Acne Cascade and Treatment Options
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What is one reason why many people are nervous about dermatology?

  • Rashes are complex and require a good system for examination (correct)
  • Derm complaints are not very common
  • Dermatology does not play a significant role in patient care
  • Skin diseases are easy to diagnose and treat

    • In school-based practice, what is dermatology second only to in terms of sending students home?

  • Stomach ache
  • Fever (correct)
  • Headache
  • Cough

    • Why is it important to know what home treatments have been used on a rash?

  • To criticize the patients' choices
  • To understand the effectiveness of the treatments (correct)
  • To impress the patients with your knowledge
  • To avoid providing any treatment

    • What is one of the first things to inquire about when discussing dermatology with a patient?

    <p>Itching</p> Signup and view all the answers

    How common are dermatologic complaints among children?

    <p>About a third of all children</p> Signup and view all the answers

    Why does the text suggest building strength in dermatology as an important area?

    <p>Because it is always relevant and important in patient care</p> Signup and view all the answers

    What is the purpose of using Lac Hydrin cream on patients?

    <p>To remove scale</p> Signup and view all the answers

    Why should patients with atopic dermatitis avoid nylon and wool clothing?

    <p>To prevent allergic reactions to certain fabrics</p> Signup and view all the answers

    Which product inhibits T-cell activation and works differently than steroids?

    <p>Elidel or Protopic</p> Signup and view all the answers

    What is the recommended approach to treating seborrhea?

    <p>Soaking the scale with olive oil, then using Dawn dish washing liquid</p> Signup and view all the answers

    Why should patients with atopic dermatitis avoid products with fragrance?

    <p>To prevent allergic reactions</p> Signup and view all the answers

    What common antihistamine is mentioned in the text as not being very effective for itching in patients with atopic dermatitis?

    <p>Cetirizine</p> Signup and view all the answers

    What is a characteristic symptom of atopic dermatitis?

    <p>Itching</p> Signup and view all the answers

    What is the purpose of using hydroxyzine in treating itching in patients with atopic dermatitis according to the text?

    <p>Reduction of itching</p> Signup and view all the answers

    What is the main reason for avoiding nylons and wools in clothing for patients with atopic dermatitis?

    <p>Skin irritation and allergic reactions to certain fabrics</p> Signup and view all the answers

    What should be done if a patient with seborrhea develops the condition suddenly?

    <p>Evaluate for conditions like HIV infection or diabetes</p> Signup and view all the answers

    Why do infants typically develop atopic dermatitis around two months of age?

    <p>Their immune system has developed enough to allow allergies.</p> Signup and view all the answers

    What skin manifestations are characteristic of infantile atopic dermatitis?

    <p>Moist lesions with weeping or yellow crusting.</p> Signup and view all the answers

    Why does atopic dermatitis spare the diaper area in infants?

    <p>The diaper seals in wetness, keeping it moist.</p> Signup and view all the answers

    What is the key aspect of treatment to protect against infection and irritation in patients with atopic dermatitis?

    <p>Educating patients on water loss concepts.</p> Signup and view all the answers

    Which product is commonly recommended by dermatologists to restore moisture and build a better barrier for patients with atopic dermatitis?

    <p>Cerave cream</p> Signup and view all the answers

    Why should oil be added to bath water for older children with atopic dermatitis?

    <p>To prevent the skin from drying out after bathing.</p> Signup and view all the answers

    What is a common sign of staphylococcus infection in patients with atopic dermatitis?

    <p><strong>Weeping</strong> or yellow crusting</p> Signup and view all the answers

    What is the Greek meaning of the word 'eczema'?

    <p>To boil over</p> Signup and view all the answers

    What skin condition is characterized by a disruption in the stratum corneum and a lack of a good skin barrier?

    <p>Eczema</p> Signup and view all the answers

    Which term is sometimes used interchangeably with 'dermatitis' to describe skin inflammation?

    <p>Eczema</p> Signup and view all the answers

    What is a recommended treatment for patients with recurrent herpes simplex?

    <p>Applying sunscreen and sun block</p> Signup and view all the answers

    In patients with atopic dermatitis, what visible sign is characteristic of lichenification?

    <p>Prominent skin lines</p> Signup and view all the answers

    What is a common characteristic of vesicular and bullous lesions suspected of bacterial infection?

    <p>Red base</p> Signup and view all the answers

    For patients with intertrigo underneath the breasts, what is recommended to keep the area dry?

    <p>Blow-drying after showering</p> Signup and view all the answers

    What is the primary reason for the development of infantile dermatitis in young children according to the text?

    <p>Rubbing against clothing</p> Signup and view all the answers

    What is a characteristic feature of a fungal diaper rash?

    <p>Satellite lesions</p> Signup and view all the answers

    Which component is associated with an allergic reaction in patients with atopic dermatitis?

    <p>IgE</p> Signup and view all the answers

    Which type of dermatitis is caused by prolonged contact with irritants like urine or feces?

    <p>Contact dermatitis</p> Signup and view all the answers

    What is a characteristic symptom associated with patients with herpes simplex infections?

    <p>Lymphadenopathy</p> Signup and view all the answers

    What does the presence of lichenification on the skin indicate?

    <p>'Thickening' of the skin</p> Signup and view all the answers

    What is the primary step in treating contact dermatitis caused by irritants?

    <p>Remove the source of contact</p> Signup and view all the answers

    Which product is recommended for patients with recurrent intertrigo underneath the breasts?

    <p>Zeasorb antifungal powder</p> Signup and view all the answers

    What should individuals who wash their hands frequently do to prevent hand contact dermatitis?

    <p>Use barrier creams</p> Signup and view all the answers

    What is a common cause of irritant contact dermatitis in infants?

    <p>Contact with detergents and soaps</p> Signup and view all the answers

    What is a common characteristic of the earliest signs of atopic dermatitis in infants?

    <p>'Tiny red papules' or 'pink papules'</p> Signup and view all the answers

    What substance is commonly found in barrier creams for irritant contact dermatitis?

    <p>Zinc oxide</p> Signup and view all the answers

    What is the main substance in poison ivy that causes allergic contact dermatitis?

    <p>Uroshiol</p> Signup and view all the answers

    In allergic contact dermatitis from poison ivy, when does the reaction typically occur?

    <p>After a few days</p> Signup and view all the answers

    Why is a Dosepak not a recommended treatment for poison ivy?

    <p>It causes patients to rebound</p> Signup and view all the answers

    What is the recommended treatment for patients affected by poison ivy on less than 10% of their body?

    <p>Topical steroids</p> Signup and view all the answers

    What type of product should be used to correct the hyperkeratinization seen in early stage one acne?

    <p>Retinoate products</p> Signup and view all the answers

    Which substance commonly found in acne treatment products helps to unclog pores?

    <p>Salicylic acid</p> Signup and view all the answers

    What is the primary cause of little clogs and bumps in early stage one acne?

    <p>Hyperkeratinization of follicular ducts</p> Signup and view all the answers

    Why does a patient need oral Prednisone for more than 10% body affected by poison ivy?

    <p>To prevent rebound effects</p> Signup and view all the answers

    What can happen if a patient with poison ivy uses a Dosepak for treatment?

    <p>Rebound effects</p> Signup and view all the answers

    Which medication is most commonly used to treat patients in stage two of the acne cascade?

    <p>Benzoyl peroxide</p> Signup and view all the answers

    What type of patients should avoid the use of spironolactone or aldactone for acne treatment?

    <p>Males</p> Signup and view all the answers

    What organism thrives in the sebum secreted during the acne cascade?

    <p>Bacteria</p> Signup and view all the answers

    What is the believed cause of rosacea according to the text?

    <p>A combination of genetics and environmental factors</p> Signup and view all the answers

    Which inflammatory skin disease can be mistaken for acne due to facial redness?

    <p>Rosacea</p> Signup and view all the answers

    In rosacea, what can patients develop if the condition is left untreated?

    <p>Skin thickening and damage</p> Signup and view all the answers

    What is the specific area on the face where rosacea is typically limited to as it progresses?

    <p>Cheeks and chin</p> Signup and view all the answers

    What cosmetic issue can develop in patients with long-standing rosacea?

    <p>Rhinophyma</p> Signup and view all the answers

    What treatment is needed for patients with severe acne in stage four to help reduce inflammation?

    <p>Non-steroidal anti-inflammatories</p> Signup and view all the answers

    What type of medication is typically needed for patients with redness and pustules on their faces in the acne cascade?

    <p>Antibiotic</p> Signup and view all the answers

    How is rosacea typically treated based on the text?

    <p>Using sunscreen daily and antibiotic treatments</p> Signup and view all the answers

    What is a recommended method to prevent rosacea flare-ups according to the text?

    <p>Using metrogel before moisturizing</p> Signup and view all the answers

    Why are patients advised not to use alcohol in relation to rosacea according to the text?

    <p>It can cause flushing and worsen rosacea</p> Signup and view all the answers

    What can help counteract the appearance of redness in patients with rosacea based on the text?

    <p>Yellow or green-tinted cream or powder</p> Signup and view all the answers

    What is tinea pedis, as described in the text?

    <p>A fungal infection of the feet</p> Signup and view all the answers

    What are common symptoms of tinea pedis as mentioned in the text?

    <p>Itching, scaling, and maceration between the toes</p> Signup and view all the answers

    How is tinea pedis usually treated based on the text?

    <p>Using a topical product like Micatin powder or alcohol-based cream</p> Signup and view all the answers

    Why is it recommended to wear closed-toe shoes according to the text?

    <p>To promote airflow and reduce fungal infections</p> Signup and view all the answers

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