7 articles Dermatology

Fungal infection of the skin: Ring worm, Athlete’s foot

Tinea corporis (ring worm): Thorough bathing with soap and water, removal of scabs and crusts, and the application of an effective topical (e.g. creams, lotions or ointments) fungicide such as miconazole 2% external cream, ketoconazole, ciclopiroxzole, econazole, naftifine, tervinafine, tolnaftate or ciclopiroxzole may be all that is needed to treat the fungus. Ketoconazole 2% topical…

Psoriasis

Psoriasis: Topical steroids: Triamcinolone acetonide 0.1-0.5% external ointment to be applied tid Hydrocortisone Valerate 0.2% external ointment Betamethasone Dipropionate 0.05 % External Ointment; APPLY SPARINGLY TO AFFECTED AREA(S) TWICE DAILY Clobetasol propionate is a corticosteroid of the glucocorticoid class used to treat various skin disorders including eczema and psoriasis. It is also highly effective for…

Shingles

Shingles: (herpes zoster infection: red patches of skin with white/clear papules, typically very painful, and rash follows a dermatome) PE: Vesicles on a red base starting in center of chest, on bottom of right breast, wrapped around right side and into mid upper back. Dermatomal distribution. Tx Plan: Start Valacyclovir 1g tablets – take 1…

Rash

Rash: Hydrocortisone 2.5% topical cream – apply qd (avoid face and genitalia) Prednisone 60mg PO bid Benadryl 50mg PO q6hr PRN pruritus Hydroxyzine pamoate (Vistaril) 50mg PO q8hr PRN pruritus Triamcinolone 0.1% ointment – apply topically q12hr If inpatient: Patient has a history of MRSA: Vancomycin (pharm to dose) Lortab 5 q4hr PRN pain –…