Topicals, opthal, otics
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Topicals, opthal, otics

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Topicals, opthal, otics Topicals, opthal, otics Presentation Transcript

  •  
  •  
  •  
  • Topicals, Opthalmics and Otics Structure of the Skin Disease Conditions Therapeutic Agents
  • Structure and Function of the Skin
  •  
    • Ultraviolet Radiation
      • Skin cancer
      • Wrinkles
    • Phototoxicity
      • Excessive response
      • in the presence of a
      • sensitizing agent
        • Sunblocks
        • Sunscreens
    • Photosensitivity
      • Abnormal response
  • Common Disease of the Skin
  • Contact Dermatitis by Poison Ivy
  •  
    • Classic Poison Ivy Poison Ivy Eye
    • Rash developed puss edema
  • Antiseptics and Disinfectants
    • A substance that inhibits the growth & developmt of moos, but does not necessarily kill them
    • Hibiclens (chlorhexidine)
    • Phisohex (hexachlorophene)
    • Betadine (povidine- iodine)
    • A chemical applied to objects to free them from pathogenic organisms
    • Alcohol
    • Chlorox
    • Hydrogen peroxide
  • Topical Antibiotics
    • Silvadene, SSD cream (silver sulfadiazine)
    • Triple antibiotics (bacitracin-neomycin-polymixin B)
    • Cleocin T (clindamycin)
    • Bactroban (mupirocin)
  • Topical Corticosteroids
    • OTC versus RX
    • Creams, ointments, gels, lotions
    • Agents
      • Betamethasone (Diprolene, Diprosone)
      • Clobetasol (Temovate)
      • Fluocinonide (Lidex)
  • Psoriasis
  • Psoriasis
    • Immune mediated skin disease which causes rapid growth of skin cells.
    • Treatments
      • Corticosteroids (Reduce inflammation & slow skin cell turnover
      • Salicylic acid -Peeler
      • Ultraviolet Phototherapy
        • Reduce skin cell turnover
      • Systemic Immune System Therapy- MTX
  • www.Psoriasis.org courtesy of Jennifer Marks PTech student 2005
  • Fungal Infections
    • DANDRUFF
    • Shedding of scales from the scalp
    • Selsun Blue
      • Selenium sulfide
    • Head & Shoulders
      • Pyrithione zinc
    • Nizoral
  • Candidiasis Infections
    • Ringworm
    • Topicals
      • Clotrimazole
      • Miconazole
    • Oral
      • Griseofulvin
      • Itraconzaole (Sporanox)
        • Pulse Dose
    • Terbinafine (Lamisil)
  • Diaper Rash
  • Acute PCN uticaria Drug Induced Maculopapular eruption Drug Induced erythema multiforme
  • Toxic-Drug Epidermal Necrolysis Fixed eruption by Pb Iodide acneiform eruption
  • Atopic Dermatitis Eruption
    • Treatments
      • Topical/PO Cortisone
      • Topical (Doxepin)
      • Topical Calcineurin
      • Immunosuppressants
      • Emollients/Antihistam
      • Coal Tar
    Allergic Hereditary Psychogenic
  • Infantile Phase 6 weeks to 4 yo
  • Eczema
  • ECZEMA
    • Atopic
      • Doxepin (Zonalon)
    • Contact
      • Pimecrolimus (Elidel)
      • Tacrolimus (Protopic)
  • Lesion of Psoriasis Keloid Scarring from acne
    • Scaly skin lesion caused by too much sun can lead to skin cancer
    • Actinex (masoprocol)
    • Efudex (fluorouracil)
    Actinic Keratosis
    • Triggers:
    • Sun, Stress, Hot Weather/Bath
    • Wind, Exercise, Etoh,
    • Metrogel/crm (metronidazole)
    Rosacea
  • Acne Vulgaris and Wrinkles
    • Overactive sebaceous glands
    • Azithromycin (qd)
    • Tretinoin
    • Benzoyl peroxide
    • Tazarotene (Tazorac)
    • Ortho Tri-Cyclen
    • Differin/Azelex
    • Retin A
      • Tretinoin, retinoic acid, vitamin A acid
    • Renova
      • Lower dose for fine wrinkles
      • Moisturizing base
    • Kinerase
    • Tazorac
    • Botox
  • Scar Management
    • Pressure/Compression
      • Stimulates production of collagenase, reduces height of scar thru local tissue hypoxia
    • Occlusive/Silicone Sheeting
      • Provides hydration
    • Cortisone
      • Reduces pain and itching
    • Vitamin E
      • Moisturizes
  • Viral Infection
    • Shingles, cold sores
      • OTC Docosanol (Abreva)
      • Rx oral anti-virals
    • Warts
      • OTC Cryotherapy
      • Rx Aldara
  • Moles
  • LICE and their Nits
  • Pubic Louse Body Louse
  • Pediculicides and Scabicides
    • Human Lice & scabies are external parasites
    • Transmission by direct contact
    • Types
      • Body lice
      • Head lice
      • Pubic lice (Crabs)
    • Treatments
      • Permethrin (Nix/Elimite)
  • Louse Life Cycle
  • Scabies
    • What are they?
    • Sites of Scabies Infestation
    • Symptoms
    • Etiology
    • Treatments
  •  
  • Hair Loss
    • Rogaine (Minoxidil)
    • MOA
    • SE
    • Efficacy
  • Diseases of the Eye
    • Glaucoma
    • Cataract
    • Vascular
    • Retinophathies
    • Retinopathy
    • A Look
    • Inside
    • The EYE
    • Why Does
    • Glaucoma
    • Happen?
  • Risk Factors
    • Age
    • Diabetes
    • Family History
    • Eye Injury
    • Far & Nearsightedness
    • Drugs (cortisone)
  •  
  • Agents for Glaucoma
    • Goal of Treatment
    • Therapeutic Agents
      • Alpha-agonist –reduce production & increase drainage
        • Brimonidine (Alphagan)
      • Beta-blockers –reduce aqueous fluid
        • Betaxolol (Betoptic)
      • Carbonic Anhydrase Inhibitors –reduce production
        • Dorzolamide (Trusopt)
      • Prostaglandin Analogs –increase drainage
        • Latanoprost (Xalatan)
  • Infections of the Eye
    • Conjunctivitis-pink eye
      • Inflammation of the lining & inner surface of eyelid
      • Allergic,Bacterial,Viral
    • Stye
      • Infection of sebaceous gland (hordeolum) in lid margin
    • Blepharitis
      • Eyelid margins, scales crusts, ulcers
    • Antibiotics
      • Tobramycin,gentamycin, sulfacetamide
    • Antihistamines
      • Zaditor, Alamast
    • Corticosteroids
      • Dexamethasone, Flurometholone
    • Antivirals
      • Vira-A (vidarabine)
  • Anatomy of the EAR
    • Hearing Loss
      • Age related
      • 65-75 years of age
      • Environmental
      • Genetic
  • Commonly Used Otic Agents
    • Analgesics
      • Antipyrine-benzocaine (Auralgan)
    • Antibiotics
      • Cortisporin HC Solution or Suspension
      • CiproDex
    • Wax dissolvers
      • Cerumenex (Rx)
      • Debrox (OTC)
  • Summary Slide
    • Common Disease of the Skin
    • Antiseptics and Disinfectants
    • Topical Antibiotics, Topical Corticosteroids
    • Hair Loss
    • Diseases of the Eye
    • Agents for Glaucoma
    • Conjunctivitis “Pink Eye”
    • Commonly Used Otic Agents