Common Skin Conditions Flashcards
What drugs can discolor skin and secretion?
1st line acne treatment?
What to know about topical retinoids?
Brown is levodopa, entacapone, methyldopa. Yellow-green is propofol. Red-orange is phenazopyridine, rifampin. Brown/yellow is nitrofurantoin. Orange/yellow is sulfasalazine, Red- anthracyclines. Blue-gray amiodarone. Blue- Mitoxantrone, methylene blue.
BPO or topical retinoid, or combo, moderate is combo _ BPO and anti biotic or topical retinoid. severe is tretinoin or antibiotic.
Treitinoin (atralin, renova, retin-a, retin-micro), Adapalene(differin). Limit sun exposure, apply daily at bedtime about 20 minutes after washing face, if irritation use lower strength every other night, pea-sized amount.
What to know about benzoyl peroxide(BPO)?
What to know about Isotretinoin?
What to know about oral antibiotics?
BPO
Capsules, Two forms of birth control, dryness, 2 negative pregnancy tests, no pregnancy one month before or after, 1 month at a time and iPLEDGE.
Minocycline(Solodyn), photosensitivity, discoloration in teeth and fetal harm, 12 years and older.
What to know about alopecia treatment?
How to treat cold sores?
How to treat dandruff?
Finasteride(propecia), 5-alpha reductase type 2 inhibitor, 1 mg daily at least 3 months, pregnancy, hazardous drug for females, do not dispense to patients taking Proscar. Minoxidil used for hypertension, bimatoprost for thinning eyelashes (hypotrichosis), apply nightly, do not use with PG analogs used for glaucoma (IOP may increase).
Lysine is common natural product. Docosanol(abreva) is OTC treatment, Rx treatment is Acyclovir topical cream/ointment(Zovirax).
Ketoconazole shampoo (Nizoral A-D). Rx is Nizoral.
How to treat diaper rash?
How to treat eczema (atopic dermatitis)?
How to treat fungal skin infections?
Petrolatum ointment, zinc oxide(a dessicant)
Topical steroids(occasional oral courses), antihistamine, calcineurin inhibitors, Aquaphor, eucerin OTC. Do not use calcineurin inhibitors in children <2 years of age, associated with lymphoma and skin cancer only second line agents, wash hands after application and photosensitizer.
Terbinafine OTC, Rx is betamethasone/clotrimazole(lotrisone), ketoconazole. Terbinafine and butenafine are highly effective, apply 1-2 inches beyond the rash for at least 2-4 weeks after healed, reduce moisture, do not walk barefoot.
What to know about fungal toenail and fingernail infections?
How to treat fungal vaginal infections?
How to treat genital warts?
Onychomycosis, itraconazole and terbinafine, pulse therapy, KOH smear is essential for diagnosis. Terbinafine(lamisil), avoid itraconazole in heart failure, terbinafine (hepatotoxicity).
lactobacillus or active yogurt cultures are thought to reduce infection occurrence. 1 or 3 or 7 day treatment with cream, ointment, or tab. Fluconazole is the oral rx treatment, complicated infections, pregnancy(7-10 days of treatment) or refer to healthcare provider.
Gardasil vaccine helps against HPV, Imiquimod cream(aldara and zyclara), superficial basal cell carcinoma and actinic keratosis.
How to treat hemorrhoids?
How to treat lice?
What to know about mupirocin?
Phenylephrine topical, hydrocortisone, witch hazel. Psyllium can help.
Pyrethins and permethrin are otc drug of choice. Nix. Rx is ivermectin, RID is otc. DOCs for lice:permethrin or pyrethin/pipperonyl, repeat treatment on day 9. Check every 2-3 days, Malathion lotion can irritate the skin and is flammable, Lindane is no longer used due to neurotoxicity.
Bactroban, very good staph and strep coverage, can be used for nasal MRSA colonization.
How to treat pinworm?
How to treat poison ivy, oak and sumac?
What to know about hydrocortisone?
Pyrantel pamoate PTC, albendazole(albenza) or mebendazole is Rx. Headache, nausea, hepatotoxicity, systemic infections, antiepileptic drugs and high-dose steroids, high fat meal.
Contains the toxin uroshiol, Aluminum acetate is an astringent, topical or oral steroids will help. Highest steroid vehicle is ointment>cream>lotions>solutions>gels>sprays.
topical steroids, ranked by potency, finger-tip unit, estimate amount.
What to know about hydroxyzine(vistaril)?
What are the most common topical steroid?
Used for general urticaria(hives), sedation and dry mouth.
Clobetasol propionate (clobex, olux foam).
