73: Skin OTC

Question 2

Common skin conditions

Answer 2

-minor wounds
-suburns
-footcare
-lice

Question 3

Refer wounds when

Answer 3

-bleeding >5 min
-wound from animal/human bite
-deep acute wounds
-chronic wounds
-immunocompromised
-diabetes (foot wounds)
-signs of infection
-contain foreign matter

Question 4

minor wound tx

Answer 4

-irrigants (soap, chlorhexidine, h peroxide, saline)
-topical antibiotics
-bandage
-monitor

Question 5

Sunburn

Answer 5

-exposure to UV
-heals in a weeks
-pain, redness, blisteing, peeling, itching

Question 6

sunburn prevention

Answer 6

-sunscreen lotion
-sunblock clothing, hats
-limited sun exposure

Question 7

When to refer sunburn

Answer 7

->20% body
-infants
-severe blistering
-intense pain

Question 8

sunburn tx

Answer 8

1. clean w soap
2. cool compress
3. aloe, calamine, silver gel
4. may bandage
5. analgesics

Question 9

Warts

Answer 9

-HPV thru skin
-months to year w/o tx

Question 10

Refer warts when

Answer 10

-growth is not a wart
-wart on face or genitals
-MANY warts
-warts itch, burn, bledd, hurt
-weak immune system
-diabetes

Question 11

Wart tx

Answer 11

-salicylic acid (liq or patch)
-tape
-OTC cryotherapy

Question 12

Corns/calluses

Answer 12

-dead skin hardened by friction, often ill-fitting shoes
-callus: anywhere and large
-corn: small, tops and side of toes or balls of feet

Question 13

Corns and Calluses tx

Answer 13

-soak in warm water 5-10 mintues
-file/scrape
-moisturize
-change shoes
-clip toenails

Question 14

Athlete’s Foot

Answer 14

-fungal infection
-lead to erosions, ulcers, malodor, secondary infections

Question 15

When to refer athlete’s foot

Answer 15

-recurrent
-failed tx
-expansive infection
-genitalia

Question 16

Athlete’s foot tx

Answer 16

-Zeasorb (miconazole)
-Lotrimin (clotrimazole)
-Lamisil (terbinafine)
-Tinactin (tolnafate)

Question 17

Lice

Answer 17

-direct contact transmission
-itching, scratching, redness, small wounds
-often overtx bc inactive forms
-low threshold for referral

Question 18

when to refer lice

Answer 18

-recurrent
-refractory
-age < 2months
-hair outside of scalp region

Question 19

Lice tx

Answer 19

-Rid
-Nix
-wet combing
-other considerations

Question 20

Rid lice tx

Answer 20

-pyrethrin + piperonyl butoxide
-does not kill unhatched eggs
-MUST repeat in 7-10 days
-older than 2 years old

Question 21

Nix lice tx

Answer 21

-permethrin
-will likely need to be repeated in 7-10 days
-over 2 months old

Question 22

Wet combing lice tx

Answer 22

-with a fine comb
-12-3days for up to 2-3 weeks, assess for dead lice

Question 23

Other lice tx considerations

Answer 23

-machine wash bedding, clothes
-soak combs/brushes in hot water 5-10 min
-vacuum area where pt has been
-children do not have to be kept out of school after undergoing tx