Part 2 Flashcards
Cellulitis
Oral Antibiotics
IV antibiotics in severe cases
Impetigo
Topical or oral antibiotics
Topical Candida infection
Topical anti-fungal
Dry affected areas
Tinea pedis
Topical anti-fungal
Tinea Corporis (Ring Worm)
Topical anti-fungal
Pediculosis (Head Lice)
Premethrin 1% Malathion (Ovide) Topical Ivermectin (Sklice) Spinosad (Natroba) Oral Ivermectin (Stromectol)
Scabies
[Raised lines caused by mites burrowing under skin]
Permethrin 5%
Crotamiton (Eurax Cream)
Oral Ivermectin (Stromectol) - for systemic scabies
Herpes Zoster (Shingles) [One-sided]
Oral Valacyclovir or famiciclovir
Oral opiods for pain
Gabapentin for neuropathy
Lidoderm patches- once lesion has healed
Xerosis (Dry Skin)
Vaseline, Nivea, Lubriderm -Emollients
Menthol, Camphor, Pramoxine, Hydrocortisone - for itching
Change bath habits
Dr. Martin’s Rules of 3’s
- Take 3 or less showers or baths a week
- Take a 3-5 minute shower or bath
- Apply emollients at least 3 times daily
Dermatitis
[Acute - Pebbly surface or blisters]
[Acute Contact - Allergic or Irritant, itchy]
Domeboro (5% aluminum acetate) Topical Corticosteroids Topical Calcineurin Inhibitors Crisaborole 2% Ointment Oral Corticosteroids - Avoid dose pack, need long tx Non-sedating/sedating antihistamines
Sub-Acute Dermatitis
Atopic - Eczema
Stasis - dry, hyperpigmented, poorly circulated ankles
Atopic Topical corticosteroids/calcineurin inhibitor Dupilumab - first biologic Stasis Topical Corticosteroids Emollients Oral antihistamines Oral antibiotics
Chronic Dermatitis
[ lichenification, scaline, thickening]
Emollients
Avoid long-term corticosteroids
Diaper Rash
Zinc oxide Destin Aveeno A&D ointment Butt paste
Seborrhic Dermatitis - Cradle Cap (in infants)
[erythema with greasy yellow scaling]
Medicated Shampoo
Topical corticosteroid
Psoriasis
Emollient - 1st Topical Corticosteroids - 1st Calpotriene/Calcitriol - 1st Corticosteriod + Calcitriol - 1st Corticosteriod + Tazrotene - 1st Calcineurin - 1st (for face) Coal Tar - 2nd Altarlin - 2nd
Rosacea
Mild Topical Antibiotics/retinoids Moderate Topical retinoids Oral Antibiotics Severe Oral treatment Laser treatment
Acne
Topical retinoids - Mild
Adapalene + Benzoyl Peroxide - Moderate
Clindamycin + Benzoyl Peroxide - Moderate
Oral Isotrenoid - Severe (nodules and papulopustular)
Adapalene - Maintenance