Skin conditions

?
what is the first-line treatment for eczema?
emollients
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what are symptoms to classify severe eczema?
widespread areas of dry skin, incessant itching, redness which may or may not be accompanied by skin thickening, bleeding, oozing, cracking and alteration of skin pigment
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when should antihistamine prescription be considered?
persistent, severe itching or urticaria, or when it is affecting sleep
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what course of action would be taken for severe , extensive eczema?
short course of oral corticosteroids
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what should be considered as a course of action if eczema is accompanied by weeping, crusting, or pustules with fever or malaise?
secondary bacterial infection- antibiotics commenced
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describe the courses of treatment for clear skin, mild eczema, moderate eczema and severe eczema
clear: emollients if desired. mild: emollients, mild topical corticosteroids. moderate:emollients, moderate potency topical corticosteroids. severe: emollients, potent topical corticosteroids, wet wraps and referral for systemic therapy
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describe the functions of emollients
help preserve the barrier function of the skin, replace water loss/seal stratum corneum, reduce scaling, some intrinsic anti-inflammatory action
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name some examples of very greasy emollients
hydromol ointment, white soft paraffin, zeroderm ointment, 50-50 ointment
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name some examples of greasy emollients
zerodouble gel, zeroguent cream, cetraben ointment, diprobase gel
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name some creamy emollients
epimax cream, oilatum cream, zerobase, zerocream, zeroveen cream, dermol cream, cetraben, ultrabase cream, aproderm
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name some 'light' emollients
ZeroAQS, QV lotion, Cetraben lotion, E45 lotion, dermol 500 lotion
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When prescribing steroids, what should be considered? Why?
they are to reduce symptoms, they will not cure the condition. the least potent should be started at the beginning and used for the shortest effective time, and they cannot be used at the same time as emollients to avoid diluting the steroid
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what type of action do steroids have in eczema?
anti-inflammatory
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name the topical steroids from the least potent to the most potent
hydrocortisone, clobetasone, betamethasone, mometasone, clobetasol
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Name the main treatments for eczema
topical steroids, emollients, wet wraps, topical retinoids, biologics, isotretanoin
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which vitamin are topical retinoids derived from?
vitamin A
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what do topical retinoids do
accelerate the proliferation of keratinocytes in basal layer
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what can topical retinoids cause
photosensitivity
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what is the other name for isotretanoin
roaccutane
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what is isotretanoin
an oral retinoid
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what are 'biologics' used to treat
psoriasis, atopic dermatitis, hidradenitis suppuritiva
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Card 2

Front

what are symptoms to classify severe eczema?

Back

widespread areas of dry skin, incessant itching, redness which may or may not be accompanied by skin thickening, bleeding, oozing, cracking and alteration of skin pigment

Card 3

Front

when should antihistamine prescription be considered?

Back

Preview of the front of card 3

Card 4

Front

what course of action would be taken for severe , extensive eczema?

Back

Preview of the front of card 4

Card 5

Front

what should be considered as a course of action if eczema is accompanied by weeping, crusting, or pustules with fever or malaise?

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