Derm2 Flashcards
Name 3 examples of emollients
White soft paraffin and liquid paraffin
Aqueous cream
Emulsifying ointment
How much topical steroid do you use?
A finger tip unit (length of finger) for the area of 2 hands
30g tube is enough to cover whole body once
5 local SE to topical steroid cream
Skin atrophy Striae Telangiectasia May mask/exacerbate skin infections Acne
Name 7 systemic SE to steroids
Cushing's Immunosuppression Hypertension Diabetes Osteoporosis Cataracts Steroid induced psychosis
Name 2 sedating and 2 non sedating antihistamines
Sedating (chlorpromazine, hydroxyzine) Non sedating (cetirizine, loratidine)
Unwanted effects of older antihistamines
Sedation
Anticholinergic (dry mouth, urinary retention)
Name 2 topical antibiotics
Fusidic acid
Mupirocin (bactroban)
Name 2 antiseptics
Chlorhexidine
Povidone-iodine
Name an oral retinoid
isotretinoin
What are retinoids used for?
Acne
Psoriasis
Disorders of keratinisation
SE of retinoids
Teratogenicity
Dry skin, eyes
Disordered liver function
Lipid profile
Give 2 tips for topical steroids
Only for short term use (up to 2 weeks)
Only use 1% hydrocortisone for face
Where are skin scrapes taken from?
Scaly lesions (suspected fungal infection) Burrows in scabies)
How do you do an ABPI?
BP at dorsalis pedis/posterior tibial
BP at brachial artery
Ratio, normally >0.8
What do you never prescribe in psoriasis?
Oral steroids
Beta blockers
What is scleroderma?
Fibrotic change Probably autoimmune Can affects joints (contractures) Decreased blood supply-> ulcers Can lead to systemic sclerosis