Dermatology & Plastics Flashcards
Describe acne
Caused by glands under the skin producing too much oil. This can block the pores and cause acne. Unrelated to diet or being unclean - in fact over-washing exacerbates acne.
Mx of acne
Conservative: wash BD with mild soap, no picking/ scratching
Medical: benzoyl peroxide, retinoid creams, topical abc, oral abx (lymecycline, oxytetracycline)
COCP
3-6 months treatment
Advice for order of applying creams
Emollients - then wait few mins before applying steroids
How can eczema differ in Asian/ Black communities?
Extensor surfaces/ discoid
Mx infected eczema
Fusidic acid cream (short doses - avoid resistance)
Consider oral fluclox
Eczema emergency
Herpeticum - aciclovir and same-day referral
Psorasis consideration when taking hx
Cardiovascular/ DM risks
First-line psoriasis medical mx
Topical vit D analogue OD +/- potent steroid for 4-8 weeks
Advise that stopping suddenly can cause relapse
Names for flat lesions
Macule - patch - telangiectasia
Names for raised lesions
Plaque - papule - nodule
Names for fluid-filled lesions
Vesicle - bulla - pustule - wheal
Triggers for eczema
Endogenous: genetic, stress, female hormones
Exogenous: topical irritants, contact allergens, extremes of temp/ humidity, S.aureus, diet, inhaled allergens
What % psoriasis have joint disease?
14%
Describe rash of psoriasis
Well-demarcated circular and oval bright red elevated plaques, distributed….
Questionnaire for patients with dermatological disease
Dermatology Life Quality Index
In whom is guttate psoriasis more common
Young adults 1 month after a strep sore throat
What is the name of most common rash that is caused by drugs (or infection)?
Toxic erythema