Symptoms in pharmacy skin

Question 1

Atopic eczema

Answer 1

• Itchy skin condition in children
• Rash flaky and inflammed

Question 2

Contact demititis

Answer 2

• Particularly on hands
• Concider patient history
• Nappy rash is an example of contact dermitits
• Metal and latex allergy

Question 3

Treatment for ezcema

Emollients

Answer 3

• Sooth the skin by forming a waterproof barrier
• Prevents drying and can be applied as a soap in baths

Question 4

Treatment for ezcema

Topical cortisteroids

Answer 4

• Hydrocortisone 1% available as a P medicine
• More potent cortisteroids are available apply thin layer
• Decrease inflammation

Question 5

When to refer ezcema

Answer 5

• Infected rashes and weeping from rashes
• Adverse drug reaction to medication
• > 1 week useage of corticosteroid
• Concider meningitis

Question 6

Seborrhoeic dermatits

Answer 6

• Effect sebaceous gland rich reign of the skin
• Dandruff is uninflammed form of sebrrhoeic dermititis
• Scaly patch tipically do not itch
• Cradle cap in babies

Question 7

Treatment for Seborrhoeic dermatitis

Answer 7

• Keratolytics such as salicyclic acid
• Antifungals
• Infant shampoo baby or olive oil

Question 8

Psoriasis

Answer 8

• Inflammed skin topped with silvery white plaques
• Possibly caused by immune system

Question 9

Treatment for psoriaisis

Answer 9

• Emolliments
• Coal tar preperation
• Dithranol/Salicyclic acid
• Topical corticosteroids
• Phototherapy

Question 10

Ringworm

Answer 10

• Fungal infection that presents as a circular rash
• Spread from person to person or animal contact
• Of scalp referal immediately

Question 11

Fungal nail infection

Answer 11

• Must be refered as patient usually requires a system of antibiotics

Question 12

Athlete’s foot

Answer 12

• Fungal infection spread from person to person via towel share or contact

Question 13

Treatment for Ringworm

Answer 13

• First line of treatment is imidazoles such as micanazole cream (Daktarin)

Question 14

Treatment for althletes foot

Answer 14

• Terbinafine ( an allylamine) and sometimes use miconazole
• Powder or spay formulations

Question 15

When do you refer ringworm or athletes foot

Answer 15

• Failure of treatment >3 weeks
• Bacterial infection
• Diabetic patients
• Involvement of the nail

Question 16

Cold sores Herpis labialis

Answer 16

• Skin infection around the lips and nose caused by herpes simplex virus

Question 17

Triggers for cold sores

Answer 17

• Sunlight
• Other infections
• Menstral cycle

Question 18

Treatment for cold sores

Answer 18

• Aciclovir treatment with OTC 5% cream aly 5 times a day for 5 days
• Apply early for prevention

Question 19

Red dlags of when to refer cold sore

Answer 19

• If present on eyes or genitals
• Age of patient
• Painless in mouth lasting > 2 weeks
• Immunocomprimised

Question 20

Warts and verrucas

Answer 20

• Small growths on skin caused by HPV are a network of inflammed capillaries
• Peaks for children aged in secondary school
• Plantar warts on the sole of the foot

Question 21

Treatment options for warts and veruccas

Answer 21

• Keratolytics such as salicyclic acid destroys effected area
• Formulation must only be applied on the area
• Sucessful treatment takes > 3 months
• Cryotherapy - freeze off the wart in 10-14 days

Question 22

When do you refer Veruccas or warts

Answer 22

A - Asymmetrical
B - Boder of melanoma is ragged
C - Coulours >2
D - Diameter as most melenomas are >6mm
E - Evolving which change in shape
Diabetic and immunocomprimised
In children and treatment failed

Question 23

Acne

Answer 23

• Hair follicles and sebaceous glands are blocked
• Mostly effects teenagers
• Can get comedones (white or black heads) and nodules to severe

Question 24

Mild and moderate acne treatments

Answer 24

• Benzoyl peroxide is first line of treatment 2.5%, 5%, 7.5% start with low
• Treatment lasts for 6-8 weeks
• Antibiotics and retinoids are POM need referral
• Sunlight helps and avoid greasy foundation

Question 25

When do you refer acne

Answer 25

• After treatment failure
• Severe acne
• Causing mental health issues
• ADR response to med

Question 26

Scabies

Answer 26

• Intensely itchy condition caused by a mite that burrows under the skin causing a rash to form
• Usually seen on the psalms of hands and passed through personal contact
• Can be up to 2 months till symptoms appear

Question 27

Treatment for scabies

Answer 27

• Topical Permethrin 5% cream apply cool skin
• Wash off after 8-12 hrs
• 8 weeks for rash to disapper
• Other hosehold members should be treated alongside and treatment can worsen itch origninally

Question 28

When do you refer the patient if they have scabies

Answer 28

• Young children and elderly if outbreak is suspected
• Crusted scabies
• Infected rashes
• Treatment failure
• Contracted through sexual activity

Question 29

Communicable diseases

Shingles

Answer 29

• Seen in older patients
• If there is fever or malaise then it could be a communicable disease
• Refferal if possibible bacterial infection especially if patient is diabetic

Question 30

Red flags for skin conditions

Answer 30

• Possible skin cancer
• Possible meningitis
• Possible erythroderma
• Bullous disorders