Nội dung text 3 Dermatology LMV 4.6.pdf
1 | P a g e [ D e r m a t o l o g y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Dermatology Version 4.6 Corrected, Updated, Lighter With the Most Recent Recalls and the UK Guidelines ATTENTION: This file will be updated online on our website frequently! (example: Version 2.6 is more recent than Version 2.5, and so on) Anti-dsDNA and Anti-smith SLE The initial test for SLE: ANA Anti-histone Drug-induced lupus (e.g. Hydralazine) Anti-scl70 Systemic Sclerosis Anti-centromere Limited sclerosis/CREST syndrome Anti-Jo1 Polymyositis Plab1keys.com Strict Copyrights! No Sharing or Copying Allowed by any means Compensations and Penalties Worldwide System is Active
2 | P a g e [ D e r m a t o l o g y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Anti-Ro, Anti-La Sjogren’s disease Anti-mitochondrial Primary biliary cirrhosis Anti-smooth muscle Autoimmune hepatitis pANCA Churg Strauss (Eosinophilic Granulomatosis with Polyangiitis) cANCA Wegener’s Granulomatosis (Granulomatosis with Polyangiitis) Anti-tissue transglutaminase and IgA, Anti-gliadin, Anti-endomysial Celiac Disease ANA RA, initial test for SLE, and many other auto-immune diseases.
3 | P a g e [ D e r m a t o l o g y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Cellulitis Inflammation of the skin and subcutaneous tissues, typically due to infection by G+ve bacteria e.g., Streptococcus pyogenes or Staphylcoccus aureus. Features of Cellulitis • commonly occurs on the shins. • erythema, pain, swelling. • there may be some associated systemic upset such as fever. Management of Cellulitis ◙ First Line → Flucloxacillin ◙ If penicillin allergic → Clindamycin or Clarithromycin Many local protocols now suggest the use of oral clindamycin in patients who have failed to respond to flucloxacillin (e.g. MRSA) ◙ If Severe cellulitis → IV benzylpenicillin + flucloxacillin. ◙ MRSA skin infection → Vancomycin. Imp √
4 | P a g e [ D e r m a t o l o g y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Cellulitis
5 | P a g e [ D e r m a t o l o g y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Lichen Planus 4P + F and LP: Pruritic, Purple, Papular, Polygonal rash on the Flexor surfaces. LP: White Lacy Pattern on the buccal mucosa ◙ Management of Lichen Planus √ Topical steroids → the mainstay of treatment. √ benzydamine mouthwash or spray is recommended for oral lichen planus. √ Extensive lichen planus may require oral steroids or immunosuppression.