MMedications Flashcards by Briana Mendoza

What class should not be used on face and genitals

Class 1 (super potent) and 4 (mid strength)

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What should you think if rash don’t get better (3dx)

Undx yeast or fungal
Contact dermatitis

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Fingertip Unit

how much to apply to affected area. 0.5 G

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Terbinafine
What labs to monitor

Antifungal

LFT and CBC q 6 week
No preggos
s/e neutropenia

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Biologic Agents what to screen for before start

Hep B and TB

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Retinoids preggo rules (2)

Check pregnancy q month
2 form of both control

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Basal cell carcinoma

Biopsy , nl color, raised shiny pearly

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Bleeds when scraped, non healing

Squamous cell

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Asymmetrical lesion * Border irregularities * Brown to black
* Diameter > 6mm
* Raised

Malignant melanoma

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Topicals Inhibit P.Acnes

TTAABS

Tretinoin (Retin A),
Adapalene (Differin),
Tazarotene (Tazorac)
Azelaic Acid (Azelex)
Benzoyl Peroxide
Salicylic acid

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What to check for isotretnoin

(2) Labs and Preggo

Triglyceride and LFT

2 x Birth control

check pregnancy q month

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Inflammatory papules and pustules, telangiectasis, edema and watery eye.

Rosacea

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Rosacea erythema med TOPICAL (first line for preggos)

Metrodinazole/Azelaic Acid

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Rosacea oral TDM

Tetracycline
Doxycycline

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Hidradenitis Suppurativa

Apocrine gland , autosomal dominance

Acute abcess formation, black comedones

Stage 1: mild
Stage 3: Severe

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HS Meds
hiDrAniTis

Amoxicillin
Tetracycline
Doxycycline

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Alopecia types

Scarring and non scarring

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FeMale Androgenetic Alopecia medication that can be used

Minoxidil (Romaine)

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well-demarcated patches of hair loss scalp, eyebrows, eyelashes, beard *

Alopecia areata

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Animal bite immunization

Tetanus
Rabies

transmit hep b, hep c, hiv

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open animal or human bite >6 hrs leave open or close

leave open

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Animal/human fresh bite
Medication

Amoxicillin

pcn allergy: Clinda, doxy, bactrim

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Rabies prophylaxis

Human diploid cell vaccine (HDCV)
1st dose on the day of bite treatment
repeated days 3,7 and 14

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Acrochordon

Benign
Skin Tags - metabolic disorders and DM

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Common after 30 and 40 y/o skin lesion

Cherry Angioma

Fitzpatrick sign or dimple

Dermatofibroma Squeeze lesion with thumb or forefinger

Seborrheic Keratosis what should you rule out

Malignant Melanoma "stuck on appearance"

Burn size is quantified as how

% of body surface involved b

Used to calculate burn size

Rule of Nines

Glossy Red Painful , superficial/partial thickness, Sunburn

First Degree

Dull, glossy, red, pink, white, blister, partial thickness

Second Degree

Full thickness , subcutaneous fat layer , matte, red, black, NO sensation

Third Degree

Partial thickness burn, what do you do first

Irrigate with cold water

Chemical burn, what do you do first

Remove the garment, aggressive irrigation

Should you irrigate metal sodium chemical burns with water?

NO. Make it worse

Minor Burn Pharmacological

Silver sulfadiazine Cream (Silvadene) 2x daily. Don't give with sulfa allergy

Acute generalized exanthematous Pustulosis Labs to monitor

Aminopenicillin, Macrolide, Antifungals, Antimalarials, CCB Monitor LFT

Exanthematous Drug Eruption Pruritis, low grade fever, mild eosinophilia, facial edema, mucositis, skin tender, blistering

Happens 2 weeks after start of medication

Red, Brown, Black Macules present at re-exposure to the medication . Lesion burn or itch, Lichenoid Lesion —> basically Comes back at the same site Lips, genitalia, perianal, hands, feet

Fixed Drug Eruption

SJS / Toxic Epidermal Necrolysis Buccal, ocular, genital (malaise, sore throat, arthlagia, stinging eyes

Epidermis detached from the dermis

Nikolsky Sign (SJS)

Skin tender to touch and shears easily to touch

Folliculitis Dx Meds

Dx: Culture or scraping

Uncomplicated Folliculitis

#1 Topical Benzoyl Peroxide

Recurrent Folliculitis

Dicloxacillin

Staph. Aureus Med Tx

Cephalexin

Gram negative Folliculitis

Ampicillin

Hot tub folliculitis

Ciprofloxacin

Dermatophyte Folliculitis Antifungal

Itraconazole + Terbinafine - check LFT, QT prolong, p450 enzyme

Demodex Folliculitis

Permethrin cream or 5% Ivermectin

Atopic Dermatitis Meds

Emolient, Benadryl, Atarax, Xyzal, Claritin

Dermatitis you can use on face, groin, axillae, breast

Eucrisa

Triamcinolone: Atrophic Dermatitis

Peristent Flares

SSTI MSSA and MRSA

Clindamycin SMX-TMP / Doxy + PCN,Amoxicillin

Impetigo contact or indirect contact

Honey crusted when rupture, Spread Bia self inoculation Meds: Mupirocin Dicloxacillin, Cephalexin, Azithromycin, Augementin

Intertrigo Abdominal folds, inner thighs, axillary, interdigital, perianal area

Superficial inflammatory bacterial/fungal skin disorder Mild erythematous plaque patches papules, pustules Fever, odor discharge, abscess

+ KOH Intertrigo Pseudomonas wood lamp

Candida Yellow green

Intertrigo Med TOPICAL

Burrow solution Fungal- Clotrimazole, Ketoconazole, Oxiconazole Pseudomonas - Acetic acid

Intertrigo Med Oral

Mupirocin Erythromycin Clindamycin

HSV1

Oral lesions , direct contact

HSV-2

Genital

What outbreak is the worst in Herpes Simplex Meds

Primary , 1-26 day incubation Meds: Abreva Acyclovir Penciclovir

Phase 3 Recurrent

Genital herpes, common tingling shooting pains in legs, hip, buttocks

Tzanck Test

Fluid by unroofing lesion, obtain the fluid

Herpes Zoster Shingles and ophthalmic s/s

unilateral single or double dermatome DO NOT CROSS MIDLINE trigeminal nerve can results in ocular keratitis, scarring and loss of vision

Herpes Zoster Dx When to get vaccinated

PCR and Tzanck test Meds: Acyclovir, Valacyclovir, Famciclovir Vaccinated: 50 years

Herpes Zoster around nose, eyes, forehead

Ophthalmology consult

Motor paralysis and facial palsy Herpes Zoster

Ramsay Hunt Syndrome

Verruca - Benign epidermal neoplasms Most common STI in US

Anogenital HPV most common STI

Verruca Warts what is the common pattern

Mosaic pattern - dx Filiform, Common, Plantar

Veruca medication

Salicyclic Acid, TCA, Dichloroacetic Flat wart-Tretnoin Anogenital- Imiquimod

Onychomycosis Meds and labs to watch for

Terbinafine check CBC (neutropenia) and LFT q 6 weeks

Lice medication

Permethrin, Lindane and Ivermectin - don't use in preggos Nit combing

Fungal infection when should you have referral

Recalcitrant infection and Yeast septicemia

Scabies s/s Medications

Intractable pruritis at NIGHT 5% Premetherin Cream and oral Ivermectin

Herpetic Whitlow - Auto Infection from nail biting Tenosynovitis

HSV 1 or 2 Meds: Acyclovir, Famicyclovir, Valacyclovir Tenosynovitis: redness, pain, swelling, stiffness

Paronychia

Warm compress Topical-neomycin MRSA- Bactrim Clindamycin, Cephalexin, Augmentin

Seborrheic Dermatitis

Yellow white scaling lesions Ketoconazole and Itraconazole

Psoriasis Ausptiz Sign

Silver white scales Tiny bleeding points if scales are removed

What percentage can regular PCP manage psoriasis

<3% of total body surface Meds: Calcipotriene , Betamethasone, Dovonox

Vitiligo Eye pigment changes

Hypopigmentation Meds: Betamethasone and Protopic Elidel Eyes: refer to ophthalmology