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14 Cards in this Set
- Front
- Back
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What Eczema treatment should be used at any level of severity in pediatrics?
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Emolients
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Topical Steroids are used in the treatment of pediatric eczema, Increasing in potency with increasing severity.
Where should the topical steroids applied? When should each of the following be used: 1) Mild 2) Moderate 3) Potent 4) Ultra Potent How long for each? |
Applied to active areas.
Mild to face Moderate up to 5 days for severe flares Moderate to potent for short periods (2wk) in more vulnerable areas Ultra-potent only under dermatologist supervision |
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Calcineurin inhibitors can be applied topically for moderate to severe Eczema in peds. What are the 2 calcineurin inhibitors and are they first line? You should never give these to kids less than ____ years.
When should you tell patients to use caution while taking these drugs? |
Pimecrolimus and Tacrolimus NEVER first line, and NEVER in kids <2
NO OCCLUSIVE dressing, and may sensitize to sun. |
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When can Antihistamines be used in the treatment of Eczema?
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Antihistamines - Systemic Therapy for SEVERE eczema.
Response variable, last-ditch |
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What is CRADLE CAP?
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Seborrheic Dermatitis
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How is Seborrheic dermatitis (cradle cap) treated?
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a. White petrolatum = Vaseline®
b. Coal tar - not a first choice c. Ketoconazole shampoo d. Hydrocortisone 1% cream |
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What are the 2 most common causes of Diaper Dermatitis?
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Irritant and candida
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What 3 topical agents should be avoided in babies with diaper dermatitis?
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AVOID Benzocaine, alcohol, & hydrocortisone
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6 month old presents with beefy red rash that covers the entire diaper area. Diagnosis? Treatment?
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CANDIDA
Topical antifungal CREAMS! |
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How does the diaper dermatitis caused by an irritant differ than that caused by candida?
How is it treated? |
Irritant dermatitis will be LOCALIZED to areas in contact with the diaper.
Tx: Protectant- Zinc Oxide (Desitin) |
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What is the treatment for Pediatric Warts (verruca vulgaris, plan, plantaris)?
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*salicylic acid* is probably still the number one choice!
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What bugs should you be sure to cover in treatment of Impetigo (Bollus vs non-bollus?)
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Impetigo -
MSSA βhemolytic strep (Bullous) group A strep (non-bullous); |
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What are the treatment options for Impetigo in peds?
Which is best for PCN allergy? Which is easier for toddlers? |
You’d probably pick a,b,or c as first choice.
a. Antistaph penicillin: dicloxicillin (Dynapen®) orally (antistaphs = ox-, diclox-, meth-, naf-; ox- and naf- are IV; methicillin not available any more) b. 1st gen ceph: cephalexin (Keflex®) - OK in mild penicillin allergy, but NOT Type I reaction c. Mupirocin (Bactroban®)- only covers Staph, but it’s topical, which is much simpler in toddlers! d. Amox/clav = Augmentin® - NOT in penicillin allergy e. Erythromycin, clindamycin cover the bugs, but not first line |
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What is the treatment for Tinea Capitits?
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a. Selenium sulfide (Selsun® - NOT Selsun blue) shampoo
b. Povidone-iodine (Betadine®) liquid - iodine is a great antifungal |
