Dermatology

Question 1

Acute dermatitis

Answer 1

Oral corticosteroids: prednisone 40-60 mg/day 3-14 days taper every 3 days

Non-sedating antihistamines: claritin, clarinex, allegra

Sedating antihistamines: benadryl, zyrtec

Question 2

Atopic dermatitis

Answer 2

emollients
Topical corticosteroids
Topical JAK inhibitor
phototherapy
oral immunosuppressant therapy

Question 3

Acne

Answer 3

Mild acne: topical retinoids (adapalene)

Mild-moderate papulopustular inflammatory acne: topical retinoids + BP
Clindamycin + BP
MOST COMBOS ARE EXPENSIVE AND INSURANCE WONT COVER THEM

Maintenance therapy: Adapalene

Question 4

Poison Ivy

Answer 4

Remove source
Calamine lotion
Topical antihistamines
Oral antihistamines
Topical vs. oral corticosteroids

Question 5

Severe acne

Answer 5

Oral isotretinoin

Question 6

Rosacea

Answer 6

Mild: avoid triggers, topical antibiotics (metronidazole), topical retinoids

Moderate: oral antibiotics, topical retinoids

Severe: oral isotretinoin, laser treatments

Topical antibiotics: metronidazole is the treatment of choice, apply BID

Topical retinoids: Azelaic acid

New treatment: Brimonidine, ophthalmic option or ocular rosacea

Question 7

Psoriasis

Answer 7

Limited: < 5% BSA

Moderate: 5-10% BSA

Severe: < 10% BSA

Treatment: sun, baths, emollients, salicylic acid 2%