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core conditions > derm treatments > Flashcards

derm treatments Flashcards

1
Q

eczema

A
  • emollients
  • topical corticosteroids
  • methotrexate
  • ciclosporin
  • UV therapy
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2
Q

psoriasis

A
  • emollients
  • topical corticosteroids
  • methotrexate
  • ciclosporin
  • infliximab
  • UV therapy
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3
Q

acne vulgaris

A
  • benzyl peroxide
  • topical abx
  • topical retinol
  • oral abx - lymecycline
  • oral retinol - isotretinoin
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4
Q

rosacea

A
  • oral abx - metronidazole
  • emollients
  • suncream
  • azelzic acid
  • laser therapy
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5
Q

impetigo

A
  • fusidic acid
  • topical abx (fluclox)
  • good skin hygeine

if severe…
- oral / intranasal abx

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6
Q

cellulitis

A
  • abx (check guidelines)
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7
Q

erysipelas

A
  • abx (check guidelines)
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8
Q

HSV

A
  • oral aciclovir and symptomatic treatment

- IV if disseminated visceral involvement (pneumonitis, hepatitis)

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9
Q

VZV

A
  • emollients
  • anti-histamines
  • hydration

if high risk or severe…

  • anti-viral therapy
  • supportive care
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10
Q

viral warts

A
  • cryotherapy
  • curettage and cautery
  • salicylic acid
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11
Q

molluscum

A
  • watch and wait

of severe…

  • cryotherapy
  • curettage
  • immunomodulators
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12
Q

tinea pedis

A
  • dry feet
  • avoid occlusive footwear
  • topical antifunal therapy
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13
Q

tinea corporis

A
  • topical anti fungal agent: terbinafine
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14
Q

candida

A
  • wash mouth after inhaler

- topical anti fungal agents

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15
Q

pityriasis versicolour

A
  • pyrithione zinc topical therapy
  • UV light
  • systemic anti-fingal: fluconazole
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16
Q

scabies

A
  • permethrin or ivermectin 1st line
  • malathion or benzyl benzoate 2nd line
  • treat household members
17
Q

erythroderma

A
  • stop all necessary medications
  • monitor fluid balance and body temp
  • maintain skin moisture (wraps, emollients, topical steroids
  • abx if bacterial infection present
  • antihistamines
  • treat specific cause
18
Q

SJS and TEN

A
  • urgent withdrawal or caustic agents
  • topical antibacterial agents and emollients
  • IV fluids +/- nutritional siupport
  • oral hygiene
  • analgesia
  • physio and OT
  • urgent ophthalmologist review
19
Q

melanoma

A
  • 2 week wait
  • surgical removal
  • sentinel lymph node biopsy
  • further treatment if mets
20
Q

BCC

A
  • surgical WLE
  • Moh’s surgery
  • radiotherapy if need be
21
Q

SCC

A
  • surgical SLE
  • Moh’s surgery
  • radiotherapy if need be
22
Q

seborrheic keratosis

A
  • corticosteroids if itching or irritated
  • curettage or cautery if raised
  • cryotherapy or laser if flat
23
Q

lipoma

A
  • observation
  • surgical excision
  • liposuction / lipolysis
24
Q

dermatofibroma

A
  • no treatment

- if nuisance, excision

25
Q

hemangioma / cherry angioma

A
  • no treatment
  • goes away
  • can be removed for cosmetic appearances
26
Q

epidermoid cysts

A
  • usually none
  • abx, incision and drainage if infection
  • removal - remove whole sac
27
Q

fibroepithelial polyps - skin tags

A
  • no treatment

- can be removed if causing probkems

28
Q

acanthosis nigricans

A
  • treat underlying condition (gastric malignancy / diabetes)
  • 1st line - topical agents: ammonium hydrate, vitamin D analoges
  • 2nd line - isotretinoin
29
Q

necrobiosis lipodica

A
  • doesn’t always require treatment
  • topical steroids
  • ciclosporin
  • phototherapy
  • aspirin
30
Q

granuloma annulare

A
  • 50-75% go away without treatment within 2 years
  • cryotherapy
  • NSAIDs
  • phototherapy
  • isotretinoin
  • topical corticosteroids
  • methotrexate
31
Q

erythema nodosum

A
  • bedrest
  • leg elevation
  • normally subside within 3-6 weeks
  • analgesia
  • control IBD
  • systemic corticosteroids
  • NSAIDs
32
Q

pyoderma gangrenosum

A
  • usually not surgically: topical steroids if spread (pred), tacrolimus, abx (if secondary infection)
  • surgical (remove necrotic tissue)
33
Q

vitiligo

A
  • advice strong suncream
  • phototherapy (if dark skinned)
  • topical / oral steroids
  • methotrexate
  • ciclosporin
34
Q

alopecia

A
  • no therapy

- if >20%, could try systemic therapy such as topical steroids

35
Q

SLE

A
  • hydroxychloroquine
  • NSAIDs
  • corticosteroids
  • methotrexate + folic acid
36
Q

discoid lupus erythematous

A
  • topical corticosteroid
  • methotrexate
  • tacrolimus
37
Q

dermatomyositis

A
  • sun avoidance
  • bedres
  • physio
  • hydroxychloroquine
  • methorexate / tacrolimus
  • topical steroids
38
Q

Cutaneous vasculitis

A
  • systemic corticosteroids

- methotrexate

core conditions (2 decks)

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