Derm Flashcards
Eczema management
Frequent emmolients
Topical steroids
Oral - antihistamines, ABs for secondary infections, aciclovir for secondary herpes infection
Phototherapy and immunosuppressants
Examining skin
Inspect
Describe - SCAM. Size, colour, associated secondary change, morphology/margin
Pigmented? - ABCD, assymetry, border, colour, diameter.
Palpate - surface, consistency, mobility, tenderness, temperature
Systematic check
Macule
Papule
Nodule
macule - a flat area of altered colour
Papule - solid raised lesion 0.5cm
Vesicle
Bulla
vesicle - raised clear fluid-filled lesion 0.5cm
Psoriasis management
General
Emollients
Topical therapies - vitamin D analogues, corticosteroids, coal tar, dithranol, topical retinoids, keratolytics
Phototherapy - UVB and photo chemotherapy
Oral - methotrexate, retinoids, ciclosporin, mycophenolate mofetil.
Biological agents - infliximab
Necrotising fascitis
rapidly spreading infection of the deep fascia with secondary tissue necrosis
Group A haemolytic strep
Urgent surgical debridement
Iv ABs
High mortality
Vitiligo management
sun-block for affected areas
camouflage make up
topical steroids may reverse changes if applied early
topical tacrolimus/phototherapy?
Acne rosacea
topical metronidazole oxytetracycline sun-block camouflage laser therapy
Measles
Kopliks spots in cheeks
Maculopapular rash behind cheeks
Rubella rash
Macular rash on face
Scarlet fever
Skin peeling
Red strawberry tongue
Measles
Kopliks spots in cheeks
Maculopapular rash behind cheeks
Rubella rash
Macular rash on face
Scarlet fever
Skin peeling
Red strawberry tongue
Pityriasis versicolor
=fungal rash (Malassezia furfur). Produces melanocyte inhibitor and so the rash is noticed when on holiday (tanning)
Proximal myopathy differentials
MND Acromegaly Thyrotoxicosis Cushings Alcoholic myopathy
