Derm history taking Flashcards Preview

Clinical skills Yr2 > Derm history taking > Flashcards

Flashcards in Derm history taking Deck (9):
1

List some of the main skin diseases in the UK?(9)

  • Skin cancer (including melanoma)
  • Acne 
  • Actopic eczema 
  • Psoriasis 
  • Viral warts
  • Other infective skin conditions 
  • Benign tumours and vascular lesions 
  • leg ulceration 
  • Contact dermatitis and other eczemas 

2

List/appreciate some of the causes of skin disease (9)

  • Irritants 
  • Genetic  factors 
  • Sunshine 
  • Allergens 
  • Temp/humidity
  • Infections 
  • Drugs 
  • Internal disease 
  • Psychological factors 

The cause of skin disease is often multifactorial 

3

What should you make sure you ask about in the history of presenting complaint ?

  1. Duration
  2. Site and appearance at onset
  3. Details of evolution / spread
  4. Symptoms – itch, pain, burning
  5. Aggravating or relieving factors
  6. How does the condition affect you?

4

What should you be asking about for a systemic enquiry relating to skin ?

  • Itch (generalised, localised, with or without rash)
  •  Pain/burning/stinging (or other skin discomfort)
  •  Skin colour change
  •  Rash
  •  Lumps
  • Swellings
  •  Mouth/tongue
  •  Eyes
  •  Lymph gland swellings
  •  weight changes
  •  hair
  •  nails

5

What should you ask about in past medical history ?

  • Previous skin disease - Atopy e.g. eczema
  • General health e.g., pruritus
  • Mouth disease
  • Joint disease
  • Autoimmune disease history

6

Why do you need to remember to ask about drug histroy ?

Because drug eruptions are common. 

Ask about:

“over the counter” preparations herbal drugs “complementary” therapies other people’s preparations cosmetic preparations

7

Why do you need to rememeber to ask about family history of skin disease ?

To check for the possibility of any inherited skin conditions or autoimmune history 

8

Why is occupational history important ?

Because occupation may explain or aggravate condition. 

  • e.g. florist with facial eczema 
  • e.g. car mechanic with hand dermatitis 

9

What in social history is important in history taking for skin disease?

TRAVELS - e.g., infections, sunshine

HOBBIES - e.g., contact dermatitis

ALCOHOL - e.g., hepatotoxic therapy considered

SMOKING - e.g. palmoplantar pustulosis