D\'s Derm Step 2

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Author:
JCremer
ID:
29308
Filename:
D\'s Derm Step 2
Updated:
2010-08-08 13:46:20
Tags:
USMLE Step
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Description:
derm
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  1. Treat skin abscess
    I&D
  2. Treat skin abscess in pt at risk fir endocarditis
    • Prophylaxis b4 I&D
    • Vanc or bactrim
  3. No antibiotics needed fit skin abscess if
     5 cm & low risk pt
  4. MRSA coverage for skin abscess
    • Bactrim DS & rifampin
    • Ckinds & rifampin
    • Minocycline or doxycycline
    • Linezolid
  5. Treatment for necrotizing fascists
    Immediate, extensive sx debridement

    • Emperic: imipenem +/- vanc
    • Streptococ: pen G +/- clinda
    • Clostridia: pen G +/- clinda
  6. Treat dry gangrene
    • Autoamputation over time
    • Angiography
  7. Treat wet gangrene
    Emergency debridement or guillotene amputation
  8. Tx impetigo
    • Wash all affected areas
    • Erythromycin
    • Cephalosporins
    • Clinda
  9. Tx acne vulgaris
    • Topical retinoid-1st line
    • Topical antibiotic- sulfscetamide, clinda, dapsone
    • Oral antibiotic- tetra, mino, doxy, bactrim, azithromycin
    • OCP
    • Benzoyl peroxide
    • Oral isoretinoin
  10. Acne med causing photosensitivity
    Tetracyclines
  11. Tx for rosacea (topical)
    • Sulfacetamide&sulfur combo
    • Flagyl
    • Laser therapy (rhinophyma)
  12. Tx for rosacea (systemic)
    • Tetracycline
    • Doxycycline/ minicycline
    • Accutane
  13. Tx HSV & zoster outbreak
    • Acyclovir
    • Famciclovir
    • Valacyclovir
  14. Postherpetic neuralgia
    • Gabapentin
    • Pregabalin
    • Tca
    • Lidocaine patch
    • Capacian cream
    • Opiods
  15. Hpv skin warts? Genital wart subtype?
    • Skin: 1-4
    • Genital: 6 & 11
  16. Tx condylomata acuminata
    • Spont regression
    • Podophyllotoxin
    • Podophyllin
    • Trichloroacetic H
    • Imiquimod
    • Cryo
  17. Treat tinea versicolor
    • Topical- terbinafine, clotrimazole
    • Selenium sulfide shampoo
    • Oral- ketoconazole, fluconazole, itraconazole
  18. Tx onychomycosis
    • Terbinafine
    • Itraconazole
    • Fluconazole
  19. Treat tinea capitis
    • Griseofulvin
    • Itraconazole
    • Terbinafine
  20. Tx intertrigo
    Nystatin
  21. Lice tx
    • Malathion
    • Ivermectin
  22. Tx scabies
    Permethrin
  23. Tx erythema multiforme
    • Stop inciting med
    • Antipruritics
  24. SJS tx
    • Stop inciting agent
    • Steriods
    • Analgesics
    • IVF
    • Burn unit
  25. TEN tx
    • Stop inciting agent
    • Steriods
    • Analgesics
    • IVF
    • Burn unit
    • IVIG
  26. Sebhorrheic dermatitis tx
    • Selenium sulfide shampoo
    • Tar
    • Ketoconazole
    • Steriods
  27. Tx atopic dermatitis
    • Avoid ppt factors
    • Moisturizing creams
    • Topical steriods
    • Tacrolimus
    • Antihistamines
    • Leukotriene i
    • UV light
  28. Severe atopic dermatitis tx
    • Mtx
    • Cyclosporin
    • Azathioprine
  29. Psoriasis tx
    • Topical steriod
    • Tar
    • Retinoid
    • Tacrolimus
    • Calcipotriene
    • Enbrel
    • Cyclosporine
    • UV light
    • Mtx
  30. Tx pityriasis rosea
    Self limited
  31. Tx erythema nodosum
    Self limited
  32. Infxn associated with increased likelihood of lichen planus
    HiV & hep C
  33. Tx lichen planus
    • Steriods
    • Oral retinoid
  34. Antibody for pemphigus vulgaris
    Anti-desmosome

    Epidermis
  35. Antibody for bullous pemphigoid
    Anti hemidesmosome

    Dermal epidermal jxn
  36. Tx pemphigus vulgaris
    • Systemic steriods
    • Azathioprine or cyclophosphamide
  37. Tx bullous pemphigoid
    Topical steriods
  38. Porphyria cutanea tarda tx
    • Phlebotomy
    • Chloroquine or hydroxychloroquine
    • Avoid etoh, estrogen, iron
    • Sunscreen use
  39. MC type of melanoma
    Suoerficial spreading
  40. Nonpigmented melanoma
    Amelanotic melanoma
  41. Dark papule on legs or trunk that bleeds with minor trauma
    Nodular melanoma
  42. Occurs on palms, soles, beneath nail plate in PTA with dark skin
    Acral lentiginious
  43. Dark lesion larger than  6mm with irregular asymmetric borders
    Superficial spreading melanoma
  44. Tx melanoma
    • Hydroquinone
    • Azelaic acid
    • Flucinolone $ hydroquinone & tretinon

    Minimize sunlight!!
  45. Tx vitiligo
    • Sunscreen
    • Dye & makeup
    • Steriods if 10%
    • Tacrolinus or pimecrolimus
    • Psoralen
    • Uv light
    • Sx minigrafting
    • Depigmenation via hydroquinone
  46. Purple red hemangioma on face that doesn't regress with age
    Port wine
  47. Infant with bright red lesion that regressed
    Strawberry/infantile hemangioma
  48. Benign small red papule that appears with age
    Cherry hemiangioma
  49. Bright red papule with radiating blanching vessels
    Spider angioma
  50. Blue compressible mass that does not regresss
    Cavernous hemangiom
  51. Red pink nodule on child that is often confused with melanoma
    Spitz nevus
  52. Tx actinic keratosis
    • Topical 5 FU or imiquimod
    • Cryo
  53. Tx squamous cell ca & basal cell ca
    Mohs excision

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