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Derm 1

Dermatology 1

QuestionAnswer
What is xerosis? dry, rough skin, scaling, loss of skin flexibility, fissures, mild inflammation, mild irritation, pruritis. Can be found anywhere on the body
What is atopic dermatitis? exaggurated skin reactivity
what does atopic dermatitis look like in children under 12? intense itching, papules, vasicles or oozing on the face folds, chest or trunk
What does atopic dermatitis look like in adults? thick patches of dry skin, usually systemic on the major joints, hands or flexor surfaces
What can atopic dermatitis look like at any age? red itchy, dry skin, usually systemic
What can cause atopic dermatitis? chemicals, high temperature or humidity, low humidity as well, and allergens
What is contact dermatitis (in general)? inflammation, redness, itching, burning, stinging
What occurs in allergic contact dermatitis ONLY? vesicles form
what causes Irritant contact dermatitis? exposure to certain irritants
What causes Allergic contact dermatitis? immune reaction to antogen or contact with antigens/allergens
when does ICD present itself? single or multiple exposures
when does ICD resolve? over several days
when does ACD present itself? not usually on first contact but sometime after that 2-48 hours and must have prior exposure
What is urushiol induced ACD? poison ivy, poison oak
what does urushiol induced ACD look like? vesicles, papules, weeping, crusting, itches, stings, or burns
when does urushiol usually resolve? 10-21 days
What is dandruff? excessive scaling of the scalp
what are some symptoms of dandruff? sometimes itching, it appears on the crown of the head
What is seborrheic dermatitis? a red scaly itchy rash thats sometimes yellow and oily. typically on the scalp, face or trunk (sebacious glands)
What is psoriasis? red, scaly, itchy rash thats sometimes oily and yellow
What is plaque psoriasis? raised red patches on the skin that may have a silvery white coating
Where can plaque psoriasis occur on the body? anywhere but mostly on the knees, elbows, lower back, scalp and often involves part of the nail
What is gluttate psoriasis? small red spots on the trunk, arms and legs
Can you self treat gluttate psoriasis? NO must refer
What is pustular psoriasis? red, painful, swollen, and dotted with pus-filled bumps usually on the palms and soles.
What accompanies pustular psoriasis? fever, chills, low appetite and weakness
can you self treat pustular psoriasis? NO must refer
What is inverse psoriasis? smooth red patches that look raw, they develop on the armpit and groin and maybe buttocks
What is erythrodermic psoriasis? skin appears burned and bright red on most of the skin. THIS IS A MEDICAL EMERGENCY
What are some non pharm interventions for xerosis and atopic dermatitis take short showers and baths, use cool mist humidifier, dont scratch, water intake, avoid what seems to cause the irritation
What are first second and third line approaches for xerosis and atopic dermatitis? 1st: modify causative factors. 2nd: recommend non pharm. 3rd: recommend pharm interventions
What works in order from best to worst for xerosis? ointments, creams/lotions, glycerin, surfactants
what are the first, second, third, and fourth line approaches for treatment of AD? 1st: show empathy. 2nd: modify causative factors. 3rd: non drug. 4th: pharm treatment
what are the exclusions for self care for xerosis and AD? severe condition or "intense", over 20%, under 2 yo, infected skin, is in genitals, failure to self treat in 7 days
What are the 1st, 2nd and 3rd line approaches for treatment of ICD? 1st: wash area. 2nd: non drug measures. 3rd: pharm interventions, can try topical hydrocortisone, then hollister creams . AVOID ANTIHISTAMINES
what are 1st, 2nd and 3rd line approaches to treatment of ACD? 1st: remove antogen from skin. 2nd: non drug interventions. 3rd: pharm interventions AVOIF ANESTHETICS AND TOPICAL ANTIHISTAMINES
What are some exclusions for self care for CD? Severe condition, over 20% of body, under 2yo, skin look infected, puss, is in skin folds, eyes or genitals, fail to treat in 7 days
what is 1st and 2nd line treatment for dandruff? 1st: daily or every other day non-medicated shampoo. 2nd: medicated shampoo
What are 1st, 2nd and 3rd line treatment for seborrheic dermatitis? 1st: emotional support. 2nd: non medicated shampoo with medicated shampoo. 3rd: topical hydrocortisone-if itching and inflammation
What are 1st second and third line treatments for psoriasis? 1st: trigger avoidace. 2nd: non drug interventions. 3rd: pharmacologic
What are the most wetting agents to the most drying agents? ointments, lotions and creams, gels, sprays, and solutions and wet dressings
What are the pharmacologic treatments you should use for xerosis and AD? ointments, creams/lotions, glycerin/surfactant, topical steroid if irritation, topical antihistamine
What are the pharmacologic treatments you should use for ICD? ointments, creams/lotions, glycerin/surfactant, topical steroid if irritation, topical antihistamine, topical hydrocortisone, barrier creams
What are the pharmacologic treatments you should use for ACD? ointments, creams/lotions, glycerin/surfactant, topical steroid if irritation, topical antihistamine, topical hydrocortisone, barrier creams
What are the pharmacologic treatments you should use for dandruff? medicated shampoos
What are the pharmacologic treatments you should use for Seborrheic Dermatitis? topical hydrocortisone if itching and inflammation
What are the pharmacologic treatments you should use for psoriasis? :dry skin? moisturizer, cleanser, mineral oil, skin protectant
What are the pharmacologic treatments you should use for psoriasis? : itching and inflammation? topical steroids
What are the pharmacologic treatments you should use for psoriasis? : plaques? keratolytics/ cytostatics like coal tar, salicylic acid and urea
Hydrate and Restore - Ointment: Dosing rub a thin layer 3-4 x/day
Hydrate and Restore - Ointment: cautions face applications, open oozing skin, burning skin
Hydrate and Restore - Creams/lotions: what are emollients? leaves an oily film
Hydrate and Restore - Creams/lotions: what are humectants? attract water and hydrate skin
Hydrate and Restore - Creams/lotions: Dosing rub a thin layer onto skin 3-4x/day
Hydrate and Restore - Creams/lotions: what are some examples of this? lanolin (E), shea butter (E), propelyne glycol (h), Glycerin (H), lactic acid (H)
Hydrate and Restore - Ointment: what are some examples of this? petrolatum, vasaline
Hydrate and Restore - Cleansers/Surfactants: Dosing lather, wash, and rinse
Hydrate and Restore - Cleansers/surfactants: what are some exaples of this product and what they do? Mild soap cleansers (drying), glycerin cleansers (less drying), surfactant cleansers (acne)
Inflammation/Irritation - Topical steroids: what are some examples of this? hydrocortisone 0.5%-1.0% Coratid
Inflammation/Irritation - Topical steroids: Dosing apply a thin layer 3-4x/day
Inflammation/Irritation - Topical steroids: cautions? dont apply to broken skin, infected skin or around eyes
Inflammation/Irritation - Topical steroids: when should this be applied? BEFORE creams or lotions, AFTER ointments
Inflammation/Irritation - Topical steroids: can you wear tight clothing over this? you shouldnt
Itching/Pain - Topical antihistamines: what are some examples of this? diphenhydramine .5-2.0% - benadryl
Itching/Pain - Topical antihistamines: Dosing apply a thin layer 3-4x/day
Itching/Pain - Topical antihistamines: contraindications hypersensitivity, Contact dermatitis, use over 3 weeks, dont apply to broken skin
Itching/Pain - Topical antihistamines: When should this be applied? BEFORE creams and lotions, AFTER ointments
Medicated Shampoos/Topicals - Pyrithione zinc: what do you use it for? dandruff and seborrheic dermatitis
Medicated Shampoos/Topicals - Pyrithione zinc: what concentration does it come in? shampoo: 1 and 2% WASH OFF. residual exposure: .1-.25% LEAVE ONE
Medicated Shampoos/Topicals - Selenium Sulfide: what is it used for? dandruff and seborrheic dermatitis
Medicated Shampoos/Topicals - Selenium Sulfide: what concentration does it come in? lotion 1% WASH OFF
Medicated Shampoos/Topicals - Selenium Sulfide: down sides may discolor lighter hair, leave a bad odor, make hair greasy, sting in eyes
Medicated Shampoos/Topicals - Ketoconazole: use for dandruff and seborrheic dermatitis
Medicated Shampoos/Topicals - Ketoconazole: how do you use the shampoo version? apply and wash off, use 2x/week for 4-8 weeks allow 3 days bewteen applications
Medicated Shampoos/Topicals - Ketoconazole: how do you use the cream, gel and foam version? apply 2x/day for 2-4 weeks
Medicated Shampoos/Topicals - Ketoconazole: when is it well tolerated? under what conditions? hair loss, irritation, dry skin, and abnormal hair texture
Medicated Shampoos/Topicals - Coal Tar: when to use? dandruff, seborrheic dermatitis, psoriasis
Medicated Shampoos/Topicals - Coal Tar: adverse effects? itching, irritation, discolors hair, photosensitizes
Medicated Shampoos/Topicals - Coal Tar: when to apply? bedtime, use linens that are ok to stain, avoid being in the sun for 24 hours
Medicated Shampoos/Topicals - Salysilic acid: when is it used? dandruff, seborrheic dermatitis, psoriasis
Medicated Shampoos/Topicals - Salysilic acid: what are the adverse effects? itching, irritations, may alter hair appearance, skin absorption, tinnitis, upset stomach and vomiting. very slow acting 7-10 days
Medicated Shampoos/Topicals - sulfur (keratolytic agent): what is it used for? sulfur only: dandruff. Sulfer/salicylic acid: dandruff, seborrheic dermatitis and psoriasis
Medicated Shampoos/Topicals - sulfur (keratolytic agent): how long does it take to work? 7-10 days
Hydrate and restore - karatolytic moisturizers: dosing for baths add to baths 2-3x/week limit to 3-5 minutes and pat dry
Hydrate and restore - karatolytic moisturizers: dosing for sponge and compress apply to skin and compress when needed
Hydrate and restore - karatolytic moisturizers: When do you use it? after moisturizers
Hydrate and restore - mineral oils: cautions elderly, fall risk, facial application, may clog drain
Hydrate and restore - mineral oils: what are some examples? oatmeal bath and mineral oil
Hydrate and restore - karatolytic moisturizers: dosing apply a thin layer to affected area
Hydrate and restore - karatolytic moisturizers: some examples of products? urea and allantoin
Hydrate and restore - karatolytic moisturizers: whats the use? psoriasis, tinea removing scales
Hydrate and restore - karatolytic moisturizers: cautions dont apply to broken skin
Hydrate and restore - karatolytic moisturizers: special counceling on percentage or urea and allantoin under or at 10% is for hydrating, 20-30% is for exfoliating and removing scales. allantoin is safer but less effective
Created by: carlypentland
 

 



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