-
-
Treat skin abscess in pt at risk fir endocarditis
- Prophylaxis b4 I&D
- Vanc or bactrim
-
No antibiotics needed fit skin abscess if
5 cm & low risk pt
-
MRSA coverage for skin abscess
- Bactrim DS & rifampin
- Ckinds & rifampin
- Minocycline or doxycycline
- Linezolid
-
Treatment for necrotizing fascists
Immediate, extensive sx debridement
- Emperic: imipenem +/- vanc
- Streptococ: pen G +/- clinda
- Clostridia: pen G +/- clinda
-
Treat dry gangrene
- Autoamputation over time
- Angiography
-
Treat wet gangrene
Emergency debridement or guillotene amputation
-
Tx impetigo
- Wash all affected areas
- Erythromycin
- Cephalosporins
- Clinda
-
Tx acne vulgaris
- Topical retinoid-1st line
- Topical antibiotic- sulfscetamide, clinda, dapsone
- Oral antibiotic- tetra, mino, doxy, bactrim, azithromycin
- OCP
- Benzoyl peroxide
- Oral isoretinoin
-
Acne med causing photosensitivity
Tetracyclines
-
Tx for rosacea (topical)
- Sulfacetamide&sulfur combo
- Flagyl
- Laser therapy (rhinophyma)
-
Tx for rosacea (systemic)
- Tetracycline
- Doxycycline/ minicycline
- Accutane
-
Tx HSV & zoster outbreak
- Acyclovir
- Famciclovir
- Valacyclovir
-
Postherpetic neuralgia
- Gabapentin
- Pregabalin
- Tca
- Lidocaine patch
- Capacian cream
- Opiods
-
Hpv skin warts? Genital wart subtype?
-
Tx condylomata acuminata
- Spont regression
- Podophyllotoxin
- Podophyllin
- Trichloroacetic H
- Imiquimod
- Cryo
-
Treat tinea versicolor
- Topical- terbinafine, clotrimazole
- Selenium sulfide shampoo
- Oral- ketoconazole, fluconazole, itraconazole
-
Tx onychomycosis
- Terbinafine
- Itraconazole
- Fluconazole
-
Treat tinea capitis
- Griseofulvin
- Itraconazole
- Terbinafine
-
-
-
-
Tx erythema multiforme
- Stop inciting med
- Antipruritics
-
SJS tx
- Stop inciting agent
- Steriods
- Analgesics
- IVF
- Burn unit
-
TEN tx
- Stop inciting agent
- Steriods
- Analgesics
- IVF
- Burn unit
- IVIG
-
Sebhorrheic dermatitis tx
- Selenium sulfide shampoo
- Tar
- Ketoconazole
- Steriods
-
Tx atopic dermatitis
- Avoid ppt factors
- Moisturizing creams
- Topical steriods
- Tacrolimus
- Antihistamines
- Leukotriene i
- UV light
-
Severe atopic dermatitis tx
- Mtx
- Cyclosporin
- Azathioprine
-
Psoriasis tx
- Topical steriod
- Tar
- Retinoid
- Tacrolimus
- Calcipotriene
- Enbrel
- Cyclosporine
- UV light
- Mtx
-
Tx pityriasis rosea
Self limited
-
Tx erythema nodosum
Self limited
-
Infxn associated with increased likelihood of lichen planus
HiV & hep C
-
-
Antibody for pemphigus vulgaris
Anti-desmosome
Epidermis
-
Antibody for bullous pemphigoid
Anti hemidesmosome
Dermal epidermal jxn
-
Tx pemphigus vulgaris
- Systemic steriods
- Azathioprine or cyclophosphamide
-
Tx bullous pemphigoid
Topical steriods
-
Porphyria cutanea tarda tx
- Phlebotomy
- Chloroquine or hydroxychloroquine
- Avoid etoh, estrogen, iron
- Sunscreen use
-
MC type of melanoma
Suoerficial spreading
-
Nonpigmented melanoma
Amelanotic melanoma
-
Dark papule on legs or trunk that bleeds with minor trauma
Nodular melanoma
-
Occurs on palms, soles, beneath nail plate in PTA with dark skin
Acral lentiginious
-
Dark lesion larger than 6mm with irregular asymmetric borders
Superficial spreading melanoma
-
Tx melanoma
- Hydroquinone
- Azelaic acid
- Flucinolone $ hydroquinone & tretinon
Minimize sunlight!!
-
Tx vitiligo
- Sunscreen
- Dye & makeup
- Steriods if 10%
- Tacrolinus or pimecrolimus
- Psoralen
- Uv light
- Sx minigrafting
- Depigmenation via hydroquinone
-
Purple red hemangioma on face that doesn't regress with age
Port wine
-
Infant with bright red lesion that regressed
Strawberry/infantile hemangioma
-
Benign small red papule that appears with age
Cherry hemiangioma
-
Bright red papule with radiating blanching vessels
Spider angioma
-
Blue compressible mass that does not regresss
Cavernous hemangiom
-
Red pink nodule on child that is often confused with melanoma
Spitz nevus
-
Tx actinic keratosis
- Topical 5 FU or imiquimod
- Cryo
-
Tx squamous cell ca & basal cell ca
Mohs excision
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