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Treatment Update Flashcards

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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

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A

No cure use corticosteroids to manage

23
Q

Pemphigus foliaceus 1st-line treatment for everyone

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A

referral to dermatologist + potent or higher strength topical steroid

24
Q

Comedonal Acne first-line treatment for everyone except pregnant women

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A

Topical Retinoid Cream such as adapalene

25
Comedonal Acne second-line treatment for everyone
Topical Azelaic acid Cream
26
1st Treatment of mild to moderate papular for all people
Topical Epiduo Gel (Adapalene + benzyl peroxide)
27
2nd line Treatment of mild to moderate papular for all people
Topical Duac Gel@ (clindamycin + benzyl peroxide)
28
3rd Line treatment if 1st and 2nd line dont work?
Add an antibiotic tablet to the topical therapy such as tetracycline: limecycline
29
Antibiotic tablet - limecycline max duration before you should stop
3 months
30
Mild moderate acne in pregnant women 1st line treatment
Topical benzyl peroxide
31
Severe acne in any person
Early referral to dermatologist for specialist treatment with the aim of preventing scarring
32
Small atrophic scars
dermal filler to lift the indentation
33
Keloid scars
try medical treatment first with topical steroid trial for 2 weeks If that fails can consider laser resurfacing
34
Tinea corporis, fungal ringworm infection first-line treatment
First try topical antifungal agents - drugs that end with zole in this case ITRACONAZOLE or terbinafine
35
Tinea corporis, fungal ringworm infection back up if first line treatment fails
Oral antifungal agents such as TERBINAFINE or ITRACONAZOLE
36
Oral thrush first-line treatment
Nystatin | Canesten Thrush Oral 150mg capsules
37
Candida Oesophagitis first-line treatment
Nystatin
38
Herpes Zoster Shingles first-line treatment
Aciclovir
39
Herpes Simplex infection around the mouth first-line treatment for everyone
Start treatment ASAP with Aciclovir
40
Varicella-Zoster Chicken Pox first line treatment for everyone
No treatment can recommend calamine for itching
41
Flexural Psoriasis first-line short term treatment | Underboob
short-term use of a mild or moderate potency topical corticosteroid
42
Scalp Psoriasis first line treatment for everyone
tar based shampoo applied generously and left on for an hour
43
Flexural Psoriasis first-line long term treatment | Underboob
Calcitriol or tacalcitol
44
Flexural Psoriasis backup short term treatment if first line fails to work (Underboob)
topical tacrolimus cream under specialist supervision
45
Erythrodermic psoriasis initial management until specialist dermatoligical assessment?
Generous quantities of emollients
46
Severe psoriasis that is resistant to initial topical treatments first line management?
Systemic therapy, methotrexate, ciclosporin, acitretin,
47
Chronic stable psoriasis being managed with emollients, other treatment measures
UVB phototherapy
48
Seborrhoeic dermatitis (Eyebrow Dandruff) (Nose dandruff) Name 2 creams that can be used to relieve symptoms
Topical steroid cream and topical tacrolimus cream
49
Scabies (Infestation by Sarcoptes scabiei mite) Name a topical treatment and give instructions on how to use
Topical treatment Permethrin 5% (insecticide) * left on for 24 hours * applied to neck down * reapplied to hands after washing * repeated after 1 week
50
Genital Warts (HPV 6/11 infection) Name two creams Name a treatment option if the cream does not work
First Line Treatment Creams • Podophyllotoxin 0.15% • Imiquimod 5% Second Line Treatment • Cryotherapy
51
Nec Fasc first line antibiotics after debridement
Metronidazole, Clindamycin, Tazocin, Gentamicin
52
NOTIFIABLE disease Diphtheria overgrowth in the soft palate and on the skin first line treatment for this medical emergency.
If person not vaccinated advise to apply clindamycin cream to affected area. For the systemic problems including toxins give erythromycin orally
53
NOTIFIABLE disease Scarlet fever first line treatment
Oral course of penicillin antibiotics or erythromycin for those with allergies

Dermatology (9 decks)

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