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Derm Therapeutics > Disease --> Treatment > Flashcards

Disease --> Treatment Flashcards

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Dermatology Board Prep flashcards
1
Q

Impetigo

A

“*Mupriocin (Bactroban), Retapamulin; SYSTEMIC (widespread outbreak, Ecthyma) = #1Cephalexin #2Augmentin, Diclox, Clinda
*Nasal decolonization”

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2
Q

Erysipelas

A

“Give IV loading dose, send home on oral

IV = Cefttriaxone, Cefazoline; Oral = #1 Keflex, PCN/Amoxi, Vanc if allergic/MRSA”

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3
Q

Abscess/Furuncle/Carbuncle

A

” I&D, Heat compress, ABX (cellulitis), w/ nasal decolonization, Gram stain culture pus
ORAL STAPH: Keflex, Augmentin, Diclox, MRSA (Bactrim, Doxy, Clinda)
ORAL GRAM (-) : Cipro, Bactrim”

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4
Q

Folliculitis

A

“Topical Mupirocin (or Clinda, Retapamulin)
ORAL STAPH: Keflex, Augmentin, Diclox, MRSA (Bactrim, Doxy, Clinda)
ORAL GRAM (-) : Cipro, Bactrim”

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5
Q

Cellulitis

A

“ORAL : #1 Cephalexin, Dicolxacillin

  • ALLERGY? Clinda/Erythro
  • BITES? Augmentin
  • MRSA Clinda, (Vanc, Linezolid)
  • PSEUDOM? Cipro

IV : Ceftriaxone, Cefazolin, Clinda (MRSA)

**elevate affected site, warm compress, pain, RE-ASSESS IN 3 DAYS”

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6
Q

Paronychias

A

I&D, warm soaks, ABX (Cephalexin)

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7
Q

Pediculosis Capitis

A

“Permethrin Shampoo dry hair REPEAT 7-10 DAYS LATER

  • Pyethrin, Lindane, oral Ivermectin, Malathion (fire), Benzyl Alcohol (preg)
  • Hair shave, suffocate (mayo, olive oil, vaseline)”
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8
Q

Pediculosis Corporis

A

“*Permethrin 1% Lotion REPEAT 7-10 DAYS LATER

*Pyethrin, Lindane, oral Ivermectin, Malathion (fire), Benzyl Alcohol (preg)”

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9
Q

Pediculosis Pubis

A

“Permethrin Lotion REPEAT 7-10 DAYS LATER

*Pyethrin, Lindane, oral Ivermectin, Malathion (fire), Benzyl Alcohol (preg)”

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10
Q

Scabies

A

“Permethrine 5% topical (Elimite)

  • Crusted scabies = Salicylic acid (keratolytic)
  • Lindane (seizures, dead babies)
  • linens bagged 3 days then wash”
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11
Q

Brown Recluse (Loxosceles reclusa) Spider Bite

A

“*Rest Ice Elevation

tetanus ,pain, wound cleaning”

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12
Q

Bed Bug (Cimex Lectulrius)

A

“*Bite resolvoes in 1-2 weeks

*topical/oral steroids, antihistamines”

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13
Q

Pityriasis Rosea

A

“*RPR = rule out syphilis
*Symptomatic = pruritis (antihistimine, steroid, oatmeal bath, calamine)
*UVB
lasts 4-10 weeks”

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14
Q

Lichen Planus

A

“*topical corticosteroids (Clobetasol, Beta), Inj. Triamcinolone
*Hydrate for pain
(antihistimines, PO steroids, UVB, Retinoids)”

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15
Q

Erythema Multiforme

A

“Symptomatic (oral antihistimine, topical steroid)

  • stop Rx, treat HSV/Mycoplasma
  • Recurrent EM = Oral Acyclovir, Valacyclovir”
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16
Q

Pityriasis (Tinea) Versicolor

A

“*Selenium Sulfide, Zinc pyrithione, azoles, terbinafine, ciclopirox
*ORAL: Itraconazole/flucon”

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17
Q

Tinea Corporis

A

“Topical Azole, allyamine,

*PO terbinafine, itraconazole, griseofulvin”

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18
Q

Tinea capitis

A

Oral griseofulvin, avoid hair tools/wear

19
Q

Tinea pedis

A

“*TOPICAL: azoles, allylamines, ciclopirox

*ORAL: Termibafine, Itraconazole, Fluconazole”

20
Q

Tinea cruris

A

“*TOPICAL : azole, allyamine, buentafine

*ORAL: Terbinafine, Itraconazole, griseofulvine”

21
Q

Onychomycosis

A

*ORAL : terbinafine + TOPICAL: efinazonazole, amorolfine

22
Q

Candidiasis

A

“*TOPICAL: clotrimazole, miconazole, nystatin

*ORAL: fluconazole”

23
Q

Molluscum Contagiosium

A

Nothing, , cryotherapy, Curettage (rapid), topical retinoids (severe), NO STEROIDS

24
Q

HPV

A

“Most self-resolve 2 yrs

  • Verruca vulgaris/plantaris = salycylic acid, plasters, cryo
  • Imiquimod cream
  • STOP SMOKING
  • Vaccine = Gardasil 9”
25
Q

HPV = Verruca vulgaris

A

Time, physical/chemical cautery

26
Q

HerpesSV

A

“acyclovir, Tx PRIMARY LONGER (7-10 days)

  • resistant? Foscarnet
  • suppressive? Same”
27
Q

H Zoster

A

“*acyclovir W/IN 72 HR (prevent neuralgia)

  • resistant? Foscarnet
  • Prevention = vaccine >60 years”
28
Q

Alopecia Areata

A

intralesional IV steroid, topical steroid, or observe

29
Q

Androgenic Alopecia

A

Minoxidil, oral Finasteride (5-a red inhibitor), Surgery

30
Q

Telogen Effluvium

A

Minoxidil, wait

31
Q

Acne Vulargis

A

retinoids, benzoyl p., clinda, MODERATE = Doxy/Mino, Spironolactone, SEVERE = Accutane

32
Q

Rosacea

A

“**Metronidazole

  • Azelaic acid, Ivermectin cream, SEVERE: oral antibiotics
  • redness: topical Brimonidine+oxymetazoline
  • Sunscreen, moisture”
33
Q

Hidradentitis Suppurativa

A

stop smoking, lose clothes, no dairy, clinda topical, PO ABX, prednisone, Accutane

34
Q

Urticaria

A

Stop offending agent, Antihistimines, +/- systemic steroids

35
Q

Exanthematous

A

“*3 days - 1 week after stop Rx

  • Topical Steroids, Oral antihistimine, Support
  • can continue Rx if needed
  • No sequelae”
36
Q

Fixed Drug eruption

A

“Resolve few days to few weeks,

  • NON-ERODED LESIONS = Topical corticosteroid
  • ERODED LESIONS = Anti-microbial ointment/dressing until skin layer grown
  • Pain, refer Derm”
37
Q

DIHS/DRESS

A

“Derm consult, stop Rx,

  • MINOR=topical steroids, systemic antihistamines,
  • SEVERE=systemic steriods (nephritis, organ failure)
  • S/S Continue Many Weeks”
38
Q

Epidermal necrolysis (SJS/TEN)

A

“*Stop all Rx,

  • derm/ocular/GU consult,
  • punch biopsy, burn unit; grow epiderm in 7 days or infxn, careful blindness,
  • pain, NO STEROIDS, Fluids/electrolytes, vaginal adhesion
  • EMPIRIC ABX.
  • Scarring”
39
Q

Staphylococcal Scalded Skin Syndrome (SSSS)

A

Nafcillin, oxacillin, vanc, Wound care: topical ABX, fluid status Flaky dry skin as heal,

40
Q

Pemphigus vulargis

A

“*Steroids

  • Immunosupressive Rx = Rituximab, Sulfasalazine, Methotrexate
  • IV IgG (unsure)”
41
Q

Necrotizing Fasciitis

A 
"*Burn unit/SICU
*ABX = Carbapenem, Aerobic (clinda), MRSA (Vanc, Lindezolid)
*Prep for OR (NPO, etc.)
*
*Surgical debridement
*Tissue graft/flap"
42
Q

Fournier Gangrene

A

“*ABX Broad spectrum (MRSA, +/-, Anaerobe)

  • Debride necrotic tissue, graft
  • IV IgG”
43
Q

Purpura fulminans

A

“*Fluids

  • ABX broad-spec
  • DIC Tx (Heparin/FFP/Protein C concentrate)
  • +/-amputations”
44
Q

Atopic Dermatitis (“Eczema”)

A

“RELIEVE S/S + DELAY FLARE-UPS

  • topical steroid + benadryl (sleep),
  • TCIs (Tacrolimus, Pimecrolimus) -lymphoma/cancer
  • ABX if infxn (Tx MSSA, unless MRSA-exposed)
  • Emolllients (Eucerin, Aquaphor), Phototherapy, CAM, bleach baths
  • Check Compliancy if Tx Failure*”

Derm Therapeutics (1 decks)

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