Skin Flashcards
What is the ACBS
Advisory committee on borderline substances
What is the role of the ACBS
Advises NHS on specially formulated items for medical conditions
What do you give for acne that has proven resistant to all common methods including creams, gels, ointments and abx
Isotretinoin
What are bath emollients and shower preps?
Added to bath water
Soak in 10-20 mins
Avoid soap in dry conditions
What is a the warning for paraffin?
Risk of fire due to build up of residue on clothing and bedding
Nappy rash treatment
1st line - change nappy frequently
Hydrocortisone for inflammation (mild 0.5 or 1%) and stop using when inflammation finishes
Can use zinc oxide cream/ointment
For infection - clotrimazole
What does cellulitis require?
Abx
What is the treatment of impetigo?
Localised non bullous - hydrogen peroxide 1% cream
Widespread non bullous - topical or oral antibiotic (fusidic acid, mupirocin, flucoxicillin or erythro/clari if flucox is unsuitable
Bullous - antibacterial oral or local if localised
Treatment for infected burns
Silver sulfadiazine
Treatment for staph infections, impetigo, angular chelitis?
Fusidic acid
Flucoxacillin
Treatment for rosacea
Metronidazole
How are antifungals applied to the skin?
Topically
Systemically if it doesn’t get better
Ringworm name - scalp
Tinea capitis
Ringworm name - body
Tinea corporis
Ringworm name - groin
Tinea Cruris
Ringworm name - hand
Tinea Manuum
Ringworm name - foot
Tinea pedis (athletes foot)
Ringworm name - nail
Tinea unguium
Name some imidazole antifungals
Clotrimazole
Econazole
Ketonazole
Miconazole
Terbinafine
Name a treatment for candiasis
Topical imidazole antifungal
Oral - antifungal treatment
Treatment for angular chelitis
Miconazole,nystatin and fluconazole for extensive infection
Name an antiviral for herpes simplex/roster virus
Aciclovir
Treatment for scabies
Permethrin
Explain how scabies treatment is carried out
Treat all members at the same time
Adults and children over 2 - whole body but not to head/face
Elderly and children under 2 - everywhere
Apply and leave on for 8-12 hours and wash off
Apply again a week later
Child can go back to school after 24 hours of first treatment
What in headlice treatment coats headlice?
Dimeticone
Treatment for crab lice
Permethrin
What eczema is the most common
Atopic
If the eczema results in lichenification, what should be applied
potent corticosteroid
If the eczema ends up weeping, what should be applied
Potent corticosteroid
Treatment for severe refractory eczema
Phototherapy
Are corticosteroids recommended for acne
No
Potent and mild corticosteroids list
MILD - hydrocortisone
MODERATE - Betamethasone 0.025% (Betnovate RD)/Clobetasone (eumovate)
POTENT - Betametasone 0.1% and Mometasone (elocon)
VERY POTENT - Clobetasol (dermovate)
Is isotretinoin last option?
Yes
Cautions with isotretinoin
Teratogenic
Severe dryness of skin, eyes, lips
