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Derm Treatments > Derm Treatments > Flashcards

Derm Treatments Flashcards

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Dermatology Board Prep flashcards
1
Q

Molluscum Contagiosum

A

No cure
Cryotherapy
Self resolving up to 18 mos

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2
Q

Verrucae / Warts

A 
No cure
Cryotherapy
Keratolytics
Laser
Home remedy
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3
Q

Herpes Zoster

A 
Optho consult ASAP for eye
Valtrex
Pain Meds for neuralgia
Drying agents
No RX after 1 week, too late
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4
Q

HSV

A

Culture
Acyclovir within 48 hrs
Topical - Abreva, Viroxyn

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5
Q

Candidiasis

A 
Keep dry
End offending meds (if possible)
Nystatin powder
Fluconazole for severe
DM testing / Liver testing
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6
Q

Tinea Versicolor

A

Ketaconazole cream
Oral fluconazole for widespread
Selenium sulfide shampoo

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7
Q

Tinea

A 
Topical - azole cream
Oral - Lamisil or Griseofulin
Toenail - 3 mos
Scalp - 6 weeks
Fingernail - 1 mo
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8
Q

Cellulitis

A

CBC & cultures
Oral or IV ABX : PCN or Clind
Hospitalization?
DDX : DVT vs stasis dermatitis

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9
Q

Erysipelas

A

Rapid, 7 day course of oral ABX due to rapid spread : PCN

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10
Q

Impetigo

A

Culture if not responding
Topical : Mupirocin, Bactroban, Xepi
Nasal culture
No sharing of items

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11
Q

Black Widow Spider Bite

A 
RICE
Tetanus
Analgesics
Address HTN
Antispasmodic
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12
Q

Brown Recluse Spider Bite

A 
RICE
Pain relief
Antibiotics
Tetanus
Debridement / grafting
Watch for secondary infection
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13
Q

Scabies

A

Permetherin / Elamite cream

Cover body x 2, 48* apart

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14
Q

Lice

A 
Rx pt and check family
Topical, repeat PRN
Nit combing
Wash everything in hot
Replace hair items
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15
Q

Acanthosis nigricans

A

Check for DM
Treat wt. / dm
Keratolytics / retinoids

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16
Q

Hidradenitis suppurativa

A 
No cure
Surgery to remove glands
Antibiotics
Corticosteroids
Pain management
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17
Q

Lipomas

A

Excision (and biopsy) for pain

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18
Q

Epidermal Inclusion Cyst

A

No Rx necessary
Excision w/ lining
Culture?

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19
Q

Melasma

A 
Avoid sunlight
High SPF
Avoid hormone meds
Bleaching agent
Chem peel
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20
Q

Vitiligo

A 
High SPF
Phototherapy to stimulate melanocytes
Excimer laser for small
Depigmentation therapy
Skin grafting / tattooing
MH referral
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21
Q

Urticaria

A 
Labs for chronic
DDX for any phyla is
Antihistamines
Avoid systemic steroids - depress immune sys
Remove offender
Epi pen
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22
Q

Pressure ulcers

A 
Stage
Culture
Labs
Wound care
Debridement
Prevent / reduce pressure
Control infection
Pain management
23
Q

Pilonidal disease

A

I&D w/ complete excision

Antibiotics

24
Q

Folliculitis

A

Topical ABX
Systemic ABX
ABX washes
Careful shaving

25
Q

Onychomycosis

A 
Scrape for KOH
Nail clip for PAS stain
Topical antifungal + oral
Lamisil w/ LFT’s
Laser
Nail avulsion
26
Q

Paronychia

A 
Bacterial culture
KOH smear
Oral ABX
Soaks
I&D
27
Q

Alopecia areata

A

Topical or intralesional steroids
SADE immunotherapy
Wigs
Regrowth but white and fine

28
Q

Androgenetic alopecia

A 
No cure
Rx is maintenance, not regrowth
Treat early
Minoxidil / Propecia
Surgical / wigs
29
Q

Bullous pemphigoid

A 
Biopsy from edge & other
Blood for immunofluorescence
Oral steroids / antibiotics
Topical for limited
Immunosuppressive : methotrexate, dapsone
Prevent infection
30
Q

Erythema multiforme

A

Topical steroid - self limiting

31
Q

Stevens Johnson Syndrome

A

BX is study of choice
ICU / burn unit
Pain control
Rx as a burn victim / consults

32
Q

Toxic Epidermal Necrosis

A

Remove offending drug
Pain & infection control
Rx as burn victim / consults

33
Q

Acne

A

No cure, 4-6 wk treatment
Rx depends on severity, location and cost
Benzoyl peroxide - can bleach
Aczone gel
Retinoids - can irritate. Retin-A
Oral ABX: minocycline (can stain teeth), no sun exposure
Spironolactone - black box

34
Q

Severe Acne

A 
No cure, 4-6 wk treatment
Isotretinoin - Cat X teratogenic
Seen every 30 days
Lab testing, preg test, depression screen, 
IPLEDGE mandate
Chem peel / laser
Microdermabrasion
Blu U (UV)
35
Q

Rosacea

A

No cure
Avoid triggers, high SPF, gentle soaps
Topical ABX, retinoids
Mirvaso / Rhofade - 12 hrs only! Cosmetic / rebounds!
Doxycycline - low anti-inflammatory dose for long term use

36
Q

Rinophyma

A

Hot loop & Rosacea Rx

37
Q

Atopic dermatitis

A 
Moisturize
Bathe less, gentle soap
Topical steroids
Eucrisa - non steroidal
Phototherapy
Oral for acute episodes only: steroids, antihistamines, ABX, biologics
38
Q

Contact dermatitis

A 
Remove offender
Patch testing
Topical / oral steroids
Antihistamines
Pt ed. Avoid and prevent
39
Q

Seborrheic dermatitis

A 
Selenium sulfide, H&S shampoo
Low potency steroids
Kertaconazole cream
Immunomodulators
Keratolytics
40
Q

Dyshydrotic eczema

A

Prevention
Cotton gloves, socks
Topical or systemic steroids
Phototherapy

41
Q

Nummular eczema

A

Bathe less
Gentle soaps
Topical steroids
DDX: tinea

42
Q

Stasis dermatitis

A

Topical steroids
Elevation
Compression

43
Q

Neurodermatitis

A

Psych evaluation, SSRI and antipsychotics

44
Q

Lichen Simplex Chronicus

A

Potent topical steroid OINTMENT
Antipruritics
Behavior mod
DDX: Psoriasis

45
Q

Psoriasis

A 
No cure
Depends on location
Topical / oral steroids
Tar / Saran Wrap
Phototherapy / excimer laser
Methotrexate oral - LFT and no alcohol
Cyclosporine for acute flare
Biologics - SQ, IV, oral
46
Q

Pityriasis Rosea

A

Alleviate pruritis
Topical steroids / antihistamines for severe cases
Sunlight

47
Q

Lichen Planus

A 
Can resolve
Bx
Hepatitis testing
Topical / systemic steroids
Phototherapy
Plaquenil - scalp - anti-malarial
48
Q

Drug eruptions

A

D/C the drug & REPLACE PRN w/ different class
May take 4 weeks
Bx

49
Q

Seborrheic Keratosis

A

No Rx needed
Bx if any ?
Cryotherapy or surgical
Anti-pruritic (Sarna)

50
Q

Actinic Keratosis

A

Destroy w/ liquid N or topical chemotherapy
Prevent sun exposure
25% become SCC!

51
Q

Basal Cell Skin CA

A

Bx
Cryotherapy, topical chemo, ED&C, excision, MOHS surgery
Regular exams

52
Q

Squamous Cell Skin CA

A

Bx
Cryotherapy, topical chemo, ED&C, excision, MOHS surgery
Regular exams

53
Q

Malignant Melanoma

A

Prognosis depends on stage
Surgical removal
Limit sun exposure

54
Q

Kaposi Sarcoma

A 
Complete PE
Blood / labs, HIV testing
CT / CXR
Bx & Lymph node Bx
Radiation / Chemo
Excision of single lesion

Derm Treatments (1 decks)

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