Dermatology Flashcards
Clinical presentation of herpes stomatitis
Fever, irritability initially then vesicular lesions around the lips, gingiva, anterior palate and anterior tongue. Gingiva are erythematous, edematous and friable with bleeding. Anorexia, copious drooling, foul breath, dehydration.
How long does herpes stomatitis last?
5-14 days
How to manage impetigo?
Localized? Topical 2% mupirocin
Generalised: Flucloxacillin, cephalexin, erythromycin
Treatment for eczema flare-up
Treat inflammation: 1% hydrocortisone cream/zinc/tar cream
Wet dressings: for mod (if steroid cream doesn’t help) and severe
Systemic: antihistamines
If infected: culture, wet dressings, bleach bath, hospital admission for antibiotics
Management of scabies
Permethrin cream
+/- corticosteroids topical for pruritus
Wash all clothes and beddings of all family members
Daily management of eczema
Avoid irritants: - soap, prickly clothing, pets, overheating - use pure cotton - keep nails short and use mittens Regular emollients - soft white/liquid paraffin - greasy and non-perfumed Daily cool bath - bath oil, salt, bleach 4% Diet: normal
How to diagnose eczema
Itchy skin plus 3 or more of
- atopic history (personal/family)
- dry skin within 12 months
- typical rash
- typical age of onset < 2 y/o
- visible eczema - red and rough
Seborrhoeic dermatitis management
Remove scale: fine-toothed comb, olive and bath oil
Scalp lesions: anti-seborrhoeic ketoconazole shampoo with mild keratolytics - sulfur, salicylic acid, zinc
pyrithione
Cutaneous: Emollients ketoconazole and low potency topical steroids like hydrocortisone + clotrimazole