycin cream to affected area. For the systemic problems including toxins give erythromycin orally

53
Q

NOTIFIABLE disease

Scarlet fever first line treatment

A

Oral course of penicillin antibiotics or erythromycin for those with allergies

Dermatology (9 decks)

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