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Pediatrics EOR > Dermatology > Flashcards

Dermatology Flashcards

1
Q

Acne vulgaris treatment

A

Mild: Topical azealaic acid, salicylic acid, benzoyl peroxide (antiseptic), retinoids, abx

Moderate: Topical + oral antibiotics (minocycline or doxycycline). Spirolactone
Severe (nodular/cystic): oral ISOTREINOIN (acutane)

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2
Q

Androgenetic alopecia treatment

Genetically predetermined progressive loss of terminal hairs on scalp in a distribution pattern

A

Topical Minoxidil 5% - hair loss before regrowth, MOA: widen blood vessel to promote increased oxygen and nutrient exchange to increase anlagen (growth) phase.

Oral Finasteride -5-alpha reductase type 2 inhibitor (androgen inhibitor… inhibits conversion of testosterone to dihydrotestosterone)

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3
Q

Atopic dermatitis (eczema) treatment

A

Topical/oral corticosteroids and antihistamines for itching (hydroxyzine or Benadryl)

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4
Q

Burns treatment

A

Monitor ABCs, fluid replacement, silver sulfadiazine

Remember cover burns with dry dressing

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5
Q

Parkland Formula for Fluid Replacement for burns greater than superficial

A

BSA(%) x weight (kg) x 4 mL

Children with >10% BSA and adults with >15% BSA burns need formal fluid resuscitation

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6
Q

Contact dermatitis treatment

A

ID and avoid irritant

Topical corticosteroids 1st line (triamcinolone cream 0.1%) and oral corticosteroids in severe or extensive reactions

Antihistamines (hydroxyzine or Benadryl)
Zinc oxide (diaper rash)
Burrows solution (aluminum acetate), PUVA phototherapy
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7
Q

Diaper dermatitis treatment

A

Zinc oxide ointment or Vitamin A/D ointment & leave area open to air or cover w/ topical emollient

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8
Q

Perioral dermatitis treatment

A

Eliminate topical corticosteroids and irritant

MILD: Topical metronidazole, pimecrolimus or erythromycin

MODERATE/REFRACTORY: Topical + oral abx (minocycline, doxycycline or tetracycline)

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9
Q

Drug eruptions treatment

A

Remove offending drug

Symptomatic tx: oral antihistamines

Sever cutaneous reactions: Oral corticosteroids

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10
Q

Erythema multiforme treatment

A

Remove offending agent

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11
Q

Erythema infectiosum treatment

A

Supportive care

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12
Q

Measles (Rubeola) treament

A

Supportive Care

Isolate for 1 week after onset of rash

MMR vaccine 1 yr and 4 yr

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13
Q

Rubella treatment

A

Supportive care

MMR vaccine 1 yr & 4 yr

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14
Q

Roseola Treatment

A

Supportive (antipyretics)

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15
Q

Hand, Foot & Mouth Disease treatment

A

Supportive care

Virus usually clears up within 10 days

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16
Q

Impetigo treatment

A

Mupirocin topically x10d

Good skin hygiene, wash area with soap and water to prevent recurrences

Extensive disease or systemic disease: Systemic antibiotics (Cephalexin, dicloxacillin, erythromycin)

17
Q

Lice treatment

A

Permethrin (topical, shampoo, lotion)

18
Q

Lichen plants treatment

A

Topical steroids ointment

19
Q

Pityriasis rosea treatment

A

Self-limiting lasting 3-8 weeks and disappearing spontaneously

Topical steroids or oral antihistamines for itching

20
Q

Scabies treatment

A

Topical permethrin 5% (ONLY > 2 months old)
- apply to entire body and wash after 8-14 hours —> repeat in one week

Sulfur 5%-10% ointment (< 2 months old)

21
Q

Seborrheic Dermatitis treatment

A

1st line: OTC dandruff shampoo, emollients

22
Q

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Treatment

A

Supportive Care

SJS: Stop all offending medications, early admission to burn unit, manage fluid/electrolytes/nutrition, airway stability, eye care

TEN: Admit to burn unit with supportive care; consult ophthalmology if eyes affected; cyclosporine and possible plasma exchange for severe cases

23
Q

Tinea treatment

A

Tinea Barbae: Griseofulvin
Tinea Pedis: Topical antifungals (azoles)
Tinea unguium: Terbinafine
Tinea Cruris: Topical antifungals (-azoles, clotrimazole or ketoconazole)
Tinea Capitis: Oral griseofulvin (drug of choice)
Tinea corporis (ring worm): Topical azole antifungals (1% clotrimazole, 2% ketoconazole)
Tinea versicolor: Selenium sulfide 2.5%

24
Q

Urticaria treatment

A

Antihistamine (H1 blockers, second generation)
— cetirizine, loratadine, fexofenadine

Cetirizine (Zyrtec)
Loratadine (Claritin)
Fexofenadine (Allegra)

25
Q

Verrucae treatment

A

Most resolve without treatment over 2 years
Cryotherapy with liquid nitrogen may be applied with a cotton swab or with a cryotherapy gun
Self administered topical therapy such as salicylic acid

Pediatrics EOR (2 decks)

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