Dermatitis, diagnostic criteria, and treatment modalities

 

 

 

Describe dermatitis, diagnostic criteria, and treatment modalities
Describe the drug therapy for Conjunctivitis and Otitis Media
Discuss Herpes Virus infections, patient presentation, and treatment
Describe the most common primary bacterial skin infections and the treatment of choice.

 

Sample Question

Dermatitis

  • Description: Dermatitis is an umbrella term for skin inflammation. It encompasses various conditions characterized by itching, redness, and skin irritation.  
  • Diagnostic Criteria: Diagnosis is primarily clinical, based on a thorough history and physical examination. Key features include:
    • Itching: Often the most prominent symptom.
    • Redness: Affected areas appear red or inflamed.  
    • Skin changes: May include dryness, scaling, blistering, oozing, or thickening of the skin.  
    • Distribution: The location and pattern of the rash can provide clues to the underlying cause (e.g., contact dermatitis often occurs in areas exposed to irritants).  

     

  • Treatment Modalities: Treatment varies depending on the specific type of dermatitis and its severity. Common approaches include:
    • Moisturizers: Essential for all types of dermatitis to hydrate the skin and relieve dryness.  
    • Topical corticosteroids: Reduce inflammation and itching.  
    • Antihistamines: Alleviate itching.  
    • Calcineurin inhibitors: Immunosuppressant creams that can be effective for certain types of dermatitis.  
    • Phototherapy: Exposure to ultraviolet light can help improve symptoms in some cases.  
    • Identifying and avoiding triggers: Identifying and avoiding irritants or allergens is crucial for managing dermatitis.  

     

Conjunctivitis and Otitis Media: Drug Therapy

  • Conjunctivitis (Pink Eye):
    • Bacterial: Typically treated with antibiotic eye drops or ointment (e.g., erythromycin, ciprofloxacin, ofloxacin).
    • Viral: Usually resolves on its own within a few days. Treatment focuses on relieving symptoms with artificial tears, cool compresses, and over-the-counter pain relievers.  
  • Otitis Media (Middle Ear Infection):
    • Antibiotics: First-line treatment for bacterial otitis media. Common choices include amoxicillin, amoxicillin-clavulanate, and azithromycin.  
    • Pain management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce fever and ear pain.  

Herpes Virus Infections

  • Overview: Herpesviruses are a family of DNA viruses that cause various infections in humans. Common examples include:
    • Herpes Simplex Virus (HSV-1 and HSV-2): Causes cold sores, genital herpes.  
    • Varicella-Zoster Virus (VZV): Causes chickenpox and shingles.  
    • Epstein-Barr Virus (EBV): Causes infectious mononucleosi

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