Dermatology Flashcards

1
Q

Clinical presentation of herpes stomatitis

A

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.

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2
Q

How long does herpes stomatitis last?

A

5-14 days

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3
Q

How to manage impetigo?

A

Localized? Topical 2% mupirocin

Generalised: Flucloxacillin, cephalexin, erythromycin

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4
Q

Treatment for eczema flare-up

A

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

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5
Q

Management of scabies

A

Permethrin cream
+/- corticosteroids topical for pruritus
Wash all clothes and beddings of all family members

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6
Q

Daily management of eczema

A
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
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7
Q

How to diagnose eczema

A

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
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8
Q

Seborrhoeic dermatitis management

A

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

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