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Derm Clin Med > Treatment > Flashcards

Treatment 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
SJS
withdrawl med and admit to burn unit 25-35% BSA coverd
26
bullous pemphigoid
glucocorticoids | prednisone, azathioprine or cyclophosphamide etc..
27
acne vulgaris
benzoyl peroxide and topical retinoid cream severe: add topical antibioitcs
28
severe nodular acne
topical abx, oral abx, oral isotretinoin and refer to derm!
29
females with acne..
consider OCP, spironolactone
30
see acne in middle childhood?
refer to peds endocrinologist
31
rosacea
topical and oral tx, sunscreen, avoid triggers | usually abx, ie: doxycycline, metronidazole, tetracycline etc
32
actinic keratosis
biopsy
33
seborrheic keratosis
none - benign
34
lice (pediculosis)
permethrin
35
resistant lice (pediculosis)
malathion ...watch out for flamable property
36
scabies
oral ivermctin topical permethrin 1-2 times weekly ISOLATION!
37
brown recluse bite
rest, ice elevation tetanus toxoid topical abx, dress wound
38
BCC non surg options
imiquimod cream, 5 FU, radiation, photodynamic therapy
39
Kaposi sarcoma
intralesional chemo or radiation immune suppression pts.. lower their IC meds AIDS: ART plus chemo
40
melanoma
biopsy refer
41
SCC
MOH surgery, refer, imiquimod cream, diclofenac gel, ingenol, etc.. lots options
42
neurofibromatosis
improve QOL.. remove any compressing nerves
43
androgeneic alopecia
males: minoxidil or finasteriod female: minoxidil BID
44
areata (immunocompromised) alopecia
topical, intralesion, IM steriods
45
alopecia due to trichotillomania
lifelong counseling, meds for control, may resolve post menopause
46
paronychia
drain and start antistaphy abx
47
onychomycosis
terbinafine
48
condyloma acuminatum
treat for other STDS, pap smear, cryotherapy
49
Roseola
SL, benign
50
5ths dz/ sock and glove dz
supportive care SL 5-10 days
51
hand/foot/mouth
supportive tx gone within 10 days
52
measules
supportive antipyretics, fluids, REPORT, vitamin A
53
rubella
same as measles tx.. antipyretics, fluids, REPORT, vita A
54
HSV1
acyclovir - oral lesions | cool compression, lubricants / topical analgesics
55
mollscum contagious
cantharidrin, curettage, cryotheraphy or just watch resolve
56
verrucae warts
options: silicyclic acid, cryotherapy, tretinoin cream
57
cellulitis MRSA
clindamycin, trimethoprim/ sulfamethoxazole, doxycycline, minocycline, linezolid, vancomycin
58
out pt nonpurulent cellulitis
cephalexin, amoxicillin, etc.
59
out pt purulent cellulitis
clindamycin, work with infectious dz
60
erysipelas
empiric abx cover streptococcus: PCN, amoxicillin, clindamycin, macrolide
61
candida intertrigo
clotrimazole miconazole cream or nystatin powerder / ointment
62
diaper candidiasis
nystatin cream, clotrimazole or miconazole
63
kerion
oral griseofulvin or terbinafine with shampoo
64
tinea capitis
terbinafine with shampoo or griseofulvin
65
acanthosis nigrans
none treat underlying problem
66
hidradenitis suppurativa
triamcinolone, I and D oral abx prednisone added if wont heal
67
lipoma
elective surgery, steroid injection can shrink
68
melasma
hydroquinone tretinoin and corticosteroids chemical peels/ microdermabrasion's
69
Pilonidal dz
I and D
70
pressure ulcer
abx, debridement, dress
71
urticarial multiforme
antihistamine
72
acute and chronic uritcaria
daily oral 2nd gen H1 antihistamine (cetirizine, loratadine, fexofenadine)
73
vitiligo
no meds .. light treatment can restore lost color
74
polyarteritis nodosa
treat underlying infections
75
cherry angioma
electrodessication or ablation

Derm Clin Med (3 decks)

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