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Dermatology Flashcards

1
Q

How to manage seborrheic dermatitis on scalp in an infant
- if doesnt work
- if sx don’t resolve after a certain time

A

Reassure not serious and that will resolve over a few weeks- by 8 months normally
Massage an emollient into scalp which loosens scales which can then gently brush and then wash off with shampoo
If this doesnt work then apply a topical imidazole cream
- clotrimazole 1% 2-3x up to 4 weeks
- miconazole 2x up to 4 weeks
If haven’t resolved after 4 weeks then seek specialist help

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2
Q

How to manage seborrheic dermatitis in areas other than the scalp

A

Bathe the child using an emollient instead of soap
Can consider topical imadizole for up to 4 weeks

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3
Q

What drug can be considered in persistent nappy rash over 4 weeks

A

1% hydrocortisone

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4
Q

Management of seborrheic dermatitis in children

A

Ketoconazole shampoo 2% twice a week for 4 weeks then 1-2x a week for maintenance or selenium sulphide shampoo
To remove scales can use warm olive oil or salicylic acid and cocunut oil for thicker scales

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5
Q

What can use in children if ketoconazole not appropriate

A

Shampoos containing zinc, coal tar or salicylic acid

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6
Q

Treatment for necrotising fasciitis

A

Surgical emergency
Surgical debridement of infected areas and devitalised tissues
IV fluids
Empirical abx-2 or 3 at same time
Can use IVIG

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7
Q

How is atopic eczema assessed (the skin itself)

A

Clear- normal skin
Mild- areas of dry skin, infrequent itching with or without areas of redness
Moderate- areas of dry skin, frequent itching, redness wuth or without skin thickening or excoriation
Severe- widespread areas of dry skin, incessant itching, with or without excoriation, bleeding, thickening)

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8
Q

How is atopic eczema assessed (QOL)

A

Clear- no impact
Mild- little impact on everyday activities, sleep, psychosocial wellbeing
Moderate- Moderate impact on everyday
Severe- severe limitation to every day life

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9
Q

Mild atopic eczema treatment

A

Emollients
Mild topical corticosteroid- 1% hydrocortisone used until 48 hours after flare controlled

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10
Q

Moderate eczema treatment
-2nd line

A

Emollients
Moderate topical corticosteroid- betamethasone valerate 0.025% used until 48 hours after flare controlled
1 month of non-sedating anti-histamine if severe itching/urticaria
2nd line-topical calcineurin inhbitor

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11
Q

Severe atopic eczema treatment

A

Emollient
Potent topical corticosteroid- betamethasone valerate 0.1% until 48 hours after flare controlled
Maintenance regime of topical corticosteroids
Occlusive dressing worn for 2-3 days
Wet stockinette wraps with diluted topical steorids and emollients
If severe itching 1 month non-sedating antihistamine
If sleep affected 2 weeks sedating antihistamine
Oral corticoseroids if severe psych distress or severe and extensive
Phototherapy last option

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12
Q

Example of sedating anti-histamine

A

Chlorphenamine

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13
Q

When are oral corticosteroids used in atopic eczema

A

Psych distress from severe and extensive
Second line calcineurin inhibitor

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14
Q

Conservative management of atopic eczema

A

Identify and educate about triggers
Cut nails short
Safety net about eczema herpeticum

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15
Q

Advice for using topical corticosteroids

A

Only use 1or 2 times a day only on the area

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16
Q

When are bandages used in eczema

A

Chronic lichenified skin
In short term flares 7-14 days

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17
Q

What is the management of infected eczema

A

Swab the area
1st line flucloxacillin (oral if systemic, topical if local)
Educate about emollient hygiene so using a spatula and not leaving bottle open

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18
Q

What determines method of administration in infected eczema

A

Local is topical
Systemic use oral

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19
Q

What to use in recurrent infections for eczema

A

Chlorhexidine

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20
Q

Treatment for eczema herpeticum

A

Oral aciclovir and refer for dermatological advice

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21
Q

Management of eczema herpeticum if around the eyes

A

Refer for same say opthalmological and dermatological advice

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22
Q

How does eczema herpeticum appear

A

Rapidly worsening painful eczema
Clustered blisters
Punched out erosions

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23
Q

What abx used for infected atopic eczema if penicillin allergic

A

Erithomycin

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24
Q

Indications for eczema referral

A

Herpeticum
If severe eczema hasnt responded to tx in a week
If infected hasnt responded to tx
Uncertain diagnosis- maybe contact dermatitis

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25
Q

How is cellulitis classified

A

Complicated vs uncomplicated
Complicated has systemic illness

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26
Q

How is uncomplicated cellulitis managed

A

Flucloxacillin for 7 days- can be managed at home

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27
Q

How is complicated cellulitis managed generally

A

Draw line around initial rash
Refer immediately for potential oxygen and IV fluids
IV abx which change to oral if fever going, CRP reducing or rash regressing
MDT approach

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28
Q

When are IV abx for cellulitis switched to oral abx

A

If CRP dropping , fever going, rash regressing

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29
Q

What is used if penicillin allergy in cellulitis treatment

A

Clarithomycin

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30
Q

What is used if cellulitis around the eyes and nose

A

Co-amoxiclav
Oral if mild and no signs of orbital cellulitis

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31
Q

What is used if cellulitis around the eyes and nose but penicillin allergy

A

Clarithomycin
Add metronidazole suspected

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32
Q

What used if cellulitis on top of chicken pox

A

Flucloxacillin and amoxicillin

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33
Q

What used if cellulitis on top of chicken pox if penicillin allergic

A

Ciprofloxacin and metronidazole/clarithomycin

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34
Q

General advice given for cellulitis

A

Rest the area
Paracetamol for pain
Safety net- if doesnt get better in 24-48 hours come back
Review in 48 hours

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35
Q

How is erysipelas treated

A

Penicillin V

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36
Q

How do infantile haemangiomas appear

A

Called strawberry haemangiomas
Raised red papules

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37
Q

Management principles of haemangiomas

A

Does not necessarily require treatment as will shrink naturally
If ulcerated, cosmetic disfigurement or near eyes, nose or mouth then may require treatment

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38
Q

When do you treat an infantile haemangioma

A

Ulcerated
Functional impairment near the eyes, nose or mouth
Cosmetic disfigurement
Treatment differs between ulceration and other 2

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39
Q

Treatment of an infantile haemangioma with ulceration

A

Barrier protection and burows solution for gentle debridement
Topical abx- metronidazole

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40
Q

Management of infantile haemangioma if cosmetic disfugurement or near to nose, eyes or mouth

A

If small then topical timolol
If large then oral propanolol

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41
Q

Where do infantile haemangiomas normally appear

A

On face or posterior triangle of neck
In first 5 months of life

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42
Q

Advice to parents for haemangiomas

A

Dont use shampoos or soap near to them
If bleed dab them with cotton for 5 mins

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43
Q

Topical beta blocker used for infantile haemangioma

A

Timolol

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44
Q

Oral beta blocker used for infantile haemangioma

A

Propanolol

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45
Q

Srugical options for infantile haemangioma

A

Cryotherapy
Electrotherapy
Vascular laser surgery

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46
Q

What causes hand foot and mouth disease

A

Enteroviruses- most commonly the cocksackie A16 and enterovirus 71 virus

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47
Q

Which pathogen causes molloscum contagiosum

A

Molloscum contagiosum virus
Its a pox virus

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48
Q

How do molloscum contagiosum lesions appear

A

Pearly papules with central umbilication/dimpling

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49
Q

Management of molloscum contagiosum

A

In immunocompetent people is self-limiting and doesnt require treatment necessarily excpet in certain conditions
Advise about reducing the spread
- dont squeeze them
- avoid sharing towels, clothing and baths with other people
- exclusion from pool and school not needed

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50
Q

When to treat molloscum contagiosum

A

Anogenital lesions
Immunocompromised
Lesions are symptomatic

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51
Q

What are treatment options for molloscum contagiousm

A

Podophyllotoxin 0.5%
Imiquimod 5%
Cryotherapy

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52
Q

What happens if eczema or infection develops around molloscum contagiosum lesions

A

Treat appropriately with emollients or abx

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53
Q

Advice for treating nappy rash

A

Use high absorbency nappy
Leave off as much as possible to expose to air for drying
Dont use soap

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54
Q

Treatment of nappy rash if mild erythema and asymptomatic

A

OTC barrier protection applied at every change
Zinc and castor oil ointment

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55
Q

Treatment of nappy rash if inflamed and causing discomfort

A

If infant over 1 month old 1% hydrocortisone and barrier cream
Apply barrier cream a few minutes after

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56
Q

Treatment of nappy rash if candidal infection suspected or confirmed

A

DO NOT use barrier protection
Topical imidazole cream

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57
Q

Treatment of nappy rash if bacterial infection suspected or confirmed

A

Oral flucloxacillin for 7 days
Arrrange review

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58
Q

Treatment of nappy rash if bacterial infection and penicillin allergic

A

Clarithomycin

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59
Q

How does candida appear

A

Erythematous papules and plaques
Small satellite spots and pustules

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60
Q

What are the satellite pustules seen in

A

Candida infection

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61
Q

What causes scabies

A

Sarcopetes scabiei- mite

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62
Q

Where does scabies tend to affect

A

Between fingers and toes
Palms and soles
Axilla
Lower trunk

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63
Q

When is scabies tiching worse

A

At night
In warmth

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64
Q

Treatment for scabies

A

5% permethrin cream to everyhting below chin
Decontaminate whole bedding clothing etc
Treat the family too

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65
Q

What is used for post-scabietic itch

A

Crotamiton 10%
Can use hydrocortisone 1% if know infection definetely cleared

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66
Q

Mangement of urticaria non symptomatic

A

Identify triggers using symptoms diary (UAS7)
Normally self limiting but if symptoms treat

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67
Q

Treatment for symptomatic urticaria

A

Non sedating antihistamine for 6 weeks

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68
Q

Treatment of very severe urticaria

A

Non sedating anti-histamine
Oral predinsolone 40mg for 7 days

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69
Q

Management of pediculosis

A

Wet combing with a fine-tooth comb every 3-4 days for 2 weeks
Dimeticone 4% lotion rubbed into hair and scalp then shampooed the next day
Repeat a week later

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70
Q

How is dimeticone used in pediculosis treatment

A

Applied night before and then shampooed the next day

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71
Q

What is difference between tinea corporis, cruris and capitis

A

Corporis- body
Cruris- groin and thighs
Capitis- scalp

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72
Q

Treatment of mild tinea cruris and corporis infections

A

Topical antifungals- terbinafine cream, clotrimazole
If marked inflammation 1% hydrocortisone

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73
Q

What is used in tinea cruris and corporis if marked inflammation

A

Hydrocortisone 1%

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74
Q

Treatment for severe tinea cruris and corporis infections

A

1st line- oral terbinafine
2nd line- oral itraconazole

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75
Q

What can be added as adjunct to treatment of tinea cruris and corporis

A

Aluminium acetate

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76
Q

What is the management of verrucas

A

Watchful waiting most common in children as lots of side effects to treatment
Only treat if cosmetically unappealing like on face
Treat of painful or requested treatment

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77
Q

Application of permethrin

A

Done to whole body
Must be cool and dry
Wash off after 12 hours and repeat 10-14 days later

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78
Q

Second line treatment for scabies

A

Ivermectin

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79
Q

What is different about application of permethrin in babies

A

Face and scalp included

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80
Q

What are milia

A

Small white keratin filled cysts found on the face of babies

81
Q

Management of milia

A

Will resolve or clear by themselves
Can be removed if comsemtically displeasing

82
Q

Removal options for milia

A

Cryo
Fine needle
Laser

83
Q

If localised reaction around a sting what can do

A

Simple analgesia
If swollen ice pack regime
Oral antihistamine or 1% hydrocortisone can be used if itching

84
Q

What can be given to people with moderate to severe reactions to a sting

A

Oral steroids

85
Q

What to do with bite patient if tetanus status of someone unkown

A

Tetanus/diptheria/pertussis vaccine, another at 4wks and 12 months
Tetanus immunoglobulin

86
Q

What worried about in human bite

A

Tetanus

87
Q

What worried about in a dog and cat bite

A

Tetanus
Rabies

88
Q

What to do post dog bite if no rabies immunisation

A

Rabies vaccine
Rabies human immunoglobulin

89
Q

What to do post dog bite if already rabies immunised

A

Rabies vaccine

90
Q

Treatment for all animal and human bites

A

Co-amoxiclav

91
Q

If penicllin allergic what determines treatment of dog and human bite

A

Age
Under 12 co-trimoxazole
Over 12 doxycycline and metronidazole

92
Q

Management of plaque psoriasis

A

Emollient
Topical Vitamin d and potent topical steroid
Salicylic acid if plaque problematic

93
Q

What to use if plaque problematic in psoriasis

A

Salicylic acid

94
Q

What is the nature of guttate psoriasis

A

Temporary lasting 3-4 months
Follows on from strep infection

95
Q

Management of guttate psoriasis

A

Emollient
Topical Vitamin d and potent topical steroid
Salicylic acid if plaque problematic

96
Q

What used if guttate psoriasis takes up over 10% of body surface

A

Phototherapy

97
Q

How to meningococcal septicaemia lesions appear

A

Non-blanching purpuric lesions irregular in size with necrotic core

98
Q

Management meningococcal septciaemia

A

Ceftriaxone

99
Q

What are other words for erythema infectiosum

A

Fifth disease
Slapped cheek syndrome

100
Q

Progression of erythema infectiosum

A

Initially red cheeks- becomes lacy maculopapular rash on trunk and EXTENSOR SURFACES of limbs

101
Q

How are patients with erythema infectiosum

A

Often asymptomatic but can have myalgia, fever and headache

102
Q

What are complications of erythema infectiosum

A

Aplastic crisis
Arthritis

103
Q

Management of erythema infectiosum

A

Adequate fluid inake
Ibuprofen

104
Q

How is erythema infectiosum spread

A

Resp droplets

105
Q

What happens in vertical transmission of parvovirus B19

A

Hydrops fetalis from severe anaemia

106
Q

What is itcalledifmeningococcal septciaemia widespread

A

Purpura fulminalis

107
Q

Rfx for HSP

A

Boy
3-10 years
Strep infection

108
Q

Tetrad of HSP

A

Rash over buttocks and extensor surface of arms and legs
Abdo pain
Glomerulonephritis
Arthritis

109
Q

Complications of HSP

A

Intussusception
Pancreatitis
Acute renal impairment
Arthritis

110
Q

How is HSP managed

A

NSAID or paracetamol and bed rest
Typically will resolve in a few weeks
Oral pred if GI bleeding, severe abdo pain or scrotal involvement
IV if nephrotic range proteinuria or declining renal function

111
Q

What to do if scrotal pain, GI bleeding or severe abdo pain in HSP

A

Oral pred

112
Q

What to do if nephrotic range protein uria or declining renal function in HSP

A

IV pred

113
Q

Which patients are are at particular risk of PV19 infecton

A

HIV
SCD

114
Q

On top of slapped cheek rash how else can PV19 appear dermatologically

A

Lace like rash on trunks and arms- normally like this adults

115
Q

What causes roseola infantum

A

HHV6

116
Q

How does roseola infantum present

A

High fever for a few days followed later a maculopapular rash- rose pink coloured
Can get nagayama spots- papular exanthem on uvula and soft palate

117
Q

Complication of roseola infantum

A

Febrile convulsion

118
Q

What are nagayam spots seen in

A

Roseola infantum

119
Q

Differentials for nappy rash

A

Irritant dermatitis
Candida
Seborrheic dermatitis
Psoriasis
Atopic eczema

120
Q

What causes irritant dermatitis

A

Due to effect of urinary ammonia and faeces

121
Q

How does each nappy rash appear and its features

A

Irritant dermatitis- creases spared
Candida- erythematous rash which i- nvolves the flexures and has satellite lesions
Seborrheic dermatitis- has flakes and concomitant scalp rash
Psoriasis- scaly erythematous rash

122
Q

Features of dermoid cyst

A

Found at sites of embryonal developmental fusion
- midline of neck
- external angle of the eye
- posterior pinna of the ear
Small cystic structure with hair/other inclusions that oten get infected

123
Q

What are verruca

A

Warts on plantar surfaces caused by HPV 6

124
Q

Treatment of verruca versus warts

A

Verrucas not very sensitive to cryotherapy
Use salicylic acid

125
Q

Treatment difference between older versus younger children for warts/verrucas

A

Older- can use cryotherapy or salicyclic acid
Young- use salicylic acid

126
Q

When should refer for warts/verruca and what treatment options are available

A

The person has a facial wart.
The diagnosis is uncertain.
The person is immunocompromised.
The person has areas of skin that are extensively affected, for example, mosaic warts of the hands and feet.
The person is bothered by persistent warts that are unresponsive to both topical salicylic acid and cryotherapy, if indicated

  • podophyllotoxin
  • physical ablation
  • iquimiod
127
Q

Presentation of hand foot and mouth disease

A

Mild systemic upset with sore throat and fever
Oral ulcers which then later followed by vesicles on palms and soles of the feet
Can also present with spots on abdomen and genitals

128
Q

How is hand foot and mouth disease spread

A

Normally in outbreaks at a nursery

129
Q

What is name of lyme disease rash

A

Erythema migrans

130
Q

Progression of meningococcal septicaemia

A

Maculopapular then petechial/purpuric non-blanching

131
Q

Complications of parvovirus

A

If pregnant- hydrops foetalis
If SCD- aplastic crisis

132
Q

Other name for roseola infantum

A

Exanthema subitum

133
Q

Main problem of roseola infantum

A

In immunocompromised especially in bone marrow transplant as affects the engraftment itself

134
Q

Complications of chicken pox

A

Immunosuppressed- leads to severe streptococcal and staphylococcal infection affecting the joints and bones
Glomerulonephritis
Myocarditis
Pneumonitis
Bacterial superinfection

135
Q

How does scarlet fever rash vary from infatum roseola

A

Scarlet fever normally starts on neck and trunk
Roseola starts on trunk and spreads to limbs

136
Q

Management of chicken pox

A

Paracetamol and calamine lotion

137
Q

What presents with fluid filled blisters and yellow crust

A

Impetigo

138
Q

Management of bacterial superinfection in chicken pox

A

Admit to hospital
IV flucloxacillin and aciclovir

139
Q

Causes of erythema nodosum

A

Strep infections
TB
Sarcoid
IBD

140
Q

Management of impetigo

A

If local use fusidic acid
If more marked infection use flucloxicllin or clarithomycin if allergic

141
Q

Difference between eczema herpeticum and infected eczema

A

Eczema herpeticum- widespread blisters and punched out lesions
Infection with strep pyogenes and s. aureus- oozing from swollen skin and yellow crust

142
Q

What is labial fusion

A

Benign condition where labia minora fuse together
Not present at birth but can develop by 1-2 years
Will resolve by puberty typically

143
Q

Management if labial fusion

A

If no major symptoms can reassure and review
If significant symptoms topical oestrogen for 4-6 weeks
Surgical management if thick and severe or trapped urine causing terminal dribbling and vulval inflammation

144
Q

Complications of labial fusion

A

Local infection
Recurrent UTI
Terminal dribbling

145
Q

Why are NSAIDS not recommended in chicken pox

A

Increased risk of necrotising fasciitis

146
Q

Difference in length of treatment tinea capitis rural versus urban area

A

Treat for 4 weeks if urban
8 weeks if in rural area

147
Q

Management of tinea captits in children

A

Exclude kerion
Take hair and scalp sample for culture
Commence oral terbinafine or griseofulvin
When culture comes back change antifungal accordingly

148
Q

What does black dot on scalp suggest where hair stubs in follicles removed

A

Trichophyton tonsurans infection

149
Q

What do if tinea capitis culture reveals trichophyton tonsurans infection

A

Continue or switch to terbinafine

150
Q

What do if tinea capitis culture reveals microsporum infection

A

Continue or switch to griseofulvin

151
Q

What is a kerion and what do if present

A

An abscess on scalp caused by excess reaction to tinea capitis infection
Refer immediately

152
Q

How does distribution of atopic eczema vary across childhood

A

Infant- face and trunk
Early childhood- extensor surfaces
OLder child- typical flexural distribution

153
Q

How is head lice diagnosed

A

Fine tooth combing

154
Q

Management of branchial cyst

A

Antibiotics if infected
Surgical excision is needed

155
Q

Neck lump full of cholesterol

A

Branchial cyst

156
Q

Why cant use NSAIDS in chicken pox

A

Increases risk of secondary bacterial infections- potentially necrotising fasciitis

157
Q

Complications of chicken pox

A

Pneumonia
Encephalitis
Secondary bacterial infections on skin- most common
Disseminated haemorrhagic chicken pox

158
Q

What are 2 types of impetigo

A

Bullous and non-bullous

159
Q

When refer someone with impetigo

A

Complications present
- glomerulonephritis
- deeper soft tissue injuries
- sepsis
Immunocompromised and infection is widespread

160
Q

How does impetigo present

A

Pustular honey colour crusted lesions

161
Q

When consider referral or specialist advice in impetigo

A

Bullous impetigo especially if under 1
Recurrent impetigo
Systemically unwell

162
Q

When can return to school with impetigo

A

All lesions are dry and have crsuted over for 48 hours

163
Q

Management of impetigo

A

Localised and not unwell

Hydrogen peroxide 1% cream
If unsuitable
- fusidic acid 2%
- mupirocin 2%

Widespread and not unwell

Offer oral or topical
Topical
1st fusidic acid 2%
2nd mupirocin 2%
Oral
Flucloxacillin
Clarithomycin if aged 1month-11 years erythomycin if 11-17

Bullous or unwell

1st fluclox
2nd Clarithomycin if aged 1month-11 years erythomycin if 11-17

164
Q

What is acne vulgaris

A

Chronic inflammatory skin condition which affects the back, face and chest which is causesd by blockage and ultimate inflammation of the hair follicle and sebaceous gland

165
Q

Complications of acne

A

Scarring
Acne fulminans

166
Q

What is acne fulminans

A

Ulcerating and haemorrhagic form of acne

167
Q

First line for acne

A

Mild/moderate
Combination of topical adapalene and benzol peroxide
Combination of topical tretinoin and clindamycin
Benzoyl peroxide and clindamycin

Moderate/severe
Combination of topical adapalene and benzol peroxide
Combination of topical tretinoin and clindamycin
Benzoyl peroxide and clindamycin
ALSO
Topical azelaic acid and oral doxycycline and lymecycline

ALL GIVEN FOR 12 weeks

168
Q

What is management of acne fulminans

A

Immediately refer to on call dermatologist

169
Q

When should acne vulgaris be referred to dermatologist

A

Mild/moderate has not respoded to 2 rounds
Moderate/severe has not responded to a round with an oral antibiotic
Acne with scarring
Acne with pigmentation changes
Acne or scarring causing significant psych distress or contributing to mental health disorder

170
Q

Management of epsteins pearl

A

None- non serious
Safety net it notice getting larger

171
Q

If have cellulitis but then develop bluish colour to limb what is diagnosis

A

Necrotising fasciitis

172
Q

If have cellulitis on top of chicken pox- what is most likely cause

A

Strep pyogenes

173
Q

Features of seborrheic dermatitis nappy rash

A

Flakes
Cradle cap
Includes the folds
Salmon pink

174
Q

Most common neck lump in kids

A

Lymphadenitis

175
Q

What is other name for wine and port rash

A

Naevus flammeus

176
Q

Investigation for naevus flemmus

A

MRI

177
Q

What type of haemangioma are infantile haemangiomas

A

Capillary

178
Q

What are congenital warts

A

It is possible to be born with congenital viral warts on the anus or genitals transmitted from the mother to baby during birth

179
Q

How long can congenital warts last for

A

2 years- anything after this should be investigated for sexual abuse

180
Q

Rash on whole body with pustules present

A

Erythema toxicum

181
Q

What is blueberry muffin presentation

A

When skin blue from bruising over body

182
Q

Causes of blueberry muffin appearnace

A

Rubella
CMV

183
Q

Strep throat then a few days later develops scaling red papules and plaques

A

Guttate psoriasis

184
Q

Difference in presentation of scarlet fever vs guttate psoriasis

A

Scarlet fever- within 24 hours of sore throat
Guttate psoriasis- a few days later with scaly papules

185
Q

What nail changes are alopecia areata associated with

A

Pitting
Onycholysis

186
Q

Management of alopecia areata

A

If evidence of hair regrowing then can use watchful waiting
If no hair regrowth or severe distress then very potent corticosteroids- betamethasone valerate 0.1%

187
Q

Boggy and pustular raised area where is hair loss

A

Kerion

188
Q

What give if non-flare up of eczema

A

Emollients

189
Q

Management of balanitis

A

Good hygiene- avoid soaps, saline washes under foreskin in general

190
Q

Management of bacterial balanitis

A

Oral fluclox
Inflammation very bad use hydrocortisone

191
Q

Management of candidal balanitis

A

Topical imidazole cream
Inflammation very bad use hydrocortisone

192
Q

Candidal vs bacterial balanitis

A

Candida- white discharge
Bacterial- yellow discharge

193
Q

Differentials for blisters in neonates

A

Burns
Drug eruptions
Epidermolysis bullosa
Infective causes

194
Q

Blisters under armpits in a child with surrounding erythema

A

Bullous impetigo

195
Q

Itchy papular rash over hair

A

Head lice

196
Q

Gold standard for CMPA

A

Double blind oral food challenge

197
Q

Management of periorbital cellulitis

A

if any signs of orbital cellulitis or are unwell then IV
If not can use oral provided able to be followed up

198
Q

Differentials for small circular rashes

A

Discoid eczema
Tinea

199
Q

How to differnetiate between tinea and discoid eczema

A

Tinea not very itchy
Tinea likely to be localised to a particular area, discoid can be whidespread across the body

Paeds (17 decks)

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