Skin Flashcards
When should acne be referred
Babies alderly
Severe acne
Large painful papules nodules and cysts
Moderate acne
Not confined to the face many inflammatory spots
Mild acne
Whiteheads blackhead papules
Which severity of acne can be treated otc
Mild
Which medication can cause acne like lesions
Lithium carbamazepine oral contraceptives azathioprine rifampicin steroids
What is first line for acne
Anti comedogenic and anti bacterial
Benzoyl peroxide
Prevents new lesions from forming
Spread to all areas not just affected
Can benzoyl peroxide be used in pregnancy
Yes
Moderate or severe acne
Over 25 for first time
OTC treatment failure
Drug induced
What is second line for acne
Niotinamide twice daily to affected areas
What is side effects of benzoyl peroxide and what should be done when this occurs
Drying peeling and burning of the skin
Stop for 2 days then resume
Side effects of nicotinamide and how handled
Drying of skin so stop then reduce to once daily
What is contact dermatitis
Clears when causal agent is removed
What is atopic dermatitis/eczema
Long term occurs in ppl with allergies
Where does eczema rash occur
Joints neck back of hand feet groin wrist
Age for hydrocortisone
Over 10 years
Otc used for eczema regularly
Emollients
Hydrocortisone for flare ups
Clobetasone for flare ups
Age licensing for clobetasone
12 years
When can topical steroid treatment not be used
Open or broken skin not on face or groin
What is max duration of treatment for corticosteroids otc
1week
How does psoriasis present
Raised large red patches in symmetrical distribution on scalp elbows knees
Putting on fingernails
Which meds can exacerbate psoriasis
Lithium beta blockers nsaids anti-malarial
Meds for psoriasis
Tar based products-scalp or scalp
Dithranol is P if 1% and under- build up dose. Should be used for 30 mins then wash off with emollient
Referral criteria fir psoriasis
No improvement with otc treatment
Pustular psoriasis lesions
Nail psoriasis
Severe and effecting mental or physical health
What is seborrhoic dermatitis
Red itch flaky skin
Children-Cradle cap
Adults- Red rash with greasy
