"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"

"Permethrine 5% topical (Elimite) Crusted scabies = Salicylic acid (keratolytic) Lindane (seizures, dead babies) linens bagged 3 days then wash"

"Symptomatic (oral antihistimine, topical steroid) stop Rx, treat HSV/Mycoplasma Recurrent EM = Oral Acyclovir, Valacyclovir"

Disease --> Treatment Flashcards by O lawformonde

Impetigo

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

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Erysipelas

“Give IV loading dose, send home on oral

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

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Abscess/Furuncle/Carbuncle

” 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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Folliculitis

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

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Cellulitis

“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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Paronychias

I&D, warm soaks, ABX (Cephalexin)

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Pediculosis Capitis

“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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Pediculosis Corporis

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

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

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Pediculosis Pubis

“Permethrin Lotion REPEAT 7-10 DAYS LATER

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

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Scabies

“Permethrine 5% topical (Elimite)

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

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Brown Recluse (Loxosceles reclusa) Spider Bite

“*Rest Ice Elevation

tetanus ,pain, wound cleaning”

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Bed Bug (Cimex Lectulrius)

“*Bite resolvoes in 1-2 weeks

*topical/oral steroids, antihistamines”

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Pityriasis Rosea

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

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Lichen Planus

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

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Erythema Multiforme

“Symptomatic (oral antihistimine, topical steroid)

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

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Pityriasis (Tinea) Versicolor

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

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Tinea Corporis

“Topical Azole, allyamine,

*PO terbinafine, itraconazole, griseofulvin”

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Tinea capitis

Oral griseofulvin, avoid hair tools/wear

Tinea pedis

“*TOPICAL: azoles, allylamines, ciclopirox

*ORAL: Termibafine, Itraconazole, Fluconazole”

Tinea cruris

“*TOPICAL : azole, allyamine, buentafine

*ORAL: Terbinafine, Itraconazole, griseofulvine”

Onychomycosis

*ORAL : terbinafine + TOPICAL: efinazonazole, amorolfine

Candidiasis

“*TOPICAL: clotrimazole, miconazole, nystatin

*ORAL: fluconazole”

Molluscum Contagiosium

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

HPV

“Most self-resolve 2 yrs

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

HPV = Verruca vulgaris

Time, physical/chemical cautery

HerpesSV

"acyclovir, Tx PRIMARY LONGER (7-10 days) * resistant? Foscarnet * suppressive? Same"

H Zoster

"*acyclovir W/IN 72 HR (prevent neuralgia) * resistant? Foscarnet * Prevention = vaccine >60 years"

Alopecia Areata

intralesional IV steroid, topical steroid, or observe

Androgenic Alopecia

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

Telogen Effluvium

Minoxidil, wait

Acne Vulargis

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

Rosacea

"**Metronidazole * Azelaic acid, Ivermectin cream, SEVERE: oral antibiotics * redness: topical Brimonidine+oxymetazoline * Sunscreen, moisture"

Hidradentitis Suppurativa

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

Urticaria

Stop offending agent, Antihistimines, +/- systemic steroids

Exanthematous

"*3 days - 1 week after stop Rx * Topical Steroids, Oral antihistimine, Support * can continue Rx if needed * No sequelae"

Fixed Drug eruption

"Resolve few days to few weeks, * NON-ERODED LESIONS = Topical corticosteroid * ERODED LESIONS = Anti-microbial ointment/dressing until skin layer grown * Pain, refer Derm"

DIHS/DRESS

"Derm consult, stop Rx, * MINOR=topical steroids, systemic antihistamines, * SEVERE=systemic steriods (nephritis, organ failure) * S/S Continue Many Weeks"

Epidermal necrolysis (SJS/TEN)

"*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"

Staphylococcal Scalded Skin Syndrome (SSSS)

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

Pemphigus vulargis

"*Steroids * Immunosupressive Rx = Rituximab, Sulfasalazine, Methotrexate * IV IgG (unsure)"

Necrotizing Fasciitis

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

Fournier Gangrene

"*ABX Broad spectrum (MRSA, +/-, Anaerobe) * Debride necrotic tissue, graft * IV IgG"

Purpura fulminans

"*Fluids * ABX broad-spec * DIC Tx (Heparin/FFP/Protein C concentrate) * +/-amputations"

Atopic Dermatitis ("Eczema")

"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***"