Exam (elaborations)
PHCY220 - Cases Exam Study Guide
- Course
- Institution
PHCY220 - Cases Exam Study Guide ...
[Show more]
Content preview
PHCY220 - Cases ExamStudy Guide
First line treatment for AD - Answer Emollients
Hydrocortisone for mild AD which should be applied 1-2x daily
Hydrocortisone butyrate is used for moderate-severe cases and is used if the patient is
unresponsive to HC
Why do AD patients need emollients - Answer Because emollients reduce water loss
across the skin and hydrate the skin to improve barrier function
What are the presentations of AD - Answer Dry itchy rash swollen red skin
Skin may blister or crust or flake off
What strength does HC and HC butyrate come in - Answer HC - comes as 0.5% or 1%
cream
HCB - comes as 0.1% ointment, cream or lotion
Second line treatment for AD - Answer Topical pimecrolimus is used for mild-moderate
cases and tacrolimus is used for moderate-severe cases and is not allowed for children
under 16
Apply these bd for a max of 6 weeks
What are the strengths of pimecrolimus and tacrolimus - Answer P - 1% cream
T - 0.1% ointment
Presentation of psoriasis - Answer Scaling inflammation and redness around the scales,
scales are whitish silver and develop in thick red patches
First line treatment for psoriasis - Answer Calcipotriol for plaque psoriasis and has long
term usage for patients that are not responding to HC
This is appled bd with a max of 100g weekly
HC and HCB like AD
What strength does calcipotriol come in - Answer 0.005% ointment
Second line treatment for psoriasis - Answer Combination of calcipotriol +
, betamethasone dipropionate ointment/gel or foam
Pimecrolimus or tacrolimus can be used short-term under supervision; max of 4 weeks
Presentation of nappy rash - Answer Redness swelling initially scaly which progresses
to erosions
Treatment for nappy rash - Answer HC to the affected area 1-2x daily - max of 7 days
Treatment for urticaria - Answer Antihistamines
Presentation for urticaria - Answer Raised red bumps or welts on the skin
Spots can be blotchy and can be largely connected
First line treatment for acne - Answer Benzoyl peroxide which is applied od and
removed after 2 hours for 3 days, then applied od at night time for 3 days; apply bd if
necessary
Adapalene can also be used for smaller areas which should be applied od in the
evening; review the treatment after 3 months
Second line treatment for acne - Answer These are oral formulations that can be used
after 2 months of first line treatment
Doxycycline which is given as a 100mg tablet and patients can take 50-100mg od
Minocycline is also available as 100mg capsules or 50mg tablets - this is given 100mg od
in 1-2 doses
Third line treatment for acne - Answer Isotretinoin is reserved for patients that do not
respond to other medications with severe acne
Take 10-20mg od until all lesions have resolved which is typically 3-5 months then
reduce to half the dose for further months to avoid relapse or scarring
Presentation of cellulitis - Answer Ill defined lesions, red, painful, swollen and may or
may not have systemic symptoms
First line treatment for cellulitis - Answer Flucloxacillin 1g every 6-8 hours for 5 days
For elderly or lower body weight they can take 500mg every 6 hours and 1g every 6
hours for the opposite
High doses are advised to be taken with food to reduce GI disturbances
What strength does flucloxacillin come in - Answer 250mg or 500mg capsules or 250,
500, 1g injections
Why would probenecid be given for patients with cellulitis - Answer If a patient has a
creatinine clearance of <30mL/min then they are given probenecid because it reduces
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Zayla. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now