Derma

Question 1

Mole

Answer 1

Treatment not offered by NHS
Surgical
Freezing therapy
Laser therapy

Question 2

Basal cell CA

Answer 2

Back of head > routine referral
On face/nose > 2 week referral

Question 3

SCC

Answer 3

2 week referral
Surgery to cut off > biopsy
Chemo radio
Only 5% spread

Question 4

Melanoma

Answer 4

2 week referral
Surgery > biopsy
Biopsy from nearest lymph node
Chemo radio
Immunotherapy and biological therapy

Question 5

Seborrheic Keratosis

Answer 5

Referral urgently b/c risk factors
Scratch it + biopsy
Use a magnifying camera called dermatoscope to take a pic and analyse it
they might screen your body for potential lesions using magnifying glasses
might require multiple biopsies > any potential lesion found, removed

Question 6

Cholinergic urticaria

Answer 6

No treatment needed
Reduce temp at home, reduce temp of water
Give meds if travelling to warm country

Question 7

Eczema

Answer 7

Emollient called Dermol
Apply regularly after washing, don’t rub
Avoid bubble bath/soap/shampoo
If no benefit > weak steroids
If affects life > CBT

Question 8

Cat Scratch

Answer 8

If wound clean + cat domestic + immunised, no need to worry
ABx as prophylaxis of 5 days
Keep wound clean and safety netting

Question 9

Hair loss (Tacrolimus)

Answer 9

Patchy hair loss
Traction
FHx
Stress
Medications

Refer to specialist to review medication
Don’t stop taking until specialist sees
Advice on wigs/cosmetic hair styling

Question 10

Scabies

Answer 10

2 doses of 5% permethrin - 1 week apart
All over the body + for 8-10 hours
Reapply if wash hands
Decontaminate clothes
Prophylaxis for household

Question 11

Acne

Answer 11

Start BPO apply once in the evening for 3 months - initially makes skin dry but then gets better
Counsel about skin > not caused by poor hygiene
Use slightly acidic skin products/avoid oil based skin products
Avoid picking > scarring
FU in 3 months > ABx