Common Skin Conditions - Minor Cuts, Abrasions & Burns Flashcards

0
Q

What’s the difference btw lacerations and cut?

A

Lacerations are defined as irregular wounds with ragged edges, with potential for deeper skin damages

Cut edges are more uniform or regular

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1
Q

What’s req if pt has puncture wound?

A

Current tetanus vaccine (Q10yrs, after series has been completed)

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2
Q

What can be used topically to reduce infection risk and promote healing?

A

Silver sulfadiazene (Silvadene; SSD; Thermazene)

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3
Q

What’s the brand name of the triple antibiotic ointment used in cuts or abrasions? Components?

A

Neosporin

Contains Polymixin, bacitracin & neomycin

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4
Q

If a pt reacts to neomycin in Neosporin, whats the alternative used?

A

Polysporin (bacitracin + Polymixin)

OR

Mupirocin (Bacitracin alone)

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5
Q

Whats Mupirocin (Bacitracin alone) used for?

A

Rx antibiotic cream or ointment

Great for staph and strep coverage, including MRSA

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6
Q

List agents used for poison ivy

A

Aluminum acetate soln (Burrow’s)

Colloidal oatmeal (Aveeno)

Calamine lotion - Caladryl, IvaRest

Zanfel

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7
Q

What’s psoriasis?

A

Chronic autoimmune dx that appears on the skin

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8
Q

Types of psoriasis tx

A

Topical tx

Light therapy

Systemic meds

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9
Q

What’s the first line for psoriasis?

A

Topical steroids

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10
Q

What combo is used for psoriasis?

A

Calcipotriene + Betamethasone ointment (Taclonex, Taclonex scalp suspension)

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11
Q

What’s alopecia?

A

Hair loss

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12
Q

What deficiencies may contribute to alopecia?

A

Zinc

Vit D

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13
Q

List agents used for alopecia

A

Finasteride (Propecia) 1mg daily

Minoxidil topical OTC

Bimatoprost soln (Latisse)

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14
Q

What’s the brand name of Finasteride used in alopecia?

A

Propecia 1mg

Note: women should handle Finasteride

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15
Q

What’s the range of SPF recommended as sunscreen?

A

SPF 15 - SPF 30

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16
Q

What’s the key to using sunscreen?

A

Apply liberally and at least Q 2 hrs

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17
Q

What types of coverage is req in sunscreen?

A

UVA + UVB

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18
Q

What’s UVA in sunscreen?

A

Blocks aging (A for aging-wrinkles)

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19
Q

List the most common barrier agents in UVA?

A

Zinc

Titanium

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20
Q

What’s UVB in sunscreen?

A

Blocks burning (B for burning)

21
Q

What’s SPF?

A

Sun exposure factor

Measures how long it takes to burn versus not using sunscreen

22
Q

What does SPF 15 mean?

A

Takes 15 times longer for skin to redden than without sunscreen

23
Q

How should sunscreen be applied?

A

Apply liberally at least every 2 hrs

All sunscreen wash off; reapply after going in the water

24
Q

Effect of UVA and UVB exposures?

A

Increase risk of skin cancer, including most common type (squamous cell)

25
Q

What does broad spectrum sunscreen mean?

A

Covers both UVA and UVB

26
Q

What does water resistant sunscreen mean?

A

Resistant for 40-80 mins

27
Q

List OTC agents used for cold sores (herpes simplex virus type 1 - HSV-1)

A

Docosanol cream (Abreva)

28
Q

List rx agents used for cold sores (herpes simplex virus type 1 - HSV-1)

A

Acyclovir/Hydrocortisone (Xerese)

Acyclovir (Zovirax) cream

Penciclovir (Denavir)

29
Q

How to use Abreva?

A

Apply 5x/ day…max 10 days

30
Q

How to use Zovirax?

A

Apply 5x/day for 4 days

31
Q

How to use Denavir?

A

Q 2 hrs during day x 4 days

32
Q

List very high potency topical steroids pdt

A

Clobex lotion/spray/shampoo 0.95% (Clobetasol propionate)

Diprolene ointment 0.05% (Betamethasone dipropionate)

Temovate cream/ointment/soln 0.05% (Clobetasol propionate)

Fluocinonide

33
Q

What’s the brand name of Clobetasol propionate (very high potency)?

A

Clobex 0.05% lotion/spray/shampoo

Temovate 0.05% cream/ointment/soln

34
Q

What’s the brand name of Betamethasone dipropionate (very high potency)?

A

Diprolene ointment 0.05%

35
Q

List high potency topical steroid pdts

A

Diprolene cream AF 0.05% (Betamethasone dipropionate)

Elocon ointment 0.1% (Mometasone furoate)

Lidex cream/gel/ointment 0.05% (Flucinonide)

36
Q

What’s the brand name of Betamethasone dipropionate (High potency)?

A

Diprolene cream AF 0.05%

37
Q

What’s the brand name of Mometasone furoate (High potency)?

A

Elocon ointment 0.1%

38
Q

What’s the brand name of Fluocinonide (High potency)?

A

Lidex 0.05% cream/gel/ointment

39
Q

List high-medium potency topical steroid

A

Lidex-E cream 0.05% (Fluocinonide)

40
Q

Whats the brand of Fluocinonide (high-medium potency topical steroid)?

A

Lidex-E cream 0.05%

41
Q

List medium potency topical steroid

A

Elocon cream 0.1% (Mometasone furoate)

Kenalog cream/spray 0.1% (Triamcinolone acetonide)

Westcort ointment 0.2% (Hydrocortisone valerate)

42
Q

What’s the brand name of Mometasone furoate (medium potency topical steroid)?

A

Elocon cream 0.1%

43
Q

What’s the brand name of Triamcinolone acetonide (medium potency topical steroid)?

A

Kenalog cream/spray 0.1%

44
Q

What’s the brand name of Hydrocortisone valerate (medium potency topical steroid)?

A

Westcort ointment 0.2%

45
Q

List lower potency topical steroid

A

DesOwen lotion, 0.05% (Desonide)

Westcort cream 0.2% (Hydrocortisone valerate)

46
Q

Whats the brand name of Desonide (lower potency topical steroid)?

A

DesOwen lotion, 0.05%

47
Q

Whats the brand name of Hydrocortisone valerate (lower potency topical steroid)?

A

Westcort cream, 0.2%

48
Q

List mild potency topical steroid

A

Derma-Smoothe/FS Oil, 0.01% (Fluocinolone acetonide)

49
Q

What’s the brand name of Fluocinolone acetonide (mild potency topical steroid)?

A

Derma-Smoothe/FS Oil, 0.1%

50
Q

List lowest potency topical steroid

A

Cortaid cream/spray/ointment (hydrocortisone)

Note: all lowest potency topical steroids are hydrocortisone

51
Q

What’s the brand name of hydrocortisone (lowest potency topical steroid pdts)?

A

Cortaid cream/spray/ointment