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Derm Clin Med > Treatment > Flashcards

Treatment Flashcards

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Dermatology Board Prep flashcards
1
Q

seborrheic dermatitis

A

topical ketoconazole BID

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2
Q

seborrheic dermatitis in infants

A

mild baby shampoo or olive oil compress

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3
Q

refractory infant seborrheic dermatitis

A

topical ketoconazole shampoo or cream

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4
Q

seborrheic dermatitis on face

A

desonide cream

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5
Q

atopic dermatitis 4 tx

A

BID moisture ointment
BID hydrocortisone 2.5%
hydroxyzine 1 tsp PO at bedtime
mild cleanser - remove dirt

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6
Q

allergic contact dermatitis

A

2 wk taper oral prednisone

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7
Q

makeup rxn contact dermatitis

A

desonide .05% cream

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8
Q

pyoderma gangrenosum (type of leg ulcer due to lots of neutrophils)

A

surgical emergency - topical steroids, systemic TNF, cyclosporine etc

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9
Q

stasis dermatitis

A

ELEVATE
high potency steroids on areas of dermatitis

Compression only if ABI is over .5 or absolute ankle pressure over 60 mmHg

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10
Q

dyshidrosis

A 
wet dressing with burrows solution 
drain large bullae 
Fissure : topical collodion 
Topical steroids for local leisons 
PUVA for generalized dz
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11
Q

secondary infection from dyshidrosis

A

systemic antimicrobials

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12
Q

lichen simplex

A

stop itch scratch cycle and antihistamines

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13
Q

what type of psoriasis needs hospital admit?

A

pustular and possibly erthrodermic

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14
Q

3 tx for systemic psoriasis

A

high potency topical steroid with vit D topical analog

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15
Q

psoriasis in skin folds

A

desonide .5% ointment

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16
Q

genital psoriasis

A

topical calcineurin inhibitor

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17
Q

exanthematous drug rxn

A

oral antihistamine

topical steroids

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18
Q

fixed drug rxn

A

SL after drug removal
non eroded areas: topical corticosteroid ointment
eroded areas: protective or antimicrobial dressing

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19
Q

lichen planus

A

topical steroids and occlusive dressing

systemic steroids for severe cases

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20
Q

oral lichen planus tx

A

cyclosporine mouthwash

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21
Q

severe localized lesions lichen planus

A

intralesional steroids or topical tretinoin

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22
Q

pityriasis rosea

A

none

lotions, UVB, oral anithistamines etc..may help

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23
Q

erythema multiforme

A

severe case: systemic steroids
avoid triggers
control herpes outbreaks with acyclovir

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24
Q

impetigo

A

mupirocin or retapamulin

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25
Q

SJS

A

withdrawl med and admit to burn unit 25-35% BSA coverd

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26
Q

bullous pemphigoid

A

glucocorticoids

prednisone, azathioprine or cyclophosphamide etc..

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27
Q

acne vulgaris

A

benzoyl peroxide and topical retinoid cream

severe: add topical antibioitcs

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28
Q

severe nodular acne

A

topical abx, oral abx, oral isotretinoin and refer to derm!

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29
Q

females with acne..

A

consider OCP, spironolactone

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30
Q

see acne in middle childhood?

A

refer to peds endocrinologist

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31
Q

rosacea

A

topical and oral tx, sunscreen, avoid triggers

usually abx, ie: doxycycline, metronidazole, tetracycline etc

32
Q

actinic keratosis

A

biopsy

33
Q

seborrheic keratosis

A

none - benign

34
Q

lice (pediculosis)

A

permethrin

35
Q

resistant lice (pediculosis)

A

malathion …watch out for flamable property

36
Q

scabies

A

oral ivermctin
topical permethrin 1-2 times weekly
ISOLATION!

37
Q

brown recluse bite

A

rest, ice elevation
tetanus toxoid
topical abx, dress wound

38
Q

BCC non surg options

A

imiquimod cream, 5 FU, radiation, photodynamic therapy

39
Q

Kaposi sarcoma

A

intralesional chemo or radiation
immune suppression pts.. lower their IC meds
AIDS: ART plus chemo

40
Q

melanoma

A

biopsy refer

41
Q

SCC

A

MOH surgery, refer, imiquimod cream, diclofenac gel, ingenol, etc.. lots options

42
Q

neurofibromatosis

A

improve QOL.. remove any compressing nerves

43
Q

androgeneic alopecia

A

males: minoxidil or finasteriod
female: minoxidil BID

44
Q

areata (immunocompromised) alopecia

A

topical, intralesion, IM steriods

45
Q

alopecia due to trichotillomania

A

lifelong counseling, meds for control, may resolve post menopause

46
Q

paronychia

A

drain and start antistaphy abx

47
Q

onychomycosis

A

terbinafine

48
Q

condyloma acuminatum

A

treat for other STDS, pap smear, cryotherapy

49
Q

Roseola

A

SL, benign

50
Q

5ths dz/ sock and glove dz

A

supportive care SL 5-10 days

51
Q

hand/foot/mouth

A

supportive tx gone within 10 days

52
Q

measules

A

supportive antipyretics, fluids, REPORT, vitamin A

53
Q

rubella

A

same as measles tx.. antipyretics, fluids, REPORT, vita A

54
Q

HSV1

A

acyclovir - oral lesions

cool compression, lubricants / topical analgesics

55
Q

mollscum contagious

A

cantharidrin, curettage, cryotheraphy or just watch resolve

56
Q

verrucae warts

A

options: silicyclic acid, cryotherapy, tretinoin cream

57
Q

cellulitis MRSA

A

clindamycin, trimethoprim/ sulfamethoxazole, doxycycline, minocycline, linezolid, vancomycin

58
Q

out pt nonpurulent cellulitis

A

cephalexin, amoxicillin, etc.

59
Q

out pt purulent cellulitis

A

clindamycin, work with infectious dz

60
Q

erysipelas

A

empiric abx cover streptococcus: PCN, amoxicillin, clindamycin, macrolide

61
Q

candida intertrigo

A

clotrimazole miconazole cream or nystatin powerder / ointment

62
Q

diaper candidiasis

A

nystatin cream, clotrimazole or miconazole

63
Q

kerion

A

oral griseofulvin or terbinafine with shampoo

64
Q

tinea capitis

A

terbinafine with shampoo or griseofulvin

65
Q

acanthosis nigrans

A

none treat underlying problem

66
Q

hidradenitis suppurativa

A

triamcinolone, I and D
oral abx
prednisone added if wont heal

67
Q

lipoma

A

elective surgery, steroid injection can shrink

68
Q

melasma

A

hydroquinone
tretinoin and corticosteroids
chemical peels/ microdermabrasion’s

69
Q

Pilonidal dz

A

I and D

70
Q

pressure ulcer

A

abx, debridement, dress

71
Q

urticarial multiforme

A

antihistamine

72
Q

acute and chronic uritcaria

A

daily oral 2nd gen H1 antihistamine (cetirizine, loratadine, fexofenadine)

73
Q

vitiligo

A

no meds .. light treatment can restore lost color

74
Q

polyarteritis nodosa

A

treat underlying infections

75
Q

cherry angioma

A

electrodessication or ablation

Derm Clin Med (3 decks)

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