Derma

Question 1

Dry skin /xerosis

Answer 1

Avoid excess bath, avoid alkaline harsh soaps, emollients
Steroids if pruritis

Question 2

Itching / pruritis

Answer 2

Camphor or menthol , capsaicin or corticosteroid containing cream or lotion
Oral antihist

Question 3

Acne vulgaris

Answer 3

Mild- retinoic acid (tretinoin) as 1st line salicylic acid clinda, Erythromycin, azelaic acid
Mod - same plus doxy or tears
Sever- refer

Question 4

Cellulitis n erysipelas

Answer 4

.Elevate limb, warm compress bed rest

. Cloxacillin iv 2 days then po 7 days
If sever -> admit-> c.pencillin

Question 5

Furuncle carbuncles

Answer 5

Gram stain. N culture from the pus
I n D
Fusidic acid
Cloxacillin if there is systemic manif

Question 6

Impetigo

Answer 6

Clean with NS or H2O2
Mupirocin 1st line OR GV OR fusidic acid
Cloxa if sever systemic sxx

Question 7

Ecthyma/chronic lower limb ulcers

Answer 7

Debride
Clean regularly with antiseptics
Topical abx like fusidic a. Or mupiracin

Question 8

Nec fascitis n pyomyocytis

Answer 8

Sx mgt
Pen g aminoglycosidrs n clinda

Question 9

Candida
Moist areas like personal, inguinal fold, interdigital area, axilla

Answer 9

Fluconazole

Question 10

Balanoposthitis
Candid inf of the penis

Answer 10

Clotrimazole 1st line
Miconazole

Question 11

Candidal intertrigo
B/n fingers n toes n other folds of the body

Answer 11

Clotrimazole, miconazole

Question 12

Candidal paronychia

Answer 12

PClotrimazole, miconazole,
Systemic-fluconazole