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Flashcards in Treatment Update Deck (53):
1

1st-line treatment
Guttate Psoriasis for everyone

Heals itself over 3-4 months

2

1st-line treatment
Venous Leg Ulcer for everyone

Compression

3

1st-line treatment
Eczema Herpeticum for everyone

IV aciclovir

4

1st-line treatment
TEN/SJS first-line treatment for everyone

Remove medication

5

1st-line treatment
Erythema Multiforme for everyone

Heals itself over a few weeks

6

1st-line treatment
Alopecia Areata with evidence of hair regrowth first-line treatment for everyone

nothing

7

1st-line treatment
Alopecia Areata no hair regrowth and the person has less than 50% hair loss first-line treatment for everyone

watch and wait

8

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

topical corticosteroid

9

Vitiligo 1st-line treatment for everyone

Cosmetic

10

SCC 1st-line treatment for everyone

Surgical Excision

11

Actinic Keratosis 1st-line treatment for everyone

Fluorouracil cream twice a week

12

Solar Keratosis 1st-line treatment for everyone

Fluorouracil cream twice a week

13

Seborrhoeic keratosis 1st-line treatment for everyone

Cryotherapy or curettage for warts

14

Malignant Melanoma 1st-line treatment for everyone

Excision Biopsy according to Breslow thickness

15

Bowens Disease 1st-line treatment for everyone

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

16

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

imiquimod topical

17

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

excision + 1cm margin

18

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

excision + 2cm margin

19

rapidly developing angiodema 1st-line treatment for everyone

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

20

Erythroderma 1st-line treatment for everyone

Same day referral to dermatologist

21

Bullous Pemphigoid 1st-line treatment for everyone

referral to dermatologist + corticosteroid

22

Pemphigus vulgaris 1st-line treatment for everyone

No cure use corticosteroids to manage

23

Pemphigus foliaceus 1st-line treatment for everyone

referral to dermatologist + potent or higher strength topical steroid

24

Comedonal Acne first-line treatment for everyone except pregnant women

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