Warts Flashcards
Tx warts?
liquid nitrogen - 2 freeze cycles every 2-4 weeks
keratolytics (candtharidin, occlusal, duofilm, duoplant, virasal)
podophyllum resin - patient applies 3x week for 4-6 weeks
tretinoin - BID 4-6 weeks
imiquimod (aldara) - depends on wart location! is an immumodulator
laser therapy - best reserved for treatment resistant warts
Cellulitis S&S
warm ,red, edematous area with sharply demarcaet borders
lymphadenitis and necrosis rarely occur
tx cellulitis?
dicloxacillin
MRSA resistant or abscess - TMP-SMX, cindamycin, doxycycline, minocycline
tx of abscess
incision, drainage, and localised care with warm soaks
tx abscess >/ 5cm
antimicrobial + incision/drainage, localized care
Tx asbcess MRSA resistant?
TMP-SMX (1 daily for 5-10 days or if > 40 BMI 2 tablets BID)
doxycycline or minocycline (sulfa allergy)
clindamycin
linezolid - if not tolerated or ineffective
Lyme Disease is caused by what?
B burgdorferi, psirochete. feeds for more than 24 hour
Stage one of lyme disease?
mild flu-like symptos winth single annular lesion with central clearing. rarely pruritic or painful resolve 3-4 week.
Stage 2 of lyme disease>
months later, classic rash with multiple lesions, arthralgias, HA, fatigue, cardiac manifestations (heart block, bells palsy) aspetic meningitis.
Stage 3 of lyme disease.
1 year after initial infection, MS signs from joint pain to frank arthritis with evidence of joint damange. neuro spych - memory problems, depression, and neuropathy.
Diagnosis of lyme disease
serum testing for b burgdorferi and confirmatory western blot assay for IgM antibodies.
tx of lyme disease?
doxycycline, ceftin (ceruroxime axetil), amoxicillin, and select macrolides. 14-21 days
for immed care if tick bite and suspect - 200 mg single dose of doxy
rosacea s&S
erythema, telangiectasia, inflamm papulopustular eruptions.
triggers rosacea?
UV sunlight, hot/cold, exercise, stress, coffee, chocolate, caffeine, alcohol, spicy foods, certain meds of cosmetics
Erythematotelangiectatic type description?
central facial flushing with burning or stinging
papulopustular type description?
red central porion of facce with erthematous papules sumounted by pinpoint pusutules
Phymatous rosacea type?
skin thickenings and irreg surgafe nodularities of nose, chin, forehead or ears or eyelids.
ocular rosacea type?
blephartis, conjuctivitis, inflamm lids, and conjunctival telangiectasis.
tx rosacea?
mechanial dermabrasion, laser peel, and surgical shave/
oral and topical medication :minocycline, doxycycline, tetracycline, metronidazole, or erythromycinm accutane but only if severe.
- antimicrobials - topical –> metronidazole gel common first line. erythromycin and clindamycin. oral –>
- immunosuppresants - tacrolimus ointment (protopic)
- acne products - aze;aoc acod, sulfacetamide prdocut, benzoyl peroxide, retinoid , dapsone severe cases.
