Various Flashcards
Management of lichen planus
Topical steroids
A patient with Benign mole that does not bleed or interfere with life. What
should a GP do if the patient wants his mole removed?Refer to a PRIVATE Dermatology clinic. (Not Plastic, Nor NHS)
N.B. NHS Does not usually provide Cosmetic services
Malignant melanoma was excised. Which feature shows a bad prognosis
on histopathological examination?
A) Diameter > 6mm ▐ B) Varying colour ▐ C) Depth of invasion
Depth of invasion
Malignant melanoma was excised. What is the most important prognostic
indicator?
Breslow thickness = “the depth in mm”
you as a GP suspects a malignant melanoma eg (a lesion that is asymmetric,
with irregular borders, largest diameter is > 6 mm, varying shades of colour)
Refer urgently to dermatology
A patient comes with drug inducedblupus after taking a drug for TB infection, whatbwas the drug responsible ?
Isoniazide
Most common drugs associated with drug induced lupus
Procainamide a
Hydralazinw
Management of urticaria in a pregnant lady
Sedating Anti-Histamine e.g. Chlorpheniramine.
Management of urticaria
Non-sedating H1 Anti-Histamines e.g., Cetirizine, Loratadine
Cause of Erythema Migrans
Lyme disease
What to give if a pt is complaining of Itching without features of anaphylaxis (e.g., after insect bite)
Oral antihistamine
Management of Acne Rosacea
Management of Acne Rosacea (important)
◙ If erythema (redness) predominant → topical brimonidine.
◙ If papules/ pustules predominant:
√ First line → ivermectin. √
√ Second line → topical metronidazole.
◙ More severe disease is treated with additional systemic antibiotics eg,
Oxytetracycline, Tetracycline.
Management of Mongolian spots
Reassurance, they will fade with time
Mainstay of treatment of Bullous pemphigoid
Oral corticosteroids
Management of xanthelasma
*fasting lipid levels checked.
* if the pt. Wants them removed, referral to privatenclinic
Treatment of lyme disease
Oral doxycyline
Management of mild/mod seborrheic dermatitis in children
Baby shampoo & baby oils
Management of severe seborrheic dermatitis in children
Mild topical steroids: 1% hydrocortisone
1st line management of seborrheic dermatitis in adults
Over the counter preparations containing zinc pyrithione (‘Head &
Shoulders’) and tar (‘Neutrogena T/Gel’).
Tx of kawasaki
High dose aspirin
IV Ig
Organism involved in
Coxsack
