Derm

Question 1

Treatment regimen for atopic dermatitis

Answer 1

Bathing Daily in lukewarm water 5-10 minutes then pat dry and using emollient with high lipid content within three minutes. Twice weekly bleach baths with 1/4 cup bleach per 20 gallons water. Topical steroids twice daily for flare ups. Elidel or protopic twice weekly. Can help. Protopic for more severe cases.

Question 2

different types of melanoma

Answer 2

Lentigo Maligna melanoma from high sun exposed areas,
superficial spreading malignant melanoma coming from partial exposed sun areas
nodular malignant melanoma or acral lentiginous melanomas from palms and soles and nail beds.

Question 3

how common is melanoma risk

Answer 3

5th leading cause of cancer.

incidence has doubled in last 30 yrs.
1 out of 4 occurs before age 40.

Question 4

Prognosis of Melanoma

Answer 4

biggest prognostic indicator in melanoma is thickness. 1mm 95% 10 yr
1-2mm 55% 10 yr
with lymph node involvement 62% 5yr survival,
with mets 16% 5 yr

Question 5

possible treatments for Pityriasis Rosea

prognosis of PR

Answer 5

dark skinned pt possibly try acyclovir
severe cases, anti-hist, Prednisone, topical steroids

6 wk self limiting infection

Question 6

Pathogenesis of pilonidal cyst?

Answer 6

Not a true cyst more of a Sinus Tract
Friction, neg pressure, Debri drawn inward, sinus track drains, can become infected and abcess can form traveling along sinus tract and opening at surface
Tight hair, deep gluteal fold, pressure, are risk factors

A lot like HS but in other areas,

Question 7

Tx of Pilonidal disease?

Answer 7

Trim hair
drain abscess
abx for cellulitis
surgery to debride and remove sinus tracts