Derm treatments Flashcards by Megan Jacobson

Tx for atopic dermatitis (3)

Steroids

Antihist. PO

Topical calcineurin inhibitors

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first line tx for seborrhic dermatitis?

Desonide Cream

Selenium sulfide shampoo

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Tx for Dyshidrotic eczema

Topical steroids

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Tx for stasis dermatits

Tx venous insufficiency

Topical corticosteroids, abx, tx ulcers, reduce edema

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3 treatments for Drug eruption

Discont. Drug

PO antihistamines

topical steroids

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Tx for lichen planus-3

Topical, intralesional, or oral steroids

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Tx for pityriasis rosea

Resolves on its own

Can give: antihist, steroids topical

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Tx for mild to mod Psoriasis vulgaris (6)

Topical corticosteroids, Emollients, Vit D analogues, Coal, tar, UV, retinoids

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Tx for moderate to severe psoriasis vulgaris (4)

Methotrexate

cyclosporine

PO retinoids.

Biologics “–mab”

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Tx for Erythema multiforme

Tx cause, discont drug

Sxs- oral antihist. Topical steroids

Recurrent- antivirals (herpes simplex)

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How do you tx SJS? (5)

Discont. Drug

Supportive care (ICU/burn): fluids & electrolyte, pain

Systemic steroids

Ophthalmology consult

Medical alert to offending drug

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Tx for TEN

Burn center admit

fluid electrolyte replacement

skin grafting

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Tx for urticaria

Allergen avoidance

Antihistamines

Systemic steroids

Epi

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Tx for Bullous pemphigoid

Punch Biopsy: Immunofluorescence for Ig deposits

TX: topical, systemic steroids

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Tx for Rosacea

Avoidance of triggers, sun protection

Metronidazole

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Tx for Hidradenitis suppurativa

Difficult.

Abx

Intralesional steroid

Isotretinoin

Surgical

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Tx and prevention for Actinic Keratosis

Cryotherapy

Topical fluorouracil

Topical imiquimod

Prevention: regular use of UVA/UVB sunscreen and sun protective clothing

Tx for seborrhic keratosis

none necessary

tx for Basal cell carcinoma

Surgical excision, curettage, MOHS surgery

Tx for Squamous cell carcinoma

Excision

MOHS surgery

Tx/management of malignant melanoma

EXCISIONAL BIOPSY

Full skin exam q. 6 mo for 2 yrs, then annually.

Tx for Kaposi Sarcoma

AIDS assoc- HAART, refer to oncologist/HIV specialist

Non AIDs- cryotherapy, radiation, chemo

Tx for tinea pedis/corporis/cruris

topical azoles x4-6wks

Tx for onychomycosis

ORAL -azoles x12 weeks

tx for tinea versicolor

TX: shampoo: selenium sulfide

Tx for Candidiasis

keep area dry, clean, cool Loose clothing Topical antifungals Topical steroids

Tx for condyloma acuminata (genital warts)

surgical removal electrocautery laser imiquimod HPV vaccine

Tx of Palmoplantar warts

Spontaneously resolve Acids, cryotherapy, retinoid cream, surgical removal, duct tape, laser- all irritating or destructive Imiquimod ,candida antigen

Tx of Herpes Zoster (shingles) Prevent post- herpetic neuralgia Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption Pain control

Prevent post- herpetic neuralgia Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption Pain control

Molluscum Contagiosum

Curettage, acids, cantharidin Topical therapy- retinoid

IMPETIGO

topical mupirocin or retapamulin Prevent: hygiene, bath daily w/ abx soap, hand washing, check family

Erysipelas

IV abx if systemic Or PO PCN or amoxicillin

Cellulitis

Abx covering beta hemolytic strep & MRSA Cefazolin IV or cephalexin PO

Scabies

Permethrin topical lotion/cream apply from the neck down in every crack and crevice left on the skin for 10-12 hrs & then wash it off

Pediculosis (lice)

Permethrin OTC or overnight for resistance

Alopecia aerate

Reassurance- spontaneously resolve in 6 mo. Topical steroid Topical minoxidil Intralesional steroids Derm referral

Paronychia

Warm compress I&D- bacterial culture PO abx

Vitiligo

Sunscreen, cosmetic cover up Repigmentation- topical steroids, tacrolimus, PUVA, grafting

Melasma

Sunscreen, hydroquinone, tretinoin, chemical peels, laser tx.

Acanthosis Nigricans

Fasting plasma insulin and glucose, weight loss counseling. Topical therapy for cosmetic purposes

Pressure Ulcers

Prevention- change positions q. 2 hrs. Ulcer care- debride, clean, wet dry dressing, occlusive Bacterial culture if secondary infevtion is suspected