Skin Flashcards

1
Q

what are the treatment options for allopecia?

A

finasteride or minoxidil

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2
Q

what are the symptoms of scabies?

A

red spots and silvery interlinking lines in webbing of fingers and toes

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3
Q

who should be treated if a patient has scabies?

A

everyone in the household

any sexual partners within the last 8 weeks

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4
Q

what are the treatment options for scabies?

A

permethrin or malathion

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5
Q

where should the treatment for scabies be applied and how often?

A

apply to the entire body (including scalp, neck, face)

apply once, and then again after 1 week

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6
Q

when can children go back to school following scabies?

A

24 hours following first treatment

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7
Q

what non-pharmacological advice can be given to patients with scabies?

A

wash all bedding and clothing in the house at 50C or higher on the first day of treatment

put clothing that cannot be washed in a sealed bag for 3 days until the mites die

stop babies and children sucking treatment from their hands by putting socks or mittens on them

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8
Q

how is a head lice diagnosis confirmed?

A

detection combing is the best method (wet hair is preferred as lice remain motionless when wet)

-live louse must be found to confirm active head lice infestation
-an itching scalp is not sufficient to diagnose active infestation
- presence of louse eggs alone, whether hatched (nits) or unhatched, does not indicate active infestation

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9
Q

how should combing for head lice be done?

A

for 30 minutes at 4 day intervals
until no lice for 3 sessions (minimum 2 weeks)

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10
Q

what are the treatment options for head lice?

A

dimeticone (apply for 8 hrs, repeat after 7 days)
malathion (apply for 12 hours, repeat after 7 days)

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11
Q

which treatment option for head lice is not suitable for patients with severe eczema or asthma?

A

malathion

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12
Q

what are the treatment options for psoriasis?

A

emollients
corticosteroids
coal tar
vitamin D

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13
Q

what are the treatment options for eczema?

A

emollients
corticosteroids
antihistamines

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14
Q

what is the risk with bath emollients?

A

slipping hazard

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15
Q

what is the MHRA alert for paraffin based emollients?

A

flammable

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16
Q

which is a very potent topical corticosteroid?

A

clobetasol (dermovate)

17
Q

what is a mild topical corticosteroid?

A

hydrocortisone (<2.5%)

18
Q

what is a moderate topical corticosteroid?

A

clobetasone (eumovate)
betamethasone 0.025% (betnovate RD)

19
Q

what is a potent topical corticosteroid?

A

bethamethasone 0.1% (betnovate)
mometasone

20
Q

how should you apply a topical steroid?

A

apply thinly to affected areas no more than twice daily

21
Q

what is the risk of prolonged use of topical steroids?

A

skin thinning

22
Q

how do you treat rosacea?

A

erythema:
brimonidine

pustules and papules:
topical metronidazole/ azelaic acid/ ivermectin OR
oral oxytetracycline/ tetracycline/ erythromycin

23
Q

what is the MHRA alert for brimonidine?

A

risk of systemic cardiovascular events
risk of exacerbation of rosacea

24
Q

how long is a prescription for isotretinoin valid for?

A

7 days

25
Q

how long after treatment with isotretinoin must you continue with contraception?

A

1 month

26
Q

what should patients taking isotretinoin avoid during treatment?

A

UV light, epilation, laser treatment

27
Q

what is the MHRA alert for isotretinoin?

A

erectile dysfunction and low libid

28
Q

what is the link between isotretinoin and psychiatric conditions?

A

STOP TREATMENT

if depression, anxiety, suicidal idealation

29
Q

what is the treatment pathway for acne?

A

adapalene, benzoyl, clindamycin, lyme/doxy