Skin

Question 1

Symptoms of irritant contact dermatitis

Answer 1

Non immune response - chemicals directly damage the skin eg hand washing

Question 2

How to manage irritant dermatitis

Answer 2

Remove the irritant = cure
Prevent contact
Barrier
Emoillents / steroids

Question 3

Symptoms of allergic contact dermatitis

Answer 3

Inflammatory response - takes 24-48h to occur eg allergies to nickel / rubber
Intense redness weeping

Also ID allergen and remove and use emollients and topical corticosteroids

Question 4

When to refer for dermatitis

Answer 4

Undiagnosed atopic eczema 
Yellow
Severe 
No ID cause
2+ weeks 
Treatment failure

Question 5

Symptoms of eczema

Answer 5

Red 
Sore 
Itchy 
Thickened skin 
Dry

Question 6

Atopic eczema

Answer 6

Children under the age of 2 diagnosed
Affects QoL
Flare ups caused by environmental factors
Rash will appears

Treatment
Lotions creams ointment
Apply very regularly

Corticosteroids control flare ups
Either hydrocortisone (10) or clobetasone (12)
15g tube, not on the face or on broken skin, no more than twice a day for 7 days

Question 7

Tinea infections

Answer 7

Ring worm transmission via direct contact with infected people
Red scaly borders

Treatment either
Imidazole - 4 weeks - 2/3 times a day - 10-14 days after
Terbinafine - (6) 1-2 weeks once a day 1/2 weeks after

Refer if persistent or severe
Immunocompromised
Failure to cream / requires POM

Question 8

Managing mild acne

Answer 8

Benzoyl peroxide - apply 1-2 times a day - comes as gels oils lotions etc chose appropriate for patient
Acne can cover arms back neck face chest

Refer if widespread, young, scarring, distressed or benzoyl peroxide is failing