General Surgery — Flashcards

Flashcard 641: _____ is the least oiliest and best absorbed

Answer: Lotion

Flashcard 642: _____ potency topical steroids can be used on delicate areas e.g. face or genitals

Answer: Lower

Flashcard 643: Impetigo spreads by direct contact with the bacteria invading skin through _____ and spread further by scratching

Answer: abrasions (including cuts, burns, insect bites, eczema)

Flashcard 644: If impetigo is _____ or does NOT respond to treatment then consider sending a swab (microbiological testing)

Answer: recurrent

Flashcard 645: Scabies causes a(n) _____ associated with a type IV (delayed) hypersensitivity reaction to mites/eggs occuring ~30 days after initial infection

Answer: intense pruritis

Flashcard 646: Impetigo is most common in ages _____-7

Answer: 2

Flashcard 647: Atopic eczema presenting with oozing, painful, crusted eczema WITH _____ or general malaise should be managed with antibiotics

Answer: fever

Extra: Atopic eczema is frequently colonized with *Staphylococcus aureus*. Signs of secondary bacterial infection (impetiginization) include weeping, crusting (golden/honey-colored), and pustules. If the patient also has systemic symptoms like fever or malaise, oral antibiotics are indicated. Differential Diagnosis: If the eczema shows punched-out erosions or vesicles, consider Eczema Herpeticum (caused by HSV), which requires Aciclovir.

Flashcard 648: Vesicles and pustules that rupture to form _____ crusts = Impetigo (non-bullous)

Answer: honey-colored

Flashcard 649: Example of a potent topical corticosteroid for atopic eczema = _____

Answer: betnovate (betamethasone)

Extra: Potency classification (UK system): 1. Mild: Hydrocortisone 0.5-2.5% 2. Moderate: Clobetasone butyrate 0.05% (Eumovate) 3. Potent: Betamethasone valerate 0.1% (Betnovate) 4. Very Potent: Clobetasol propionate 0.05% (Dermovate)

Flashcard 650: If MRSA-related impetigo is a possibility then _____

Answer: obtain a swab & seek specialist advice