Integumentary/ HEENT Flashcards
Systemic abx needed for skin infections if:
Moderate to severe impetigo
Boil/abcess
Cellulitis
MRSA
Impetigo treatment
Mupirocin ointment
If severe ( 5 or more lesions or no improvement in 2-3 days of topical: use cephalexin or augmentin PO
Cellulitis treatment
Topical antifungal precautions
Very few because minimum absorption
Systemic: liver issues
Treatment for tinea corporis, crurus, tinea pedis
Topical azoles
Acne medication treatments
Mild/moderate: topical treatment. Benzoyl peroxide, clindamycin
Severe: isotrentoin
Isotrentoin ADR
Pregnancy category X
Hypertrigkyceridemia in 45% of pts
CNS: headache, lethargy, fatigue
Black box warning for topical calcineurin inhibitors
(Used to treat dermatitis)
Rare cases of malignancy
Blepharitis treatment
Eyelid irritation
No tear shampoo and erythromycin ointment
Hordeolum (sty) treatment
Antibiotic drops or ointment
Glaucoma is treated by
A specialist
Antiglaucoma eye drops.
May absorb systemically
Eczema treatment
Acute exacerbations: topical corticosteroids
Oral corticosteroids
Immunologists : malignancies
Oral decongestants ADR
Tachycardia
Hypertension
Anxiety, restlessness
URIs resolve in:
7-10 days
No abx
Supportive care
Sinusitis treatment
Must be persistent. Strict criteria. Not improving for over 10 days
If so- amoxicillin
Pharyngitis treatment
Group A step most common cause
Confirm by test
Treat: penicillin or amoxicillin
Treatment of acute ear infection
AAP recommends no abx for 48-72 hours if non severe
If treating: amoxicillin
Otitis externa treatment
Combo product
Cipro HC and alcohol drops
