Skin Flashcards
how do you apply permetharin/malathoin?
whole body including scalp, neck, face and ears
how many times a week do you use permetharin and when does the course need to be repeated?
twice a week
repeated a week later
how would you tell someone to use dimeticone for headlice?
apply fot 8 hours to dry naturally - repeat after 7 days
how would you tell someone to use malathion for headlice?
apply 12 hours to dry naturally - repeat after 7 days
in what conditons should malathion be avoided?
in severe eczema or asthma due to alcohol contents
what 2 treatments are NOT recomemended for headlice?
benyl benzoate and premetharin
how do you tell someone to wet comb?
comb for 30mins at 4 day intervals until no lice found for 3 sessions, must do for minimum of 2 weeks
whats the MHRA warning surrounding some headlice treatments?
flammable
what are the 4 types of eczema?
irritant, allergic, contact, atopic
in what type of eczema do you not use antihistamines?
in atopic dermatitis as not an allergic response
what are the 2nd line options for mild- mod and mod-sev eczema if corticosteroids don’t work?
mild-mod = pimercolimus
mod-sev = tacrolimus
what are the systemic options for severe refractory eczema?
ciclosporin, azathioprine, mycophenolate mofetil, MAbs
what are the 4 treatment options for psoriasis?
emollients
topical corticosteroids
coal tar preperations
vit D
whats it called when psoriasis affects joints?
psoratic arthritis
what are the treatment options when topical treatment fails?
photoptherapy
systemic treatmetns (methotrexate, ciclosporin, acitretin (2nd line)
list the topical corticosteroids from least to most potent?
what are the counseling points?
hydorcortisone
clobetasone
betamethasone
colbetasol
prolonged use = skin thinning, need to apply thinly, don’t apply to broken skin
how long should steroids be used for before a break?
7 days then 2 day break?
what are the 2 MHRA warnings surrounding isotreinoin?
- rare erectile dysfunction and decreased libdo
- teratogenic - pregancy prevention programme
what is the prevention programme for isotretinoin?
contraception to be taken 1 month before and til 1 month after
each prescription limited to 30 day supply
need negative pregnancy test within 7 days
alongside the MHRA warnings for isotretinoin, what other SE must you look out for?
neuropsychiatric reactions
what should you counsel pateints to avoid when taking isotretinoin?
UV, epilation, laser surgery
whats the 1st line to treat dandruff?
selenium, zinc, tar extracts
whats used to treat persistent dandruff?
ketoconazole shampoo
whats used for psoriasis of the scalp?
coal tar extract and salicylic acid
whats used to manage hirsutism?
weight loss can reduce this in women
can treat with laser therapy, co-cypindiol
whats used to treat alopecia?
finasteride or minoxidil
