Dermatology Flashcards
1
Q
Seborrheic Keratoses S/S
A
- Multiple, flesh colored, waxy papules
- Across face, neck, and back
- Can become dark brown or black
2
Q
Seborrheic keratoses Tx
A
- Cryotherapy
- Electrodessication
- Laser or dermabrasion
- Shave biopsy if concern for Ca
- Trichloroacetic acid (small, superficial lesions)
- Tazarotene cream 0.1% BID for 16wk
3
Q
Acne Tx
A
- Retinoids: comedolytic, antiinflammatory
- Tretinoin (Retin-A): Photosensitivity, skin irritation
- Topical ABX
- Macrolides: Clindamycin, erythromycin
- Systemic ABX
- Tetracyclines; Bactrim
- Benzoyl peroxide
- Often prescribed with systemic or topical ABX
- Isotretinoin (systemic retinoid)
- female must be on 2 contraceptives if of childbearing age
- Spironolactone (Aldactone)
4
Q
Psoriasis Tx Lifestyle
A
- Daily baths (bath oil, colloidal oatmeal, epsom salts, dead sea salts
- Moisturizers with cover overnight
- small exposures to direct sunlight
- OTC hydrocortisone, Coal tar shampoo
- AVOID ETOH
5
Q
Psoriasis Tx
A
- Coal tar: Mild-to-moderate psoriasis
- Topical steroids: mild-to-moderate
- Vitamin D analogues: Calciptriene (Dovonex), Calcitriol (Rocaltrol)
- Phototherapy/Laser tehrapy
- Antineoplastics
- Cyclosporin
- DMARDs
6
Q
Atopic dematitis (infantile eczema)
A
- Ointments, creams, or lotions 2-3x/d
- Antihistamine creams
- Topical steroids
7
Q
Allergic/Contact Dermatitis
A
- ** Topical Steroids are mainstay of tx
- Ointment: dry, scaly lesions
- Cream or lotion: weeping areas
8
Q
Dishydrotic Eczema (pompholyx; chronic vesiculosquamous)
A
- Moisturize at least BID
- 1st Line: topical high-potency steroids (clobetasol; betamethasone)
- Topical tacrolimus, pimecrolimus
- Systemic steroids, immunosuppressives, retinoids
- Phototherapy
- Botox
9
Q
Herpes Zoster (Shingles) Tx
A
- Narcotic and nonnarcotic analgesia
- Oxycodone, topical aspirin
- Neuroactive agents (anticonvulsants)
- Gabapentin, lidocaine
- Antivirals
- Valcyclovir, famcyclovir
- Corticosteroids
- Nerve blocks
10
Q
Zostavax
A
- 60+yo
11
Q
Shingles complications
A
- Postherpetic neuralgia
- Associated with bacterial infection at site (streptococcal, staphylococcal)
- Trigeminal neuralgia
- Ophthalmologic emergency
- Ramsey-Hunt syndrome
- Meningoencephalitis (immunocompromised pt)
12
Q
Post-Herpetic Neuralgia (PHN)
A
- most frequent complication of shingles
- deep burning/aching pain or paresthesias
- May last for months
- Tx: TCAs; Anticonvulsants; analgesics, antivirals, oral steroids
13
Q
Squamous cell carcinoma
A
- Areas of UV exposure
14
Q
Basal cell carcinoma
A
- Areas of UV exposure
- Fair skin
- Men >women
- > 50yo
