Exam 1 derm Tx Flashcards
Tx: dermatitis herpetiformes
dapsone
Tx: porphyria cutanea tard
referral, stop meds, phlebotomy, prevention
Tx: erythema migrans
doxycycline, amoxicillin
Tx: cellulitis
IV antibiotics, oral if mild
Tx: folliculitis
topical antibiotics, incise & drain if necessary
Tx: erisipelas
IV antibiotics. rapid Tx to avoid rapid spread
Tx: discoid lupus
high potency steroids except on the face (causes atrophy)
Tx: herpes simplex
valacyclovir, famciclovir
Tx: herpes zoster
valacyclovir, famiciclovir, acyclovir, prednisone, pain management
Tx: varicella
Sx Tx: antihistamine, fluids. oral antibiotics if infection, varivax (vaccine).
Tx: scabies
lindane, permethrin
Tx: insect bites
epi pen if hypersensitive
Tx: molluscum contagiosum
self limiting. can cut and expel curdlike material. curettage, cryotherapy etc.
Tx: hand, foot & mouth
Sx Tx: lidocaine gel for oral discomfort
Tx: roseola infantum
self limiting, Sx Tx
Tx: rubella (german measles)
Sx Tx, avoid pregnant contacts
Tx: erythema infectiosum (fifth’s disease)
Sx Tx, if anemic, transfusion may be necessary
Tx: rubeola
Sx Tx, prevention, MMR vax
Tx: rosacea
topical metronidazole, systemic antibiotic if refractory
Tx: acne
remove plugging, highly customized Tx. Topical antibiotics, benzoyl peroxide, topical retinoids
Tx: tinea versicolor
selenium sulfide lotion
Tx: tinea corporis
topical tx with -zoles
Tx: tinea cruris
terbinafine cream/antifungal -zoles
Tx: tinea pedis
antifungal -zoles, prevention: shower shoes, washing, etc.
Tx: impetigo
daily bathing, topical antibiotic: mupirocin, oral antibiotics if severe
Tx: psoriasis
topical keratolytic agents and steroids. phototherapy.
Tx: pityriasis rosea
self limiting. medium strength topical steroid, antihistamine for itching
Tx: seborrheic dermatitis
anti dandruff shampoo. anti staph antibiotics if heavy crusts. ketoconazole
Tx: contact derm
discontinue exposure, decrease hand wash frequency, use mild soaps
Tx: atopic eczema
avoid triggers, scented lotions etc. antihistamines for pruritus. petroleum moisturizers.
Tx: mycosis fungoides
referral to oncology, derm
Tx: malignant melanoma
wide excision, full thickness biopsy, lymph node biopsy, chemo
Tx: squamous cell carcinoma
surgical resection, moh’s surgery
Tx: basal cell carcinoma
biopsy, curettage/dessication, excisional biopsy, moh’s surgery
Tx: actinic keratosis
5-FU cream, imiquimod, cryotherapy
Tx: keratoacanthoma
self resolving
Tx: seborrheic keratosis
when in doubt cut it out. reassurance, cryotherapy, curettage, biopsy