Fungal infections

Question 1

Symptoms

Answer 1

Tinea pedis - athletes foot
(White, itchy, flaky skin btw toes, smelly)

Tinea corporis - body ring worm
(flat, slightly raised ring)

Tinea capatis - scalp ringworm
(associated w hair loss, refer bc requires oral antifungal)

Tinea cruris - jock itch
(fungal groin infection)

Question 2

Referral

Answer 2

Facial/scalp involvement

Toe nails affected by athletes

Broken skin

2ndry bacterial infection

OTC failure after 2 weeks

Diabetic/immunocompromised

Question 3

Treatment

Answer 3

Clotrimazole all ages
Ketoconazole adults
Miconazole all ages
- Daktacort: 10+ 7 day use only, thinly BD

Terbinafine (lamisil 16+ lamisil once 18+)
- Spray, cram - jock itch + athletes foot
- Gel - jock itch, athlete + ring worm
- Lamisil once - athletes foot

Question 4

Advice

Answer 4

Continue at least 7 days after symptoms disappear

Contagious

Avoid sharing towels