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Finals > Dermatology Medicine 💆🏽✅ > Flashcards

Dermatology Medicine 💆🏽✅ Flashcards

1
Q

Tx for high risk BCC

A

Surgical removal

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2
Q

Tx for low risk BCC

A

Cutterage

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3
Q

Tx options for BCC

A

Sx, cutterage, cryotherapy, topical imiquimod/FU, radiotherapy

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4
Q

Best Tx for most SCC

A

Mohs Surgery

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5
Q

SCC less than 20 mm, do what Sx

A

Mohs Sx, with 4mm margins

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6
Q

SCC more than 20 mm, do what Sx

A

Mohs Sx, with 6mm margins

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7
Q

Aggressive Bowens lesion, Tx

A

Mohs excision and chemo

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8
Q

Therapy given to all Bowen lesion patients

A

Topical FU BD for 4 weeks (give CSs if patient gets Inflamation from it).

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9
Q

When is cryotherapy or excision used for Bowen lesions Tx

A

Low risk cases (will still receive the FU topically)

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10
Q

How to Dx melanoma and it’s importance

A

excisional Skin biopsy with 1-3 mm margins. Get Breslow thickness

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11
Q

Worse Px areas to get melanoma

A

TANS (thorax, upper arm, scalp)

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12
Q

Breslow stage I melanoma Mx (consider the safety margin)

A

1cm

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13
Q

Breslow stage II melanoma Mx (consider the safety margin)

A

1-2 cm

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14
Q

Breslow stage III melanoma Mx (consider the safety margin)

A

2cm

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15
Q

Breslow stage IV melanoma Mx (consider the safety margin)

A

2cm

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16
Q

Insitu melanoma Mx (consider the safety margin)

A

Removal with 0.5-1cm margin

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17
Q

Main management for Kaposi’s sarcoma

A

A.R.T

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18
Q

Investigations for astinic keratosis

A

Clinical, but still do biopsy to rule out SCC

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19
Q

Management for all actinic keratosis

A

Sun avoidance, topical FU and CS, (rest depends on severity

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20
Q

Add-ons for mild actinic keratosis

A

Topical diclofenac (being a dic spending too long in the sun). Add to FU

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21
Q

Add-ons for more severe actinic keratosis

A

Topical imiquimod (imi joke)

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22
Q

What is acne fulminans

A

Severe acne with systemic symptoms

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23
Q

Mx of acne fulminans

A

Admit and PO steroids

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24
Q

Three types/stages of acne

A
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25
Q

Inflammatory acne:.. always add what Tx

A

Abx

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26
Q

Mild acne Tx

A

Topical retinoids +- benzylperoxide +- topical Abx

27
Q

Moderate Acne mx

A

Topical retinoids +- benzylperoxide +- oral Abx

28
Q

Severe acne Mx

A

PO ISOtretinoin + PO CS +- PO Abx

29
Q

For women who have hornonal Acne, give what?

A

COCP

30
Q

IDd acne with propionobac… can Tx how?

A

3mo Abx

31
Q

Topical Abx choices for Acne

A

Clinda, erythro, dapsone

32
Q

Oral Abx for acne, options

A

Doxy, iymecycline

33
Q

Main worry in cellulitis patients

A

Sepsis

34
Q

Eron classification

A

How to Mx cellulitis

35
Q

Patient with cellulitis: there are no signs of systemic toxicity and patient has no comorbidities. Eron classification class and management

A

Class one. Give oral flucloxacillin, or clarithromycin if allergic, erythromycins pregnant

36
Q

Patient with cellulitis: Patient systemically unwell (not in shock) or well but has a comorbidity. How to manage and what stage

A

Class two. IV antibiotics and monitor, may need admission

37
Q

Patient with cellulitis: Person is systemically unwell, such as confusion tachycardia, tachypnoea, hypotension. Or has life-threatening vascular compromise. What class is this and how would you manage

A

Class three, admit patient and give IV antibiotics. Co Amoxiclav Or clindamycin for cephtrioxane

38
Q

Patient with cellulitis: Patient has sepsis necrotising fasciitis. How to manage, and what class is this

A

Class 4. Admit patient and give IV antibiotics

39
Q

Indications to admit a patient with cellulitis

A

ERON class 3 or four, rapidly deteriorating, frail, less than one year old, immuno compromised, lymphoedema, facial cellulitis

40
Q

Aside from ERON class treatment for cellulitis, what support of therapy should be given to all patients

A

Fluids, heparin, wound management, analgesia, elevate limb, draw around lesion, treat lymphoedema

41
Q

Drugs responsible for causing Steven Johnson syndrome

A

Penicillin, sulphurs, lamotrigine , carbamazepine, phenytoin, allopurinol, NSAID, OCP

42
Q

Difference between Steven Johnson and TEN

A

Steven Johnson involves less than 10% of skin, TEN involves more than 30%

43
Q

Aside from usual investigations, two investigations which are crucial for Steven Johnson syndrome

A

Skin biopsy (definitive diagnosis) and blood cultures to ruled out toxic shock/scalded skin syndrome.

44
Q

Overview of management for Steven Johnson

A

Urgent admission, ABCD approach, withdraw causative agent (very important), fluid intake orally/IV ringers or isotonic saline. Immuno suppressants are not great

45
Q

Treatment for Urticaria. And if severe?

A

Oral antihistamine second generation. If severe give PO prednisolone. If chronic with eosinophilia give Omalizumab

46
Q

Management of a patient with urticaria and airway Involvement

A

Adrenaline, airway protection, IV antihistamine

47
Q

First line treatment for eczema

A

Emollience plus or minus topical corticosteroids. Can add antibiotics if infected

48
Q

How to admin medication for eczema

A

Emollient, wait for 30 minutes, steroid. Or can do wet wrapping

49
Q

If severe eczema what medication can you give

A

Oral cyclosporine (eczyclosporine)

50
Q

First line treatment for plaque psoriasis

A

Topical corticosteroids and topical vitamin di analogues (calcipotriol) once daily for four weeks.

51
Q

Step up, second line, for plaque psoriasis

A

Vitamin di analog twice daily

52
Q

Third line step up for plaque psoriasis

A

Corticosteroids twice daily

53
Q

Aside from steroids/vitamin D analogues what 4 other medications are good for plaque psoriasis

A

Coal Tar, UVB, Tacrolimus Good for face and skinfolds

54
Q

If patient has plaque psoriasis involving the face this is a strong indication to start what medication

A

Topical corticosteroids

55
Q

Patient with plaque psoriasis and arthritis, medication first line

A

Methotrexate

56
Q

Indications for systemic therapy in psoriasis

A

Pustular, topical has failed, hospitalised, elderly, extensive, arthritis

57
Q

Treatment for dermatomyositis and polymyositis

A

High-dose corticosteroids and the taper until symptoms improve

58
Q

Main treatment for Henoch schoelein Purpura

A

Analgesia (paracetamol), hydration, rest, monitor

59
Q

Henoch Sholan purpura, treatment for mild nephritis

A

Oral corticosteroids, consider ACEi

60
Q

Henoch Sholan purpura, treatment for moderate nephritis

A

Oral oral IV steroids and Consider ACEI

61
Q

Henoch Sholan purpura, treatment for severe nephritis

A

IV Cyclophosphamide and consider ACEI. Patient may need transplant

62
Q

When to hospitalise an HSP patient

A

Need IV fluids, GI bleed, severe abdominal pain, AMS, severe arthritis, severe renal disease

63
Q

macule, patch, vs papule, vs plaque

A
64
Q

what is purpura

A

Purpura is a condition of red or purple discoloured spots that do not blanch under pressure.
The spots are usually caused by bleeding underneath the skin, secondary to platelet disorders,
vascular disorders, coagulation disorders, etc

Finals (11 decks)

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