week 1 treatment

Question 1

Candidiasis
Treatment

Answer 1

Self care - use simple emollient. Avoid irritant soap, avoid tight clothes, avoid douching
Use OTC creams and including probiotics, yoghurt and tea tree

Antifungals - fluconazole oral

clotrimazole - intravaginal pessary

Question 2

GORD - treatment

Answer 2

Self care - weight loss, avoid trigger foods, eat smaller meals, raise head in bed, avoid alcohol, reduce stress

Drug - PPI (omeprazole) or H2 antagonist (ranitidine)

Question 3

types of headache?

and their treatment

Answer 3

tension - band like tight headache lasting 30min - 7 days
Take NSAIDS, if chronic advice acupuncture and physio. Also amitriptyline

medication - 15 or more days per month in a person with a pre-existing primary headache disorder, which develops as a consequence of regular analgesia overuse
Advise to stop analgesia so much

cluster - multiple attacks over 2-3 months of severe or very severe unilateral orbital, supraorbital and/or temporal pain lasting 15 minutes to 3 hours (untreated) + eye nose and ear symptoms from redness to lacrimation or miosis
Avoid triggers and Sumatriptan injections sc or nasal spray

Question 4

what is a sprain ?

What is a strain?

treatment?

Answer 4

A sprain is a stretch and/or tear of a ligament

A strain (or ‘pull’) is a stretch and/or tear of muscle fibres and/or tendon

Refer to ED if concerned about break
OTC analgesia
PRICE’ (protection, rest, ice, compression, and elevation)
Encourage them to use full ROM and flexibility if not pain
Physio

Question 5

pneumonia treatment?

Answer 5

Self care - rest, adequate fluid intake, and the use of simple analgesia such as paracetamol for symptomatic relief

CURB65 0. = amoxicillin, if allergy clarithromycin, if pregnancy erythromycin

CURB65 1-2 = amoxicillin and clarithromycin , if penicillin allergy use doxycycline

CURB65 = 3 is ITU admission

Question 6

Gout investigation and treatment

Question 7

Otitis externa treatment

Otitis media treatment

Glue ear treatment

Question 8

Bronchitis treatment

Question 9

RA treatment

Answer 9

NSAIDs
DMARDS in combination or alone e.g. methotrexate
glucocorticoids

Question 10

OA treatment

Answer 10

self care

simple analgesia

Question 11

Bursitis treatment

Answer 11

treatment = NSAIDS,
Ice and rest
if continue bursa aspiration/ corticosteroid injection
if septic bursitis = aspiration + flucloxacillin or clarithromycin (allergy) or erythromycin in preg/breast feed

Question 12

Scabies
Treatment

Question 13

Head lice
Treatment

Question 14

Psoriatic arthritis

Question 15

bronchitis treatment?