Mehlman skin fungal/scabies/lice/candida 11-14 (1) Flashcards
M. Malassezia fur fur (tinea versicolor) is extremely HY!!!
Definition?
Clasically causes hypopigmentation+hyperpigmentation on the trunk, back, shoulders. This is caused by fatty acid breakdown in the skin.
Skin findings get prominent after sun-exposure or tanning.
M. Malassezia/ extremely HY Tx?
Topical selenium
Also: topical ketoconazole, terbinafine
M. Tinea capitis. Tx?
griseofulvin for PATIENT ONLY
one Q: Tx for patient or patient+ contact
A: ONLY FOR PATIENT
M. Tinea capitis. best way to prevent infection. Use shampoo vs avoid sharing of hat?
AVOID SHARING
anti-fungal shampoo doesnt matter
M. Tx for tinea corporis (ring-worm)?
topical miconazole or clotrimazole
M. Tx for tinea pedis (athletes foot)?
topical terbinafine or topical -azoles.
usmle wont list both as options.
Tx topical miconazole or clotrimazole?
Tx for tinea corporis (ring-worm)
Tx topical terbinafine or topical -azoles?
Tx for tinea pedis (athletes foot)
Tx griseofulvin for PATIENT ONLY?
Tx for tinea corporis
also prevention - avoid hat sharing
M. Tx for onychomycosis (fungal nail infection)?
ORAL terbinafine (6 weeks for fingernail; 12 weeks for toenails)
usmle won’t as duration, just interesting fact
also (UW): itraconazole
Tx ORAL terbinafine?
Tx for onychomycosis (fungal nail infection)
M. Cutaneous candida. DM versus Obesity. what has higher risk?
!!!!!!DM is the biggest risk factor for cutaneous candida in comparision to obesity.
M. Cutaneous candida. DM versus Obesity. Case?
48F + BMI 67 + red, moist, 8x12 cm elipse under one of the breast. what is the biggest risk factor?
A: INSULIN RESISTANCE!!! exceedingly HY
wrong answer is obesity
M. both DM1 and DM2 have same risk for candida. they just commonly assess DM2 since it presents in obese people, and they want you to know that DM is more important than obesity for candida.
.
M/UW. Scabies. Scabies + lice (pediculosis) –> Tx?
Permethrin
M/UW. Scabies. Case
Homeless lives in shelter for 4 months + red dots on hand + topical fungals didnt work –> what next best Tx?
Permethrin