Derm management Flashcards
lichen Planus
potent topical steroids
rosacea
1: brimonidine
2: topical ivermectin
3: topical ivermectin + oral doxycycline
shingles
analgesia with paracetamol and NSAIDs
oral acyclovir within 72h
otitis externa
1: topical ciprofloxacin with dexamethasone
2: oral fluclox if spreading, fungal swabs
plaque psoriasis
1: potent corticosteroid applied once daily plus vitamin D analogue
2: a vitamin D analogue twice daily
3: coal tar etc, referrals consider
chronic sinusitis
avoid allergen
intranasal corticosteroids
nasal irrigation with saline solution
*if unilateral 2ww referral
toxic epidermal necrolysis
- stop precipitating
- supportive intensive care unit
- IVIG
- immunosuppression?
acute otitis media
*more than 4 days and not resolving
- 5-7 day course of amoxicillin is first-line
- erythromycin or clarithromycin in allergy
otosclerosis
hearing aids
stapedectomy
acute sinusitis
- analgesia, decongestants
- Intranasal corticosteroids may be considered if the symptoms have been present for more than 10 days
- oral if PenV
seborrhoiec dermatitis
- ketoconazole shampoo
- topical steroids
quinsy
broad spectrum IV antibiotics and surgical drainage
tinea
- topical antifungals such as clotrimazole and ketoconazole
- tinea capitis and onychomycosis - systemic agents such as terbinafine
long term psoriasis mx
Calcipotriol is a vitamin D analogue that reduces epidermal proliferation
fungal nail infections
- mild: topical treatment with amorolfine
- extensive: oral terbinafine
upto 6
acne in pregnancy
- topical benzoyl peroxide
- oral erythromycin
rosacea
1: topical brimonidine
2: topical ivermectin
3: topical ivermectin + doxycycline
erythema multiforme
- identify course
- supportive
- systemic steroids if severe
Otitis externa in diabetics
treat with ciprofloxacin to cover Pseudomonas
tonsilitis
antibiotics are indicated then either phenoxymethylpenicillin or clarithromycin
*feverPAIN and CENTOR
eczema herpeticum
IV acyclovir
idiopathic sudden sensorineural hearing loss
High-dose oral corticosteroids are used by ENT for all cases of SSNHL
meniere’s
- Prophylactic use of betahistine to reduce the frequency of attacks
- Acute use of prochlorperazine to manage symptoms during attacks
- Diuretics by specialists
- Surgical approaches, Low-salt diets can also help prevent attacks, by reducing the volume of endolymphatic fluid
cellulitis
flucloxacillin
clarythromycin
dermatitis herpetiformis
- Gluten-Free Diet
- Medications: In some cases, dapsone, an anti-inflammatory medication, may be prescribed to relieve itching and skin lesions
