derm Flashcards
erysipelas usually caused by..
group a streptococci
folliculitis treatment
- no abx
- heat
- if no resolution, topical mupirocin or chlorhexidine cleanser
skin abscess treatment
I&D
abx if febrile/immunocompromised/dieabetic
culture abscess?
yes, can help MRSA vs. MSSA
impetigo treatment
topical mupicirocin or bacitracin
ecthyma treatment
Cleanse with antibacterial wash followed by topical mupirocin + oral ceflex
if zoster recurs think
HIV
treatment of zoster
antiviral therapy within 2-3 hours of onset of rash may speed healing, decrease pain, and reduce incidence of postherpetic neuralgia.
what suggests stasis dermatitis vs. cellultis
- bilateral, absence of fever/leukocytosis, minimal pain
stasis dermatitis treatment
- topical glucocorticoids (if erythema and inflammation are present)
- leg elevation
- knee-level compression stockings
seborrheic dermatitis treatment
- low potency glucocorticoids (face)
- ketoconazole cream (face)
- medicated shampoos containing ketoconazole or selenium sulfide (scalp)
guttate psoriases
immune condition usually triggered by URI with streptococcus pyogenes
aphthous ulcer treatment
topical analgesics + topical glucocorticoids
Behcet’s presentation
aphthous ulcers + urogenital ulceration’s + iridocyclitis
when to screen for dyslipidemia
35 for men at average risk for CAD
secondary causes of dyslipidemia
hypothyroidism, obstructive liver disease, nephrotic syndrome, alcoholism uncontrolled diabetes, smoking, kidney failure
4 groups expected to benefit from statin therapy
1) clinical atherosclerotic cardiovascular disease
2) LDL-C greater than 190 mg/dL
3) Diabetes and age 40-75 years with an LDL-C of 70-189 and no ASCVD
4) No ASCVD or DM and estimated 10-year ASCVD risk greater than 7.5%
high intensity statin therapy recommendation
1) LDL of 190 or greater if less than 75
2) AASCVD if less than 75
3) diabetes if 40-75 with LDL-C of 70-189 and 10-year ASCVD risk greater than 7.5
moderate intensity statin therapy recommendation
1) ASCVD if greater than 75 years of age
2) diabetics if 40-75 years of age with an LDL of 70-189 and 10-year risk less than 7.5
moderate intensity statin therapy recommendation
1) ASCVD if greater than 75 years of age
2) diabetics if 40-75 years of age with an LDL of 70-189 and 10-year risk less than 7.5
lab to order before starting statin
aminotransferase (can elevate, greater than three times upper, don’t start)
labs to order when person is on statin
lipid testing q12 months to ensure adherence
other impt features of strep throat
- absent cough
- tender anterior cervical adenopathy
treatment of nodular (cystic) acne
Moderate: topical retinoid + benzoyl peroxide + topical antibiotics
severe: add oral antibiotics
unresponsive severe: oral isotretinoin
