-
When should you apply cool compresses to the skin?
- blisters
- crusts
- oozes
- itches
- stings
- burns
-
_________ makes itch worse!
- heat
- sweating
- wool clothing
- low humidity
-
Which type of topical treatments are good for hairy areas?
Lotions, and especially gels
-
Topical steroids should be applied no more than ________ per day.
twice
-
Topical steroids should be applied how, in order to limid SE?
two weeks on, one week rest
-
What classes of topical steroids should never be used on the face?
I - IV
-
Precancerous, if left untreated may become squamous cell carcinoma; can often be felt before seen, like a "sandpaper rash". Tx?
- Actinic Keratoses
- cryotherapy, chem peels, laser tx, topical chemo
-
Can begin as AKs on sun-exposed areas and also lips, mouth, genetalia. Tx?
- Squamous Cell Carcinoma
- Refer for wide excision
-
Most common skin CA
basal cell carcinoma
-
Most serious form of skin CA
melanoma
-
Skin CA that can have different appearances such as dome shaped with visible BVs; waxy, may appear like a scar; shiny pink patch on trunk.
Basal Cell Carcinoma
-
Which type of skin cancer grows slowly and rarely spreads? WHich type can spread to other parts of body?
- basal cell carcinoma
- melanoma
-
RF for melanoma include age over _____.
50
-
RF for AK include age over _____.
40
-
Kerion formation from tinea capitis can cause __________.
scarring alopecia
-
Chemotherapy is the most common cause of what type of hair loss?
Anagen effluvium
-
Results from sensitivity of hair to androgens
androgenetic alopecia
-
Autoimmune condition that results in well-demarcated areas of alopecia on scalp or body and can be recurrent; will often regrow as gray.
alopecia areata
-
What should you consider testing with presentation of hair loss?
- KOH prep
- TSH
- CBC, BGL
- if patchy, test for syphillis (VDRL, RPR)
-
How do you treat hair loss?
- Treat cause if identified
- If cause not identified, refer to derm
-
Tx for androgenetic alopecia that are for men ONLY.
-
AKA lobular capillary hemangioma.
pyogenic granuloma
-
small, red, raised papule; may ooze/glisten; usually follows minor injury like torn hangnail.
pyogenic granuloma
-
pyogenic granulomas are more common in who?
kids and during pregnancy
-
Asymptomatic lesions that vary in size, are flat or raised, velvety or verruculous and vary in color. Also have a "stuck on" appearance and waxy texture with "skin barnacles".
Seborrheic Keratosis
-
IF a _________ is removed, it should always be cauterized.
- pyogenic granuloma
- (lobular capillary hemangioma)
-
__________ are AKA skin tags.
acrochordons
-
discrete dome-shaped papule from cherry red to deeper purple.
cherry angioma
-
PO abx for acne and how long?
- doxycycline
- minocycline
- at least 4-6 weeks, may continue for months
-
PO med for acne in postteen women with no risk of pregnancy.
spironolactone
-
Topical _______ is best choice for mild acne.
retinoid
-
What things can exacerbate rosacea?
- cold weather
- stress
- spicy food
- alcohol
-
How to tx rosacea?
- start with topical like metronidazole or clindamycin
- severly inflamed -> po doxy
-
If no resolution in ________ weeks with acne, change the tx.
4-8 weeks
-
The itch that rashes.
eczema
-
Distinct coin-shaped lesions after burn or abrasion. Tx?
- nummular dermatitis.
- protect skin from injury
- topical steroids/tar creams
- oral antihistamine
- hydration/moisturize
- if SEVERE = lt therapy, po abx, po steroids
-
Rash around mouth that can be caused by use of topical steroid creams, also may be from toothpaste or food or face creams. How to treat?
- Perioral dermatitis
- gentle soap like dove, do not scrub
- po abx doxy or tetra
-
Tx for drug eruptions (dermatitis medicamentosa).
- stop med if known
- cool compress
- tepid baths
- topical steroids
- oral antihistamines
- oral steroids
-
What aggravates psoriasis?
-
What meds can cause psoriasis flares?
- BB
- antimalarial
- systemic steroids
-
Discrete scaly plaques that start on trunk and spread to extremities (not on soles or palms). What is it and how do you tx? What to monitor?
- Guttate psoriasis
- oral abx to cover for strep til remission
- topical tx to reduce rash
- monitor antistreptolysin levels
|
|
