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Kulit Flashcards

1
Q

Gonorrhea

A

Sefiksim 400 mg PO
Kanamisin 2 gr IM SD
Ceftriaxone 250 mg SD

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2
Q

Uretritis Non Gonorrhea

A

Azithromycin 1 gram PO SD
Doksisiklin 2 x 100 mg 7 hari
Eritromisin 4 x 500 mg 7 hari

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3
Q

Trikomonas Vaginalis

A

Metronidazole 2 gram SD
Metronidazole 2 x 250 mg 7 hari

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4
Q

Bacterial Vaginosis

A

Metronidazole 2 gr PO SD
Metronidazole 2x250 mg PO 7 hari
Klindamisin 2 x 300 mg PO 7 hari

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5
Q

Candidiasis Vaginalis

A

Klotrimoksazol 200 mg supp vag 3 hari
Klotrimoksazol 500 mg supp vag SD
Fluokonazole 150 mg SD
Itraconazole 200 mg SD
Nistatin 100.000 IU supp vag 7 hari

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6
Q

Herpes simplex

A

Asiklovir 5 x 200 mg 7 hari
Asiklovir 3 x 400 mg
Valacyclovir 2 x 500 mg

Infeksi primer : 7 hari
Infeksi berulang/sekunder : 5 hari

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7
Q

Ulkus mole (chancroid)

A

Siprofloksasin 2 x 500 mg 3 hari
Eritromisin 4x500 mg 7 hari
Azitromisin 1 gram SD
Seftriaxon 250 mg IM SD

Ciri khas: lesi nyeri, dasar kotor, school of fish/rel kereta
Etiologi: H. ducreyi

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8
Q

Ulkus Durum (Chancre)

A

Benzatin penicilin 2,4 jt IU SD
Penicillin procaine 600.000 unit IM 10 hari
Doksisiklin 2 x 100 mg 30 hari
Eritromisin 4x500 mg 30 hari

Ciri khas: lesi tunggal bersih, tidak nyeri
Stadium sifilis : 1 (lesi tunggal), 2 (kondiloma lata), laten (tanpa gejala), 3 (gumma, jantung, otak)
Penunjang direct: dark microscopy
Indirect: VDRL (sensitif), TPHA (spesifik)

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9
Q

Granuloma Inguinal (Donovanosis)

A

Azitromisin 1 gr/minggu 3 mgg
Dosisiklin 2 x 100 mg
Ciprofloxacin 2 x 500 mg

Ciri khas: merah tanpa nyeri, beefy red, donovan body
Et: Kleibsella granullomatis

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10
Q

Limfogranuloma Venerum

A

Do Er Tetra 14 hari
Doksisiklin 2 x 100 mg
Eritromisin 4 x 500 mg
Tetrasiklin 4x500 mg

Ciri khas: vesikel ga nyeri, hilang sendiri, sign of groove
Et: C. Trachomatis

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11
Q

Kondiloma Akuminata

A

Lilin Tica berToxin
Podofilin 10-25%
TCA 80-90%
Podofilotoksin 0,5%

Bedah krioterapi
Eksisi
Elektrocauter

Et: HPV 6,11
Ciri khas: kembang jol/jengger ayam, acetowhite pada IVA test

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12
Q

Varicella Zoster Virus /Herpes Zoster

A

Asiklovir 5x800 mg 7 hari
Valacyclovir 3x1000 mg 7 hari
Famcyclovir 3x 250 mg 7 hari

Topikal: bedak as. Salisilat 2% + menthol

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13
Q

Acne vulgaris

A

Ab: TiDaK (Tetra 2x500, Doksi 2x100, Klindamisin 1x300)

Ringan:
Komedo = as retinoat topikal
Papul/pus = ab topikal (klindamisin zalf)

Sedang:
Komedo= as retinoat + BP 5%
Papul/pus = ab oral (7-10 hari)

Berat : isotretinoin tablet + ab oral (rujuk)

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14
Q

Melasma

A

Hidroquinon 2-5%

Ciri khas: hormon, pajanan matahari, hamil, kontrasepsi
Penunjang: lampu wood (epidermal, dermal, campuran)

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15
Q

Vitiligo

A

Th/
Kortikosteroud topikal
Calcineurin inhibitor (Takrolimus)
Fotokemiterapi PUVA (psoralen + UVA)

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16
Q

Pigmentasi Post Inflamasi

A

Hiperpigmentasi: hidroquinone
Hipopigmentasi: P UVA

17
Q

Psoriasis

A

▪ Pelembab: emollient seperti krim
ceramide 10% 2x1
R/ Topicare+ krim tube 100 gr No I
S 2 d.d. ue

KS Superpoten : Clobetasol 0,05%
Lesi Luas:
PUVA (Sedang)
Metotreksat (berat)

▪ Vitamin D3 analog: calcipotriol 2x1
R/ Daivonex salep 0.005% tube 30 gr No. I
S 2 d.d. ue

18
Q

Acne rosasea

A

Klindamisin zalf

Ciri khas: makan pedas minyak, gada komedo, ada ppayl pustul flushing, rynophyma pada wajah

19
Q

Acne kongolobata

A

Steroid intralesi

Kista+, abses dan sinus saling berhubungan di sal bawah kulit

20
Q

Erupsi acneiformis

A

Stop steroid, atasi penyakit dasar

Ciri khas: akibat steroid sistemik, infeksi, hormon, metabolik
Acne di punggung dads wajah

21
Q

Dermatitis perioral

A

Terapi: hentikan steroid jika ada pustul beri Ab topikal

Klindamisin 1% krim tube 2 dd ue
Doksisiklin 1x100 mg no XXX (3 minggu)

22
Q

Dermatitis seboroik

A

KS topikal (hidrokortison)
KOH + berikan
Sampo selenium sulfida 1,8% 2-3 perminggu ue
Ketoconazole 2% sampo

Cetirizine 10 mg tab 1dd1 no vii

Desonide 0,05% cr tube 2 dd ue

23
Q

Dermatitis numularis

A

Untuk lesi basah: kompres NaCl
0,9% atau povidon iodin 1% selama 6x10 menit setiap pagi dan sore
R/ NaCl 0,9% 500 ml flc No. I
S 2 d.d. ue. (tiap 10 menit selama 1 jam)

Pelembab: emollient seperti ceramide lotion 10%
R/ Ceramide moisturizer tube 200 ml No I
S 2 d.d. ue

Kortikosteroid
○ Potensi sedang: krim
mometasone furoate 0,1%
R/ Mometasone furoate 0,1% krim tube 5 gr No. I
S 2 d.d. ue

Sistemik
▪ Antihistamin: AH1 generasi 2
R/ Cetirizine 10 mg tab No. X S 1 d.d. tab I p.o

24
Q

Eritroderma

A

KS sistemik
AH jika gatal
Emolien

25
Pityriasis rosea
Self limiting R/ bedak salisil 2% tube no.I S 2 dd ue
26
Urtikaria
Menthol 2% cream tube no.I S 2 dd ue Loratadine 10 mg tab no VII S 1 dd tab I Sistemik ▪ Antihistamin: AH1 generasi 2 R/ Loratadine 10 mg tab No. X S 1 d.d. tab I p.o Kontrol 1 minggu, jika kambuh beri antihistamin dan obat topikal 1 minggu lagi, jika tetap maka lakukan uji tusuk
27
Exanthematous Drug Eruption
KS oral + AH Topikal : As salisilat + menthol Prednisone 30 mg/hari dibagi 3 selama 1 minggu Cetirizine 2x10 mg/ hari 7 hari Bedak salisil R/ prednisone 5 mg tab no XX S 3 dd tab II (3 hari) selanjutnya tappering off
28
Fixed drug eruption
Ks oral : prednisone Antihistamine : hidroksisin 2x 10 mg/hari 7 hari Hidrokortisone krim / mometasone furoate R/prednisone 5 mg tab no xx S 3 dd tab Ii (3 hari) R/menthol 1% cream tube no I S2 dd 1 ue Lesi basah R/kalium permanangas 1/10.000 S3 dd ue kompres kasa 3 lapis 10-15 menit R/mometasone furoat 0,1% krim tube no I S2 dd ue
29
Pedikulosis kapitis
R/ permethrin 1% cream tube No. I S 1 dd ue
30
Cutaneous Larva migrans
R/ albendazole 400 mg tab No.III S 1 dd tab I po R/Etil klorida spray tube No.I Sprn
31
Pemfigus Vulgaris
Prednisone 60-150 mg/hari Bula kendur, nikolsky +
32
Pemfigoid Bulosa
Prednisone 40-60 mg/hari Bula tegang, nikolsky (-) IgG di membran basal seperti pita
33
Angioedema
AH+Kortikosteroid Ada gangguan nafas = + epinefrin 1/1000 0,3 cc IM
34
Pioderma
Untuk lesi basah: kompres NaCl 0,9% atau povidon iodin 1% selama 6x10 menit setiap pagi dan sore R/ NaCl 0,9% 500 ml flc No. I Kassa steril box No. I S 2 d.d. ue. (tiap 10 menit selama 1 jam) R/ mupirocin 2% zalf tube no.I S ue ATAU R/ Krim asam fusidat 2% R/ Fuson 2% krim tube 5 gr No I S 2 d.d. ue ○ Krim gentamisin 0,1% R/ Gentalex krim tube 5 gr No I S 2 d.d. ue Jika gagal topikal R/amoxicilin 500 mg tab no. X S 3 dd tab I jika alergi penisilin R/Eritromisin 500 mg 4x1 (anak 30-50 mg/kgBB/hari) R/ Erythromcyin 500 mg tab No XXVIII S 4 d.d. tab ....
35
Kusta/Leprae tipe MB
Rifampisin 600 Dapsone 100 Clofazimine/Lampren 300 Harian Dapsone 100 lampren 50 12 bulan
36
Kusta Tipe PB
Bulanan Rifampisin 600 Dapson 100 mg Harian Dapson 100 mg 6-9 bulan
37
Pityriasis versicolor
Antifungal: ○ Shampoo ketokonazol 2% digunakan 15 menit sebelum mandi R/ Ketomed Scalp Solution 2% fl 60 ml No I S 1 d.d. ue (3 hari) ○ Krim ketokonazol 2% R/ Ketokonazol 2% krim tube 10 gr No I S 2 d.d. ue (14 hari) ○ Shampoo selenium sulfida 2,5% selama 14 hari ▪ Antibiotik jika ada infeksi sekunder Sistemik jika tidak membaik atau lesi menyebar & berat ▪ Antifungal: ○ Flukonazol 300 mg 2x1 selama 7 hari R/ Fluconazole 150 mg cap No XXVIII S 2 d.d. tab II p.o (7 hari) ○ Itrakonazol 100 mg 1x1 selama 7 hari R/ Itraconazole 100 mg tab No VII S 1 d.d. tab I p.o (7 hari) Antihistamin: AH1 generasi 2 R/ Cetirizine 10 mg tab No. X S 1 d.d. tab I p.o o.n.
38
Tinea cruris/corporis
Topikal ▪ Antifungal: ○ Krim terbinafine 1% R/ Termicil krim 1% tube 10 gr No I S 2 d.d. ue (14 hari) ○ Krim ketokonazol 2% R/ Ketokonazol 2% krim tube 10 gr No I S 2 d.d. ue (14 hari) Sistemik jika jamur antropofilik, lesi luas, di rambut/kuku, atau tidak membaik ▪ Antifungal: Terbinafin 250 mg tab 1x1 selama 2 minggu itrakonazol 100 mg 1x1 selama 7 hari R/ Itraconazole 100 mg tab No VII S 1 d.d. tab I p.o (7 hari)' ▪ Antihistamin: AH1 generasi 2 R/ Cetirizine 10 mg tab No. X S 1 d.d. tab I p.o o.n.

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