Week 4: Minor foot disorders, warts, fungal infections

Question 1

warts are caused by what virus?

Answer 1

HPV

Question 2

non-pharm therapy for warts?

Answer 2

avoid damaging the wart
wash hands before/after touching wart
avoid sharing towels

Question 3

what acid is a good pharm therapy for warts?

Answer 3

salicylic acid

Question 4

what are the exclusions for self-treatment of warts?

Answer 4

pregnancy or breastfeeding
children under 3 can’t use salicylic acid
children under 4 can’t use cryotherapy products
conditions effecting blood circulation to hands/feet (like diabetes)
immunocompromised patients
large/multiple warts on one area of body
bleeding, painful, discolored warts
painful warts on foot
warts on face, breast, armpits, fingernails, toenails, anus, genitalia, or mucous membranes
warts not resolved after 12 weeks of self-treatment

Question 5

what percentages of salicylic acid are typically used for warts?

Answer 5

17% and 40%

Question 6

patients should not use salicylic acid on warts longer than?

Answer 6

12 weeks

Question 7

if wart is not gone after 12 weeks what should pt do?

Answer 7

see Dr

Question 8

what three ingredients are used for cryotherapy?

Answer 8

dimethyl ether, propane, and nitrous oxide

Question 9

is a vitamin A supplement a good complementary therapy for warts? if so, why?

Answer 9

yes, retinoids may interfere with HPV replication

Question 10

would increasing zinc help with warts? if so, why?

Answer 10

yes, zinc improves immune response and inhibit HPV replication

Question 11

is garlic a good treatment for warts? if so, why?

Answer 11

yes, it might inhibit cellular proliferation

Question 12

is occlusion with duct tape a good way to remove warts?

Answer 12

possibly

Question 13

where on the body would you expect to find tinea capitis?

Answer 13

on the scalp

Question 14

where on the body would you expect to find tinea cruris?

Answer 14

the groin

Question 15

where on the body would you expect to find tinea corporis?

Answer 15

the body

Question 16

where on the body would you expect to find tinea pedis?

Answer 16

the feet

Question 17

where on the body would you expect to find tinea unguium?

Answer 17

the nails

Question 18

what’s another name we use for tinea infections?

Answer 18

ringworm

Question 19

how does tinea pedis present itself?

Answer 19

itching or stinging in between the toes

Question 20

how does tinea unguium present itself?

Answer 20

causes nails to become thick, opaque, and yellow in color

Question 21

how does tinea corporis present itself?

Answer 21

begins as small scaly areas of skin that spread and may cause itching

Question 22

how does tinea cruris present itself?

Answer 22

causes red scaly skin in the groin area that is very itchy

Question 23

how does tinea capitis present itself?

Answer 23

scaly patches of skin on the scalp that may be itchy

Question 24

nonpharm therapy for fungal infections?

Answer 24

keep skin clean and dry

Question 25

what are the names of the two topical OTC imidazoles used for fungal infections?

Answer 25

clotrimazole and miconazole

Question 26

what is terbinafine hydrochloride used to treat?

Answer 26

tinea pedis, tinea cruris, and tinea corporis

Question 27

what are the exclusions for self-treatment of fungal infections?

Answer 27

treatment unsuccessful or condition worsens nails or scalp involved face, mucous membranes, or genitalia involved autoimmune disorder fever

Question 28

what are the directions for using an antifungal treatment for tinea cruris?

Answer 28

apply twice a day for 2 weeks

Question 29

what are the directions for using an antifungal treatment for tinea corporis/pedis?

Answer 29

apply twice a day for 4 weeks

Question 30

what is butenafine hydrochloride used to treat?

Answer 30

tinea pedis, tinea cruris, and tinea corporis

Question 31

what is tolnaftate used to treat?

Answer 31

tinea pedis, tinea cruris, and tinea corporis

Question 32

what is undecylenic acid used to treat?

Answer 32

tinea pedis, tinea cruris, and tinea corporis

Question 33

what causes corns?

Answer 33

pressure from bony joints

Question 34

non-pharm treatment for corns and calluses?

Answer 34

daily soaking of affected area followed by gentle scrubbing off of dead skin

Question 35

exclusions for self-treatment of corns and calluses

Answer 35

diabetes, peripheral circulatory disease | history of rheumatoid arthritis

Question 36

best pharm treatment for corns and calluses? | how to use?

Answer 36

``` salicylic acid (0.5%-40%) 1-2 xd for 3-6 days ```

Question 37

if corns and calluses have not improved after ___ days what should pt do?

Answer 37

14 days | seek medical evaluation