Dermatology

Question 1

Management of eczema

Answer 1

In children
Conservative - avoid irritants
Medical: 
1. Simple emollients 
2. Topical steroids
3. wet wraps and oral ciclosporin

Question 2

Use of steroids and emollients

Answer 2

Put emollients on first, wait 30 mins then put on steriods

Question 3

Steroids in eczema

Answer 3

Mild - hydrocortisone

moderate - betamethasone 0.025%, clobestasone butyrate 0.05%

Potent - fluticasone 0.05%
betamethasone 0.1%

Clobestasol propionate 0.05%

1 finger tip = 0.5g

Question 4

Psoriasis managment

Answer 4

Regular emollients
1st line - topical steroids + vitamin D analogue daily up to 4 weeks
2nd - vit D analogue twice daily
3rd - potent topical steroid twice daily or coal tar twice daily
- Short acting dithranol can be used