Exam 1 Flashcards
Allergic contact dermatitis treatment
Topical corticosteroids (high on thick skin, medium on face no more than 2 weeks)
Calcineurin inhibitors for chronic localized
Systemic cortico for ACD > 20% BSA
Drying agents aluminum acetate
Soothing agents - oatmeal, calamine
Toxicodendron dermatitis posion ivy caused by
urushiol
Toxicodendron dermatitis treatment
Prevention Soothing Topical astringents (aluminum acetate) Topical corticosteroids high potency Systemic corticosteroids
Oral antihistamines
Do topical calcineurin inhibitors work for toxicodendron dermatitis
No
Atopic dermatitis is
eczema
Eczema caused by
filaggrin deficiency
Is atopic dermatitis more likely to affect black children
Yes
Mild vs. Moderate vs. Severe atopic dermatitis
Mild - itching
Moderate - moderate impact
Severe - losing sleep
Atopic dermatitis treatment mild to moderate disease
Topical corticosteroids Low potency (Desonide 0.05%)
High potency cream (Triamcinolone acetonide 0.5%)
Topical calcineurin inhibitors - Tacrolimus 0.03% and 0.1% and pimecrolimus 1%
Severe atopic dermatitis treatment
Soak and smear Wet wraps (wet pjs) coal tar Dupixent Cyclosporine MTX AZA MMF
Seborrheic dermatitis is
greasy looking yellow scales
Seborrheic dermatitis treatment
Topical antifungal agents
Topical corticosteriods
Topical calcineurin inhibitors
Systemic antifungals for severe
Cradle cap treatment
Baby shampoo remove scales with soft brush (daily but once resolves q. 2-3)
Bacterial conjunctivitis treatment
Erythromycin 5mg/g 1/2 inch qid x 5-7 days
Trimethoprim/polymixin B 0.1% 1-2 gtts qid x 5-7 days
Viral conjunctivitis - pink eye treatment
vasoconstrictor
Naphazoline
Permethrin duration
apply to damp hair, leave on for 10 mins, wait 7 days to give another
Pyrethin duration
apply to dry hair, leave on for 10 mins, repeat in 7 days
How old do you have to be to use DEET
< 2 months
For stings use
anti histamines
Irritant contact dermatitis treatment
topical corticosteroids
Diaper rash consult provider if
Fever
Does not improve in 3 days
Blisters or sores
Diaper rash treatment
white petrolatum, zinc oxide, paraffin
can try corticosteroids if those don’t work
Goals of acne therapy
remove keratin plug
reduce inflammatio
reduce sebum production
reduce / eliminate scarring
Acne initial therapy
topical retinoids
Oral isotretinoin names
Zenatane, Amnesteem, Claravis, Sotret, Absorica, Absorica LD
C/Is for isotrentinoin
pregnant
psychiatric conditions
tetracyclines/ doxycycline/minocycline
vitamin A toxicity
Dose of isotrentinoin
- 5 - 1 mg/kg/day
0. 4 - 0.8 mg/kg/day
Monitoring isotrentinoin
LFT
FLP
Maculopapular rash caused by
7-10 days starting penicillins, ceph, sulf, anticonvulsants
DRESS caused by
eosinophilia
delayed onset 1-6 weeks
allopurinol, sulf, barb, phenym, carba, lamotrigine, dapsone
DRESS organ involvement treatment
0.5-2 mg/kg/day prednisone
DRESS non organ involvement treatment
High potency topical steroids
High potency steroids
Clobetasol 0.05% Fluocinonide 0.1% Betamethasone dipro 0.05% Halobetasol 0.05% Halcionide Other F, beta dip
Urticaria is a
Type 1 hypersesitivity IgE
Serum sickness like reactions
urticaria and fever, onset 1-3 weeks after starting drug (pen, ceph, sulf)
SJS/TEN
life threatening, mucosal surfaces, start with target lesions, onset 7-14 days
SJS/TEN risk factors
HIV, SLE, malignancy, UV light, HLA
SJS/TEN treatment
withdraw drug, check cross reacting, supportive care, wound care (chlorhexidine, silver nitrate, silver silfadiazine, gentamicin), opthalmology consult, can try IVIG, systemic corticosteroids, cyclosporine (NO Thalidomide)
Hyperpigmentation seen in
phenytoin, tetracyclines, silver, mercury, antimalarials, amiodarone
Sulfonamide non antibiotics
Loop diuretics Thiazide diuretics Sulfonylureas Sulfasalazine Dapsone
Are 3rd gen cephalosporins cross reactive with penicillins
No - just 1st and 2nd gen
Normal IOP
13
Elevated IOP
21
Types of glaucoma based on IOP
NT-glaucoma (normal tension)
Glaucoma
Ocular HTN
Glaucoma risk factors
Elevated IOP Age (>60, >40 blacks) Family history race/ethnicity increased cup to disc ration (0.2) Central corneal thickness ocular perfusion pressure T2DM myopia
Goals of glaucoma treatmet
drop IOP by ≥25%
Best drugs for glaucoma
#1 Prostaglandin analogs Beta blockers Alpha agonists Carbonic anhydrase inhibitors Rho kinase inhibitors
Most efficacious glaucoma drug
Bimatoprost or latannprostene bunod
First line glaucoma
Prostaglandin
BB
2nd line glaucoma
Dorzolamide
Brimonidine
Brinzolamide, dorzolamide
Netarsudil
Who should be treated for ocular HTN
elevated IOP and confirmed disc changes/field dfects
risk factors
Who should be treated for NT glaucoma
field changes
risk factors
documented progression of visual field loss
Acute angle closure crisis treatment
IV or PO Carbonic anhydrase inhibitor
Topical Beta blocker
Topical Alpha agonist
Topical Pilocarpine
Acute angle closure crisis treatment 1 hour no better
PO glycerin or isosorbide OR IV mannitol
Ophthalmic steroid
