RTS Revision Flashcards
Acne appearance
Comedones, pustules, papules on face chest and upper back
Skin conditions
Eczema: red itchy inflammation
Seborrheic dermatitis: yellow greasy scales on scalp in children, red rash greasy scales in adults
Psoriasis: silvery scales red plaques
Acne treatment
Benzoyl peroxide (concs 2.5-10%)
Antibiotics
Isotretinoin
Hormonal treatments
Treatment of athletes foot
Imidazoles and allylamines as topical preps first line
Also tolnaftate and undecenoates
Where does ring work not effect?
Face hands feet groin or scalp
What type of cream treats ring worm?
Imidazole cream
What is jock itch?
Fungal infection of the groin
Treatment of jock itch
Imidazole or terbinafine cream
Referal for fungal nails
Predisposed to fungal infection Pregnant or breast feeding woman Under 18 If it's not DLSO More than 2 infected nails Destroyed nail Failed treatment 3 months
Treat with amorolfine 5% nail laquer
HPV
Human papilloma virus
Causes warts and verrucas
Aciclovir and penciclovir cause….
Cold sores
Red flag for bowel cancer
Blood in stools
Abdominal mass
Referrals red flag for nausea and vomiting
Weight loss red flag Blood in vomit red flag Severe tummy pain Projectile vom under 3 month baby Vomit under 1 month baby 24 hours vom in 1 year old
Red flags for diahorrea
Blood in stools
Weight loss
Refer when symptoms last over 2-3 days in children and elderly, 24 hours in diabetes
Some examples of anti motility drugs for diahorrea
Loperamide
Bismuth
Kaolin
Alarm signs dyspepsia
GI bleeding Difficult swallowing Unintentional weight loss Swollen tummy Persistant vomiting
Egs of antacids
Rennies remegel
Alginates
Gaviscon
Gaviscon advance
Peptic
Pro kinetic example
Motilium
Domperidone
H2 antagonist
Zantac
Pepcid AC
Referal symptoms
Blood in stool tarry mucus Over 14 days Patient over 40 sudden change in bowel habit Suspect depression Weight loss
Referal symptoms
Abdominal pain Blood in stool red flag Fever Manually reduce hemorrhoids Middle age persistent change in bowel habit Unexplained rectal bleeding red flad Severe pain
Referal IBS
Blood in stools Under 16 Over 45 No history of IBS Fever Nausea and vomiting Severe tummy pain Steatorrhoera
What laxative should be discouraged in IBS
Lactualose
Referral cough
Wheezing Dry night time cough Coloured sputum Blood sputum Cough over three weeks red flag Pain on inspiration Chest pain red flag Generally unwell Drug induced cough
Referral sore throat
ADR- a skin rash
Duration over 2 weeks
Dysphagia (hard to swallow)
Bacterial infection
How does influenza present?
Sudden onset of symptoms Shivers Chills Malaise Aching of Limbs Insomnia Loss of appetite
Red flag of cold?
Chest pain
Why give antihistamines to person with a cold?
Lesson symptoms of sneezing and runny nose
Referral with hay fever
Wheezing
Treatment failure
Unilateral discharge especially in children
When so the symptoms of hay fever peak
Morning and evening
When hot and humid
Combination of treatments hay fever
Antihistamines
Corticosteroids
Mast cell stabilisers
Decongestants
Sedating and non sedating antihistamines
Sedating: chlorphemaine
Non sedating: loratidine, cetirizine, acrivastine (over 12’s) , Benadryl plus
Mast cell stabiliser for hay fever
Sodium cromoglicate
