Responding to Foot Conditions in Community Pharmacy

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most common type of athlete's foot?

Interdigital (correct)

Wet macerated

Moccasin or dry

Vesicobullous

What is the primary symptom of athlete's foot?

White and 'soggy' appearance

Itchy (correct)

Dry and scaly skin

Multiple small vesicles and blisters

What can result in corns and calluses?

Opportunistic infection

Verrucae

Incorrect distribution of pressure (correct)

Athlete’s foot

When should a child affected by athlete's foot be excluded from school or nursery?

It is not necessary to exclude them from school or nursery Signup and view all the answers

What is the mechanism of action of the 'Wartner®' verruca treatment?

It 'freezes' verruca by destroying cytosol and cell structure Signup and view all the answers

Why is the medical cryotherapy with liquid nitrogen more effective than the 'Wartner®' treatment?

Liquid nitrogen cools to -196ºC, while 'Wartner®' only cools to -57ºC Signup and view all the answers

Why is it important not to throw away medicines via wastewater or household waste?

It can contaminate the environment and harm wildlife Signup and view all the answers

When should diabetics be referred for verruca treatment?

If they have circulatory issues Signup and view all the answers

What do Podophyllum resin and formaldehyde have in common as verruca treatments?

Both have a potent corrosive action Signup and view all the answers

Where can one find detailed guidelines on verrucae treatment?

NICE guidelines: <a href="http://cks.nice.org.uk/warts-and-verrucae">http://cks.nice.org.uk/warts-and-verrucae</a> Signup and view all the answers

Why should all creams, particularly certain ones, not be thrown away via wastewater or household waste?

They may contain ingredients harmful to wildlife and the environment Signup and view all the answers

What is a reason to refer a patient for verruca treatment?

They have failed OTC treatment Signup and view all the answers

What is the recommended treatment for athlete's foot in children above 16 years?

Terbinafine 1% cream Signup and view all the answers

Which antifungal may be more effective than others in preventing reinfection of athlete's foot?

Imidazoles Signup and view all the answers

What can be used to treat corns and calluses?

Thick, cushioned socks Signup and view all the answers

What causes verruca, or plantar warts?

Human papilloma virus Signup and view all the answers

Which substance is used in verruca treatment to reduce viral numbers and stimulate antibody production?

Salicylic acid Signup and view all the answers

How can athlete's foot and corns/calluses be prevented?

Wear thick socks and comfortable shoes Signup and view all the answers

In individuals with diabetes or weakened immune systems, athlete's foot may be:

More severe Signup and view all the answers

Which antifungal is described as less effective with fewer trials supporting its efficacy for athlete's foot?

Tolnaftate Signup and view all the answers

What is a characteristic feature of verruca, or plantar warts?

Small black dot Signup and view all the answers

Which substance is used in verruca treatment to corrode the skin and increase penetration of salicylic acid?

Salicylic acid Signup and view all the answers

Study Notes

Athlete's foot treatment options include antifungals such as undecenoates, imidazoles (Clotrimazole, Miconazole, Econazole), terbinafine, and benzoic acid.
Imidazoles may be more effective than other antifungals in preventing reinfection.
Terbinafine 1% cream is recommended for children above 16 years, apply once or twice a day for up to 7 days.
Clotrimazole, Miconazole, Ketoconazole are available as creams or ointments for different lengths of treatment.
Tolnaftate (Mycil®, Tinaderm®) is less effective than other antifungals with fewer trials supporting its efficacy.
Athlete's foot can result in discomfort, spreading to other parts of the body, and may be more severe in individuals with diabetes or weakened immune systems.
Corns and calluses are caused by friction and intermittent pressure against the feet, often worsened by inappropriate footwear.
Corns and calluses can be treated with thick, cushioned socks, wide shoes, soft insoles, soaking, and regular filing with a pumice stone or foot file.
Verruca, or plantar warts, are caused by human papilloma virus and are characterized by a small black dot, often found in weight-bearing areas.
Verruca treatment includes salicylic acid, which reduces viral numbers and stimulates antibody production, lactic acid, which corrodes the skin and increases penetration of salicylic acid, and gluteraldehyde and silver nitrate, which are caustic agents used for short-term treatment.
Verruca can spread through direct contact and shed skin and may take up to 12 weeks to resolve spontaneously.
Prevention measures for both athlete's foot and corns/calluses include wearing thick socks, comfortable shoes, and soft insoles, as well as avoiding long periods of standing and walking.
Corns and calluses can be differentiated from verruca by the presence or absence of a small black dot.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Learn how to respond to patients presenting with athlete’s foot, verrucae, corns, and calluses in a community pharmacy. Gain knowledge on using the mnemonic WWHAM to assess different patient groups, recognizing when to refer patients to the doctor, and providing practical advice and OTC product recommendations.