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CLPH 469
skin disorders
25
Pharmacology
Graduate
10/02/2010

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Cards

Term
drug induced acne
Definition
lithium
oral contraceptives
accutane...at start
testosterone
Term
acne
Definition
most common in adolescents
refer all except those with mild form
Tx topical and systemic antibiotics
topical and systemic comedolytics
Term
Atopic Dermatitis (Eczema)
Definition
common in pts with other allergies
Dry skin with raised patches
TX topical emollients, corticosteroids
oral antihistamine for itching
Term
rosacea
Definition
adult acne
TX avoid triggers (cold weather and sun)
topical and systemics antibiotics
topical retinoids, laser surgery
Term
Psoriasis
Definition
Immune Related DO
Red and silver plaque lesions
Tx emollients
topical coritcosteriods and immunosuppressants.
phototherapy
Term
seborrheic dermatitis
Definition
increases subacious gland activity
common in elderly along hair line/scalp
Tx with otc karatoclytics and cytostatic agents
topical corticosteroids
*more common in cold
Term
contact dermatitis
Definition
delayed hypersensitivity
local flareup of exposed area
pruritis---itching
TX remove allergan, topical corticosteriods
oral antihistamine
Term
cellulitis
Definition
infection near a break in the skin
RED WARM SWOLLEN
refer to pcp
Tx oral antibiotics
if sever use iv antiobiotics
Term
Impetigo
Definition
CONTAGOUS
topical staph infection
most common in children->crusty lesions
direct spreading
refer to PCP
easily treated with oral AB
Term
Topical Candida
Definition
common in moist humid areas
if No Fever tx w/ topical antifungal and dry area
if fever-->refer
Term
Tinea Pedis
Definition
Athletes foot
spread in pools and showers
moist environments promote growth
dermatophyte infection
Tx with topical antifungals..must be compliant or reoccurance
Term
Tinea corporis
Definition
Body ring worm
spread at day care
hot/humid environments promote growth
small circular red scaly areas
Tx topical antifungals
Term
Pediculosis
Definition
Head Lice
Children 3-12yo
scalp redness and scaling
pruritus (itching)
Tx permethrin
malathion
oral ivermectin
Term
Scabies
Definition
parasitic
in children and adolescents, LTCF (long term care facilities)
raised lines caused by mites burrowing under skin
extreme itching
TX: same way as lice
permethrin, oral ivermectin, pesticide
Term
herpes zoster
Definition
shingles
over 40yo
triggers: stress, old age, immunosupress
extreme pain along dermatome
tender red papules--> scabs
viral infection: painful--neurophathy
Tx: valacyclovir and famcicloir
manage acute pain and postherptic neuralgia

cant spread if scratched.
can lead to secondary infection
on one side of body or the other
painful rash
Term
Skin cancer
Definition
highest risk in australia
basal cell carcinoma (most)
squamous cell carcinoma (sun exposed)
Melanoma(most deadly)
tx remove lesion
chemo/radiation
Term
basal cell carcinoma and squamous cell carcinoma
Definition
pg 13 ...punctural regular shaped
Term
melanoma
Definition
irregular shaped
dark and can show up anywhere with higher prevelence to sun exposed skin
Term
Xerosis features
Definition
Dry skins
fall and winter
feet lower legs, hands elbows face
rough dry sales and cracks
itching
Term
whose at risk for xerosis
Definition
elderly
decreased sweat and sebaceous glands
very warm environments
frequent bathers
Term
xerosis TX
Definition
emollients
1st line for itching and restores barrier and skin function

alter bathing habits--luke warm water
Term
dr matins 3 rules
Definition
bath 3 times a week
with 3-5 degrees above temp water
for 3-5 minutes
pat dry and apply emollients within 3 min
apply at tid
Term
3 emollients
Definition
vaseline
lubriderm
keri
Term
ithing agents
Definition
menthol and camphor
cause cooling
promoxine
local anesthetic
hydrocortisone
anti inflammatory
Term
dermatitis
Definition
inflammatory process of the epidermis and dermis
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