Dermatology

Question 1

Head Lice

Answer 1

PB - Quellada lotion (Permethrin 1%)
>apply to damp hair for 10 min then rinse
KP24 (Maldison 0.5%)
>apply to dry hair, leave in overnight then rinse

Reapply in 7 days

Question 2

Scabies

Answer 2

PB - Lyclear (Permethrin 5%)
Ascabiol (Benzol Benzoate 25%)
+Polaramine for night itch (dexchlorpheniramine 2mg)

Shower and dry then apply to whole body from neck down. Wear clean clothes and leave on overnight then rise in the morning.

Question 3

Eczema/Dermatitis

Answer 3

Soap substitutes + Moisturisers - QV , Dermaveen (Oatmeal)

Corticosteroids - Dermaid (Hydrocortisone 1%)

Question 4

Psoriasis

Answer 4

Soap substitutes + Moisturisers - QV , Dermaveen (Oatmeal)
Pinetarsol for bath! (Wood Tar)
Ionil T Shampoo

Salicylic acid and sulphur creams are prescribed

Question 5

Ringworm

Answer 5

Lamisil (terbinafine 1%) paa 1-2 times daily for 1 week

Question 6

Tinea

Answer 6

Dry toes and use a separate towel of infected site. Change socks regularly
Lamisil (terbinafine 1%) paa d for 7/7
Daktarin powder (miconazole 2%) in shoes

Question 7

Nail Infection

-dull, opque, yellow, thickened nail

Answer 7

Dont use cosmetic nail polish to the area
Loceryl (Amorolfine 5%) 1-2 wkly for 6/12
-file down nail with ONE TIME USE file, or infection will spread. Paint the surface and allow 3-5min to dry

Question 8

Mild Acne (confined to face)

Answer 8

Cetaphil (Oily Skin cleanser) Use first before

Benzac (benzol peroxide 2.5, 5 10%) use 5% unless hypersensitive.

Question 9

Chickenpox

• widespread macular papular rash
• self resolving in 1-2 weeks

Answer 9

Paracetamol
Solugel (Hydrogel)
Pinetarsol bath oil

Question 10

Corns/Callus

-thickened areas of skin due to pressure and friction

Answer 10

PG- Scholl cushion + removal pads (salicylic acid 40%)

Question 11

Warts (HPV infection)

-contagious

Answer 11

Wart Off, Duofilm gel (salicylic acid)

Dont pick the area of the wart will spread to mouth/lips

Question 12

Dandruff (seborrhoeic dermatitis)

Answer 12

Nizoral (ketoconazole 1-2%) twice weekly
Coal tar shampoo - twice weekly
Promote good hygiene, avoid alcohol products, cut hair short

Question 13

Sunburn

Answer 13

Paracetamol
Solugel (hydrogel) keep in fridge and apply prn
SOOV burn spray (cetrimide and lignocaine)
Aloe vera
Promote slipslopslap, avoid uv until healed, dont use butter

Question 14

Shingles (herpes zoster)

• reactivation of chickenpox
• vesicles run along the nerves of the back

Answer 14

Paracetamol
Zostrix (capsaicin 0.025%) qid prn
Rest and fluids

Question 15

Cold Sores

-contagious when weeping

Answer 15

PB - Zovirax (aciclovir 5%) 5 times daily
Famvir (famciclovir 3x 500mg) stat when tingling appears >18 years old
Betadine (povidone iodine) to dry up area

Question 16

Dry Mouth (Xerostomia)
-anticholinergic burden

Answer 16

Biotene dry mouth (bicarbonate)
Sugar free lollies
Avoid alcohol containing mouthwash (Listerine)

Question 17

Mouth ulcers (aphthous ulcers)
-<1cm diameter, <14 days duration

Answer 17

Paracetamol
Orabase (Carmellose) paa prn
SM33 Gel (lignocaine and salicylic acid)

Question 18

Oral Thrush (Oral Candidiasis)

• white slough on tongue
• steroids, denture health, antibiotics

Answer 18

PB - nilstat (nystatin 100,000units) 1ml qid 2/52
Daktarin Oralgel (micronazole 2%) half spoonful qid

Question 19

Toothache

Answer 19

Colgate neutrafluor (high fluoride) use instead of normal toothpaste bd
Sovacol (Clorhexidine 0.2%)

Question 20

Haemorrhoids

• itching, burning, swelling, pain
• opioids, diet

Answer 20

Proctosedyl (Cinchocaine 5mg, hydrocortisone 5mg) paa tds 5-7 days
Apperients - coloxyl and senna
Increase fibre intake with diet or Metamucil, toilet hygiene

Question 21

Heart burn

-throat burning, flatulence, bloating

Answer 21

PB- Mylanta/Gaviscon liquid/tabs for immediate treatment

PB- Somac (pantoprazole 20mg) 1 bd if recurrent symptoms

Question 22

Diarrhoea

-dehydration, sunken eyes, tired

Answer 22

Imodium (loperamide 2mg)

ORS 1 sachet in 200ml, easier to drink chilled

Question 23

Motion Sickness

Answer 23

TravacalmNatural (ginger) 1-2 30min before travel

TravelcalmOriginal (hyoscine) 1-2 30min before travel, MAX 4 daily

Question 24

Constipation

Answer 24

Metamucil (fibre) 1 spoon in 250mL
Coloxyl and Senna 1-2 bd
Lactulose

Question 25

IBS

-unexplained episodes of diarrhoea and constipation

Answer 25

Iberogast 5 drops to tongue qid
Buscopan (hyoscine 10mg)
Metamucil

Question 26

Threadworms

• sticky tape test overnight
• night itch, abdo pain, loss of appetite
• treat ever one in household

Answer 26

Combatrin chocolate sqaures (pyrantel 100mg) 10mg/kg stat dose
Combantrin 1 (mebendazole 100mg) stat dose

Question 27

Teething

• growing out of the gums
• irritable, restless

Answer 27

Paracetamol 15mg/kg qid
Ibuprofen 10mg/kg tds
Teething ring

Question 28

Colic

• too much crying
• only a problem in 1st world countries

Answer 28

Remove the cause of the crying (hungry, tired, food allergies)
Hypoallernic formula if not breastfeeding

Question 29

Cradle cap

• scaly, crusty scalp
• NOT itchy

Answer 29

Olive oil to breaks down and remove extra skin

Question 30

Nappy Rash

-friction causing irritation and lesions

Answer 30

Sudocream (zinc oxide) as a barrier cream ever time the nappy is changed
QV Hyperallegnic moisturiser
Use single use nappies instead of cloth
Avoid soap and Talc to the affect area