derm tx

Question 1

Tx of Palmoplantar warts

Answer 1

Spontaneously resolve

Acids, cryotherapy, retinoid cream, surgical removal, duct tape, laser- all irritating or destructive

Imiquimod ,candida antigen

Question 2

Tx of Herpes Zoster (shingles)

Prevent post- herpetic neuralgia

Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption

Pain control

Answer 2

Prevent post- herpetic neuralgia

Valacyclovi or famciclovir PO w/in 48-72 hrs of eruption

Pain control

Question 3

Molluscum Contagiosum

Answer 3

Curettage, acids, cantharidin

Topical therapy- retinoid

Question 4

IMPETIGO

Answer 4

topical mupirocin or retapamulin

Prevent: hygiene, bath daily w/ abx soap, hand washing, check family

Question 5

Erysipelas

Answer 5

IV abx if systemic

Or PO PCN or amoxicillin

Question 6

Cellulitis

Answer 6

Abx covering beta hemolytic strep & MRSA

Cefazolin IV or cephalexin PO

Question 7

Scabies

Answer 7

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

Question 8

Pediculosis (lice)

Answer 8

Permethrin OTC or overnight for resistance

Question 9

Alopecia aerate

Answer 9

Reassurance- spontaneously resolve in 6 mo.

Topical steroid

Topical minoxidil

Intralesional steroids

Derm referral

Question 10

Paronychia

Answer 10

Warm compress

I&D- bacterial culture

PO abx

Question 11

Vitiligo

Answer 11

Sunscreen, cosmetic cover up

Repigmentation- topical steroids, tacrolimus, PUVA, grafting

Question 12

Melasma

Answer 12

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

Question 13

Acanthosis Nigricans

Answer 13

Fasting plasma insulin and glucose, weight loss counseling.

Topical therapy for cosmetic purposes

Question 14

Pressure Ulcers

Answer 14

Prevention- change positions q. 2 hrs.

Ulcer care- debride, clean, wet dry dressing, occlusive

Bacterial culture if secondary infevtion is suspected